
ManipalCigna ProHealth Preferred
88%
Claim Settlement Ratio
8,500+
Network Hospitals
6.5/10
Plan Rating
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Our Verdict
Expert Review: ManipalCigna ProHealth Preferred
Final Verdict
About
What Is ProHealth Preferred?
Preferred Ratings
Preferred
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
Testimonials
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Inclusions and Exclusions
ManipalCigna ProHealth Preferred Inclusions and Exclusions
Co-payment
Mandatory co-payment of 20% will be applicable on all claims irrespective of the age of entry into the Policy.
Waiting Period
First 30 days waiting period is applicable for all illnesses other than accidents. 24 months waiting period is applicable on specified diseases/procedures. Pre-existing diseases will not be covered for 48 months (option available to reduce to 24 months by paying one time additional premium).
Daycare Treatment
Covers treatment or surgery that requires less than 24 hours hospitalization.
Room Rent
Normal: Up to Sum InsuredICU: No Limit
AYUSH Treatment
Covers in-patient medical expenses up to the limit of Sum Insured towards non-allopathic treatments such as Ayurveda, Yoga & Naturopathy, Unani, Siddha & Homeopathy for hospitalization arising due to accident or illness undertaken in a government hospital or government recognised institute or registered AYUSH hospital.
Advanced Treatments
Uterine Artery Embolization and HIFU (High intensity focused ultrasound)Balloon Sinuplasty Deep Brain stimulationOral chemotherapy Immunotherapy - Monoclonal Antibody to be given as injection Intra vitreal injections Robotic surgeries Stereotactic radio surgeriesBronchical Thermoplasty Vaporisation of the prostrate (Green laser treatment or holmium laser treatment) IONM - (Intra Operative Neuro Monitoring) Stem cell therapy: Hematopoietic stem cells for bone marrow transplant for haematological conditions to be covered.
Cashless Healthcare Providers
7,500+ Healthcare Providers
Exclusions
Pre-existing diseases not covered for 48 months (unless reduced by optional benefit).
Treatment for self-inflicted injuries, suicide attempts, or substance abuse-related conditions.
Cosmetic or aesthetic treatments, unless medically necessary.
Injuries or illnesses due to participation in hazardous sports or activities.
Treatment received outside India.
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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 Aman Shetty, Senior Insurance Advisor | BQP code: 33905
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