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What Is Special About ProHealth Prime Advantage Policy?

Flagship health plan from Manipal Cigna, which provides comprehensive coverage from 91st day for those with existing listed health conditions.
  • Modern Treatments and Mental Health treatments: Covered upto 50% of SI
  • Reduced waiting period: PEDs such as Diabetes, Hypertension, Asthma, Dyslipidemia and Obesity covered from 91st day of policy
  • Covers non-medical expenses
  • Unlimited restoration upto 100% of base sum insured

Features of Manipal Cigna ProHealth Prime Advantage Health Insurance Policy

Check the features and coverage of Manipal Cigna ProHealth Prime Advantage Health Insurance plan below:

Ambulance Charges

Road Ambulance: Covered upto SI

Ayush Treatment

Ayush benefit up to Rs. 1000000

Co-pay

No Copay.

Cover Restoration

Unlimited times up to 100% of SI for unrelated illnesses. Applicable from 2nd claim onwards.

Daily Cash Allowance

For Shared Accomodation: For SI between 5-10 Lacs: Rs 800 per day up to maximum of Rs 5,600. For SI > Rs 10 Lacs: Rs 1,000 per day up to maximum of Rs7,000.

Day Care Procedures

No capping on any disease, 546 Day care procedures covered.

Manipal Cigna ProHealth Prime Advantage Plan Resources

Policy Brochure

Exclusions of Manipal Cigna ProHealth Prime Advantage Health Insurance Policy

Manipal Cigna ProHealth Prime Advantage plan does not cover the following:

Free health check-up

Maternity expenses

New born treatment

No claim bonus

Opd expenses

Recovery allowance

Other Plans From Manipal Cigna

Manipal Cigna health insurance offers 9 health insurance plans. The premium of these plans starts from Rs. 1770/yr. The sum insured ranges from Rs. 3 Lakh - 3 Cr. Details of the comprehensive coverage provided by the following 9 Manipal Cigna health insurance plans are listed below:

Calculate ProHealth Prime Advantage Plan Premium

Use the Manipal Cigna health insurance premium calculator to estimate your health insurance premiums.

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Manipal Cigna Claim Settlement Ratio

99%

Manipal Cigna

94.21%

Industry Average

Health claim settlement ratio is the percentage of claims settled against the total claims received by the insurance company in a given fiscal year. Manipal Cigna has a claim settlement ratio of 99%, as compared to the industry average of 94.21%.

Manipal Cigna Claim Process

Manipal Cigna supports both cashless claims and reimbursement claims. This section covers the information on how to check Manipal Cigna health insurance claim status, fill Manipal Cigna health insurance claim form, and the claim settlement process.

  1. If you are getting hospitalised in a networked hospital, it would be a cashless claim. You should inform the insurance company immediately of your claim
  2. Fill up a pre-authorization form stating the claim details and submit the form to the insurance company
  3. If it is a planned hospitalisation, the form should be filled in and submitted at least 3 to 5 days before being hospitalised. If, on the other hand if the hospitalisation is due to an emergency, fill up the form and submit it within 24 hours of hospitalisation
  4. The insurance company would verify the pre-authorization form and approve the claim
  5. Once the claim is approved you can avail cashless treatments. The medical bills would be settled by the insurance company directly with the hospital
  6. A Manipal Cigna Health Insurance claim form should be filled and submitted with the insurance company along with all the medical documents to complete the claim process

  • If you are being hospitalised in a non-networked hospital, your claim would be settled on a reimbursement basis
  • You should inform Manipal Cigna of the claim and then avail treatments
  • Pay for the medical expenses incurred on your treatments
  • After being discharged from the hospital, collect the Discharge Summary
  • Fill up the claim form of Manipal Cigna Health Insurance and submit it along with all the original medical bills and reports. The Discharge Summary should also be submitted to the insurance company
  • Manipal Cigna would assess the documents submitted, verify the authenticity of the claim and then reimburse the expenses incurred on hospitalisation

Manipal Cigna Health Insurance Renewal Process

ManipalCigna Health Insurance Policy Online Renewal Process


Renew your Manipal Cigna health policy with ease by following these steps
Step 1: Go to the official ManipalCigna Health Insurance website. Click on the 'Renewal' option and choose Retail Customer.
Step 2: Provide necessary information like your policy number and date of birth and then click 'Proceed.' You can find your policy number in the email & text messages sent to you on your register email & mobile number
Step 3: Carefully review policy details and make online payment using the available flexible payment methods
Step 4: An email confirming the premium payment and policy renewal will be sent to you

Please note that the company offers hassle free renewal of your policy even if your policy has crossed the renewal date, up to 30 days

Renewing Your ManipalCigna Health Insurance Policy Offline

For offline policy renewal with ManipalCigna Health Insurance, you have two options

  • Contact ManipalCigna Health Insurance experts via the toll-free number 1800-102-4462 to share your renewal requirements
  • Visit a nearby ManipalCigna Health Insurance branch to complete the renewal process in person

Manipal Cigna Customer Care

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