
ProHealth Prime Senior Elite
88%
Claim Settlement Ratio
8,500+
Network Hospitals
6.5/10
Plan Rating
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Our Verdict
Expert Review: ManipalCigna ProHealth Prime Senior Elite
Final Verdict
About
What Is ProHealth Prime Senior Elite?
Prime Senior Elite Ratings
Prime Senior Elite
Insurer Rating
6.21
out of 10
Insurance Rating
6.5
out of 10
No Room Rent Limit
Yes
Consumables Covered
No
No Co-payment
Yes
Loyalty Bonus >= 500%
Yes
No Disease Sublimits
Yes
Unlimited Restoration
No
Additional Benefits (Informational Only — Not part of score)
PED Waiting <= 2 Years
No
Maternity Available
No
Waiting Period Waiver
Yes
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Inclusions
ManipalCigna ProHealth Prime Senior Elite Inclusions
Room Rent
Normal: Single Private AC Room
ICU: Covered up to Sum Insured
Advanced Treatments
Covered up to Sum Insured
Co-payment
20% mandatory co-payment per claim
Cashless Healthcare Providers
Not mentioned — verify from policy wordings
Waiting Period
Initial Waiting Period: 30 days
Pre-existing Disease Waiting Period: 24 months
Specific Disease/Procedure Waiting Period: 24 months
Daycare Treatment
Covered up to Sum Insured
AYUSH Treatment
Covered up to Sum Insured
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About the company
About ManipalCigna
The insurer offers a comprehensive line of health insurance solutions, among which individual, family floater, senior citizen, critical illness, personal accident, and top-up plans are the main ones. Programs like ProHealth Prime, Lifetime Health, and Sarvah are made to cover the widest possible range of medical expenses with the sum insured starting from ₹3 lakh to going as high as ₹3 crore. Some of the inclusive features are unlimited restoration, cumulative bonuses, and even coverage for pre-existing health conditions, but only after a waiting period. Besides that, ManipalCigna caters to fitness needs of people, provides health checks, and offers maternity cover in some of their policies.
The company has more than 14500 hospitals in its network all over the country, thus it is easy for the customers to avail cashless treatment. Although its percentage of average claim settlement is 88.59%, which is just a little bit below the industry standard. However, ManipalCigna is credited with its path-breaking ideas and customer-focused strategy, among the Indian health insurance companies, which keeps it ahead of the pack.
This content has been reviewed by Issac, IRDAI certified insurance advisor (BQP Code: 549)
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