What is the waiting period for pre-existing diseases?

The waiting period depends on the selected sum insured. It is 36 months for sum insured up to ₹5 lakh and 24 months for sum insured of ₹7.5 lakh and above.

How does the Unlimited Restoration Benefit work?

The policy restores 100% of the sum insured for related and unrelated illnesses an unlimited number of times during a policy year. The benefit becomes available from the second claim onwards.

Does ProHealth Prime cover outpatient expenses?

Yes. Under the Advantage Plan, outpatient consultations, prescribed diagnostics, and pharmacy expenses are covered on a cashless basis up to the selected OPD limit.

Is maternity coverage available under the policy?

Yes. Maternity, newborn expenses, and first-year vaccination coverage are available through optional packages such as Enhance and Enhance Plus, subject to waiting periods and policy limits.

OneAssure

Health Insurance

ManipalCigna

ProHealth Plus

Experience India's most trusted health insurance with ManipalCigna Health Insurance. Get instant cashless treatment at 8500 network hospitals with sum insured up to ₹50 lakhs.

88

Claim Settlement Ratio

8500

Network Hospitals

0

Customer Rating

Policy Brochure

Get a Quote

88

Claim Settlement Ratio

8500

Network Hospitals

0

Customer Rating

Policy Brochure

Our Verdict

Expert Review: ManipalCigna Health Insurance

Final Verdict

ProHealth Prime stands out through its unlimited restoration benefit, OPD coverage, wellness rewards, annual health check-ups, and extensive customization through optional packages.

About

About ManipalCigna Health Insurance

ManipalCigna ProHealth Prime is a comprehensive healthcare insurance plan designed to provide protection beyond hospitalization. The plan covers inpatient treatment, advanced treatments, mental illness, AYUSH care, domiciliary treatment, OPD expenses, wellness programs, annual health check-ups, and unlimited restoration benefits. It also offers several optional packages including maternity coverage, worldwide emergency hospitalization, infertility treatment, and premium waiver benefits. The plan is suitable for individuals and families seeking broad healthcare coverage along with preventive and wellness-focused benefits.

Plus Ratings

Plus

Insurer Rating

4.81

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

Testimonials

Real People. Real Relief

These are the moments that show what we really do. We don't sell you a policy. We stand by you when it matters most.

I want to sincerely thank Sunad for being there for me throughout the entire claim process. He helped me through so many ups and downs, always patient and ready to support when things got tough. I honestly don’t know how I would have managed without his guidance and encouragement. Sunad made a difficult situation feel a lot less stressful, and I’m truly grateful for his kindness and steadfast help.

Prashant Pandey

Mumbai, Maharashtra

Had a great experience with them during a difficult time. After my mother’s accident, we had to pay the hospital bill upfront, as cashless wasn’t available. They guided us through the reimbursement process, helped file the claim, and consistently followed up with the insurer until it was settled. Their support with the post-hospitalization claim was equally prompt and thorough.

Jatin Gala

Mumbai, Maharashtra

My heartfelt thanks to the OneAssure team for making my insurance claim process effortless. Right from the very first interaction, they demonstrated professionalism, clear communication, and an impressive command of the procedures involved. Their swift updates, timely guidance, and persistent follow-through removed all the stress from what could have been a complicated experience.

Anju Renjith

Bengaluru, Karnataka

I am truly grateful for the support and guidance I received in settling my insurance claim. The entire process was handled with great professionalism, clarity, and efficiency. Their prompt response, deep knowledge of the procedures, and consistent follow-ups ensured a smooth and hassle-free experience.Thank you once again for your invaluable help, highly recommended!

Yogesh Meena

Jaipur, Rajasthan

I recently had the pleasure of purchasing health insurance for my parents through this company, and my experience has been exceptional...The team was incredibly patient and took the time to explain every detail to me. No matter how many times I asked questions, they were always calm and thorough in their explanations. Their professionalism and dedication made a significant difference in helping me make an informed decision.

Akash Kumar

West Bengal

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Inclusions and Exclusions

Inclusions and Exclusions of ManipalCigna Insurance Company Limited

Room Rent

Normal: Single Private AC Room
ICU: Up to Sum Insured

Advanced Treatments

Sum Insured below ₹5 Lakh: Covered up to 50% of Sum Insured
Sum Insured ₹5 Lakh and above: Covered up to Sum Insured

Co-payment

Not mentioned

Cashless Healthcare Providers

Not mentioned

Waiting Period

Initial Waiting Period: 30 Days
Pre-existing Disease Waiting Period:Sum Insured up to ₹5 Lakh: 36 MonthsSum Insured ₹7.5 Lakh and above: 24 Months
Specific Disease/Procedure Waiting Period: 24 Months

Daycare Treatment

Covered up to Sum Insured

AYUSH Treatment

Covered up to Sum Insured

Room Rent

Normal: Single Private AC Room
ICU: Up to Sum Insured

Advanced Treatments

Sum Insured below ₹5 Lakh: Covered up to 50% of Sum Insured
Sum Insured ₹5 Lakh and above: Covered up to Sum Insured

Co-payment

Not mentioned

Exclusions

Not available

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About the company

ManipalCigna Health Insurance is one of the major health insurance companies in India. It is a joint venture between the Manipal Group and Cigna Corporation. The company was established in 2014 and was rebranded in 2019. It is based in Mumbai and has more than 600 cities in the whole country where it has a presence. 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...

ManipalCigna Health Insurance is one of the major health insurance companies in India. It is a joint venture between the Manipal Group and Cigna Corporation. The company was established in 2014 and was rebranded in 2019. It is based in Mumbai and has more than 600 cities in the whole country where it has a presence. The insurer offers a comprehensive line of health insurance solutions, among which individual, family floater, senior citizen, critical illness,...