
ManipalCigna Pro Health Prime
88
Claim Settlement Ratio
35000
Network Hospitals
7.8
Customer Rating
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Get a Quote
88
Claim Settlement Ratio
35000
Network Hospitals
7.8
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
Room Rent
Normal: single private A/C room
ICU: no limit
Advanced Treatments
Coverage includes robotic surgeries, stem cell therapy for specific conditions, organ transplant expenses, and advanced cancer treatments like immunotherapy, chemotherapy, and targeted therapies. Modern cardiac procedures are also covered, though specific terms, conditions, or sub-limits may apply.
Co-payment
20% copayment clause for policyholders aged 65 years and above for each claim.
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.
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Cashless Healthcare Providers
8,500+ network hospitals.
Daycare Treatment
All day care procedures are covered in this policy.
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.
Room Rent
Normal: single private A/C room
ICU: no limit
Advanced Treatments
Coverage includes robotic surgeries, stem cell therapy for specific conditions, organ transplant expenses, and advanced cancer treatments like immunotherapy, chemotherapy, and targeted therapies. Modern cardiac procedures are also covered, though specific terms, conditions, or sub-limits may apply.
Co-payment
20% copayment clause for policyholders aged 65 years and above for each claim.
Exclusions
Treatment for pre-existing diseases during the waiting period.
Injuries or illnesses caused by self-harm, substance abuse, or hazardous activities.
Cosmetic or plastic surgery unless medically necessary.
Dental treatments unless required due to an accident.
Treatment for obesity, weight control procedures, or bariatric surgery unless specified.
Congenital diseases and anomalies unless covered under policy terms.
War, nuclear hazards, terrorism-related injuries, or unlawful activities.
War, nuclear hazards, terrorism-related injuries, or unlawful activities.
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