
Manipal Cigna ProHealth
88
Claim Settlement Ratio
35000
Network Hospitals
0
Customer Rating
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88
Claim Settlement Ratio
35000
Network Hospitals
0
Customer Rating
Our Verdict
Expert Review: ManipalCigna Health Insurance
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About
About ManipalCigna Health Insurance
Inclusions and Exclusions
Inclusions and Exclusions of ManipalCigna Insurance Company Limited
Co-payment
For individuals aged 65 years and above, a mandatory 20% copayment applies to each claim. Additionally, if treatment is taken outside the policy’s specified network or under certain conditions, a copayment clause may be applicable.
Room Rent
Normal: The Manipal Cigna ProHealth Insurance policy does not have a specific room rent capping, allowing policyholders to choose any hospital room as per their preference. However, if the insured opts for a higher-category room, proportionate deductions may apply to other medical expenses
ICU: no limit
Advanced Treatments
Coverage includes robotic surgeries, stem cell therapy for specific conditions, and organ transplant expenses. It also extends to modern cancer treatments like immunotherapy and targeted therapy, along with advanced cardiac procedures, ensuring access to cutting-edge medical care.
Waiting Period
Pre-existing diseases: A waiting period of 3 years applies before coverage for pre-existing conditions begins.
Maternity and newborn coverage: A waiting period of 36 months for maternity-related expenses and 90 days for newborn baby expenses.
Specific treatments: Certain treatments, like critical illnesses or specified conditions, may have their own waiting period, generally up to 2 years.
Cashless Healthcare Providers
8500+ network hospitals.
Daycare Treatment
The Manipal Cigna ProHealth Insurance policy covers daycare treatments, which are medical procedures that do not require 24-hour hospitalization.
AYUSH Treatment
Policy provides coverage for Ayush treatments, which include Ayurveda, Yoga, Unani, Siddha, and Homeopathy. These treatments are covered under the policy's Alternative Treatment section, subject to certain terms and conditions.
Co-payment
For individuals aged 65 years and above, a mandatory 20% copayment applies to each claim. Additionally, if treatment is taken outside the policy’s specified network or under certain conditions, a copayment clause may be applicable.
Room Rent
Normal: The Manipal Cigna ProHealth Insurance policy does not have a specific room rent capping, allowing policyholders to choose any hospital room as per their preference. However, if the insured opts for a higher-category room, proportionate deductions may apply to other medical expenses
ICU: no limit
Advanced Treatments
Coverage includes robotic surgeries, stem cell therapy for specific conditions, and organ transplant expenses. It also extends to modern cancer treatments like immunotherapy and targeted therapy, along with advanced cardiac procedures, ensuring access to cutting-edge medical care.
Exclusions
Expenses related to the treatment of a pre-existing disease and its direct complications are excluded until the expiry of the applicable waiting period.
A waiting period of 30 days from the inception date of the policy applies to all hospitalization claims, except in case of accidents.
A waiting period of 24 months applies to specific treatments, whether medical or surgical, along with their complications.
Any illness or injury due to participation in hazardous activities, adventure sports, or defense operations is not covered.
Treatment related to self-inflicted injuries, suicide, or substance abuse is excluded.
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