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Insurance Plans Comparison

ManipalCigna ProHealth Prime Advantage vs Star Special Care Gold

Make an informed decision with our detailed side-by-side comparison of top health insurance policies. Compare...

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ManipalCigna

ProHealth Prime Advantage

ProHealth Prime Advantage

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
Star

Special Care Gold

Special Care Gold

What Makes It Special:

Special Care Gold is designed for persons with disabilities and individuals with HIV/AIDS. The product provides individual indemnity and benefit coverage, with defined eligibility requirements, hospitalisation cover, daycare treatment, AYUSH treatment, modern treatment coverage and a 20% co-payment that can be waived through an optional benefit.

Best For:

  • Customers who need defined coverage with optional co-payment waiver

  • Customers looking for AYUSH hospitalisation coverage

  • Families seeking specialised health insurance for eligible members

  • Eligible individuals living with HIV/AIDS

  • Eligible persons with disabilities

Insurance Plans Comparison

Get Personalized Advice

Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.

Quick Decision Guide

ManipalCigna ProHealth Prime Advantage

Not available

Star Special Care Gold

  • No pre-policy medical test is required, subject to submission requirements.

  • A co-payment waiver is available for additional premium.

  • AYUSH inpatient treatment is covered up to 100% of Sum Insured.

  • Sum Insured options of ₹4 Lakh and ₹5 Lakh are available.

  • The product is specifically structured for disability and HIV/AIDS-related eligibility.

Insurance Plans Comparison

Detailed Features Comparison

Compare the key features of different health insurance plans

ProHealth Prime Advantage
ProHealth Prime Advantage

Health Insurance Plan

Policy Wording

VS
Special Care Gold
Special Care Gold

Health Insurance Plan

Brochure

Policy Wording

Room Rent

ProHealth Prime Advantage

Normal: Single Private AC Room

ICU: Covered up to Sum Insured

VS

Special Care Gold

Up to 1% of Sum Insured per day

Advanced Treatments

ProHealth Prime Advantage

Modern and advanced treatments covered up to Sum Insured

VS

Special Care Gold

Information Unavailable

ICU Charges

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Up to 2% of Sum Insured per day

Co-payment

ProHealth Prime Advantage

Not mentioned

VS

Special Care Gold

20% on all claims; waiver available for additional premium


Disease-wise sublimits

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Specified treatment limits apply


Waiting Period

ProHealth Prime Advantage

Initial Waiting Period: 30 Days

Pre-existing Disease Waiting Period:

  1. 36 months for Sum Insured up to ₹5 lakhs
  2. 24 months for Sum Insured ₹7.5 lakhs and above

Specific Disease/Procedure Waiting Period: 24 Months

VS

Special Care Gold

Information Unavailable

Cashless Healthcare Providers

ProHealth Prime Advantage

Cashless hospitalization available at network hospitals

VS

Special Care Gold

Cashless treatment available at network hospitals


Restoration Benefit

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Not specified

Daycare Treatment

ProHealth Prime Advantage

Covered up to Sum Insured

VS

Special Care Gold

All daycare procedures covered

Cumulative Bonus

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Not specified

AYUSH Treatment

ProHealth Prime Advantage

Covered up to Sum Insured

VS

Special Care Gold

Covered up to 100% of Sum Insured

Consumable Cover

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Not specified

Initial Waiting Period

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

30 Days for indemnity basis; 90 Days for HIV/AIDS benefit basis


Specific Waiting Period

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

24 Months

PED Waiting Period

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

36 Months for PEDs other than specified disability and HIV/AIDS; 24 Months for pre-existing disability


Modern Treatment

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Covered up to 50% of Sum Insured for listed modern treatments

Annual Health Checkup

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Not specified


Pre-Hospitalisation

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Up to 30 Days

Post-Hospitalisation

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Up to 60 Days

Outpatient Department Cover (OPD Expense)

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Not a standard OPD benefit


Deductible Option

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Not specified

Coverage Options

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

₹4 Lakh and ₹5 Lakh, individual basis


Claim Settlement Ratio

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Not specified


Maternity Cover

ProHealth Prime Advantage

Information Unavailable

VS

Special Care Gold

Not specified as a standard maternity benefit

Insurance Plans Comparison

Still Confused? Get Expert Advice

Our insurance experts are here to help you make the right choice. Get personalized recommendations based on your specific needs and budget.

Why Choose Our Expert Consultation?

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From choosing the right policy to managing claims, every step is handled for you

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Pure advice, no unwanted calls, no unnecessary push

Free Expert Consultation

Free Expert Consultation

Talk to experienced advisors at no cost, and make confident decisions

24/7 Claim Assistance

24/7 Claim Assistance

Get a dedicated expert managing your claim end-to-end, from hospital admission to approval, including dispute resolution and support

What Our Experts Help You With

Personalised Recommendations

  • Every suggestion is backed by expert analysis of your life stage, goals, and budget

Expert-Led Policy Review

  • We decode the fine print—identifying risks, sub-limits, and gaps you may have missed. No surprises later

Smart, Tech-Enabled Experience

  • From digital onboarding to real-time claim tracking, our platform makes insurance easy, accessible, and stress-free

Insurance Plans Comparison

Explore Insurance Category

Senior Citizen Health Plan

Senior Citizen Health Plan

  • Secure against age-related medical costs

  • Tailored for seniors healthcare needs

Most Popular

Family Health Plan

Family Health Plan

  • One policy covers the entire family

  • High sum insured with cashless care

  • Multiple coverage options based on your family needs

Maternity Health Plan

Maternity Health Plan

  • Covers delivery, newborn care, and maternity expenses

  • Reduces financial stress of childbirth costs

Insurance Plans Comparison

Frequently Asked Questions (FAQs)

Having questions? We've got answers. Explore our FAQs to find the information you need.

1-5 of 10 FAQs

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