Insurance Plans Comparison
ManipalCigna ProHealth Prime Senior Elite vs Niva Bupa GoActive
Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...
Read moreProHealth Prime Senior Elite
Restore cover any number of times for a later related or unrelated illness, add a guaranteed 10% bonus each year up to 100%, and cover air ambulance up to ₹10 lakh, with a 20% co-pay.
What Makes It Special:
ProHealth is designed for those who want comprehensive coverage without restrictions. It offers extensive coverage for modern treatments and innovative features.
Best For:
- Not available
VS
GoActive
Cover doctor visits and hospital stays together, refill the base sum insured, and get 90 days of pre-hospitalisation cover plus 180 days after discharge.
What Makes It Special:
GoActive combines in-patient cover with OPD consultations, a personal health coach and an annual health check-up. It has a refill benefit, an optional sum insured escalator, and a renewal discount for buyers who start young.
Best For:
Buyers who do not need maternity cover
Buyers who want the sum insured to grow over time through I-Protect
Buyers who want a health coach and an annual check-up
Families who visit doctors often and want OPD reimbursement
Younger, active buyers who want the 10% early-age discount and a renewal discount for healthy habits
Insurance Plans Comparison
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Quick Decision Guide
Not available
Zone 2 adds a 20% co-payment in four cities, so choose Zone 1 unless you know you will not be treated there.
The 1% room rent cap applies to the lower sum insured options, so pick ₹5 lakh or above if you want room choice.
The 36-month PED waiting period is long, so buy early if anyone has an existing condition.
Maternity is excluded, so choose another plan if you plan to start a family.
Check the OPD limit for your sum insured and number of adults, since the limit is shared across the family.
Insurance Plans Comparison
Detailed Features Comparison
Compare the key features of different health insurance plans
![]() ProHealth Prime Senior Elite Health Insurance Plan VS VS |
GoActive Health Insurance Plan |
| Room Rent |
|---|
ProHealth Prime Senior Elite Single Private AC Room Covered up to Sum Insured |
VS VS |
GoActive Normal: For Sum Insured below ₹5 Lakhs: 1% of Base Sum Insured per day For Sum Insured ₹5 Lakhs and above: No room rent restriction (except Suite Room and above) ICU: For Sum Insured below ₹5 Lakhs: 2% of Base Sum Insured per day For Sum Insured ₹5 Lakhs and above: Covered up to Sum Insured |
| Advanced Treatments |
|---|
ProHealth Prime Senior Elite Covered up to Sum Insured |
VS VS |
GoActive Covered up to Sum Insured |
| ICU Charges |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Up to 2% of base sum insured per day for the ₹1 lakh to ₹4 lakh options. Covered up to the sum insured for ₹5 lakh and above. Confirm the split on the policy schedule. |
| Co-payment |
|---|
ProHealth Prime Senior Elite 20% mandatory co-payment per claim |
VS VS |
GoActive No mandatory age-based co-payment mentioned |
| Disease-wise sublimits |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive No general disease sublimit in the prospectus. Robotic surgery has a ₹1 lakh sub-limit, and OPD, diagnostics and some optional covers have their own limits. |
| Waiting Period |
|---|
ProHealth Prime Senior Elite 30 days 24 months 24 months |
VS VS |
GoActive Information Unavailable |
| Cashless Healthcare Providers |
|---|
ProHealth Prime Senior Elite Not mentioned — verify from policy wordings |
VS VS |
GoActive 4,200+ Network Hospitals |
| Restoration Benefit |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Refill benefit: up to 100% of base sum insured in a policy year, for a different illness from one already claimed. It is available on a floater basis and does not carry forward. Maximum liability per claim after refill is the base sum insured plus any I-Protect amount. |
| Daycare Treatment |
|---|
ProHealth Prime Senior Elite Covered up to Sum Insured |
VS VS |
GoActive Covered up to Sum Insured |
| Cumulative Bonus |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Not offered. The optional I-Protect adds 10% of base sum insured every renewal year. |
| AYUSH Treatment |
|---|
ProHealth Prime Senior Elite Covered up to Sum Insured |
VS VS |
GoActive Covered up to Sum Insured |
| Consumable Cover |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Medicines, drugs, consumables, IV fluids, blood, injection charges and OT charges are covered within in-patient care. Items in Annexure A (for example baby food, belts, gloves, diapers and Vasofix) are not payable. |
| Initial Waiting Period |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive 30 days from policy start. Waived after 12 months of continuous coverage. Accidents are covered from day 1. |
| Specific Waiting Period |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive 24 months for listed conditions and procedures. Cancer is covered after 30 days. |
| PED Waiting Period |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive 36 months |
| Modern Treatment |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Covered up to the sum insured, covering uterine artery embolisation, HIFU, deep brain stimulation, oral chemotherapy, immunotherapy, intravitreal injections, robotic surgery, stereotactic radiosurgery, and other listed treatments. Robotic surgeries have a ₹1 lakh sub-limit, except robotic prostatectomy for cancer, robotic cardiac surgery, robotic partial nephrectomy, and robotic surgery for malignancies. |
| Annual Health Checkup |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Covered for insured persons aged 18 and over, booked through the Niva Bupa app or website. Not available on the ₹1 lakh and ₹2 lakh options. Unused check-ups do not carry forward. |
| Pre-Hospitalisation |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Up to 90 days before admission, within the sum insured |
| Post-Hospitalisation |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Up to 180 days after discharge, within the sum insured |
| Outpatient Department Cover (OPD Expense) |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Covered. Number of consultations per policy year depends on the sum insured and the number of adults. Reimbursement is up to ₹600 per consultation in Zone 1 and ₹500 in Zone 2. The limit is shared by all members. |
| Deductible Option |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Optional annual aggregate deductible of ₹25,000, ₹50,000, ₹1 lakh, ₹2 lakh, ₹3 lakh, ₹5 lakh or ₹10 lakh. It does not apply to health check-ups, second opinions, OPD, behavioural assistance or personal accident. |
| Claim Settlement Ratio |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Claim Settlement Ratio (CSR) of 93.3% as a three-year IRDAI weighted average, and 95.6% in recent quarterly company disclosures (Q1 FY 2026-27). |
| Maternity Cover |
|---|
ProHealth Prime Senior Elite Information Unavailable |
VS VS |
GoActive Not offered. Maternity and related childbirth expenses are excluded. |
Insurance Plans Comparison
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