ManipalCigna Health Insurance FAQs

ManipalCigna Health Insurance

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Highlights

Network Hospitals6,969+
Policies Sold2,29,817
Incurred Claim Ratio62%
Lifelong RenewabilityLifelong
Claim Settlement Ratio89.50%
In-House Claim SettlementIn-House Claim Settlement
COVID-19 CoverYes

Claim Settlement

  • What is the time limit for claim submission in case of the cashless facility?

    You need to submit the claim within 15 days from the date of discharge from the hospital.

  • What is a reimbursement amount?

    It is the amount paid back to you by the insurance company for admissible medical expenses you have incurred.

  • What is planned hospitalisation?

    When you plan your treatment in advance, it is called planned hospitalisation. The intimation of such hospitalisation should be given a minimum of 3 days before the date of hospitalisation.

  • What is a cashless claim? Please explain.

    In a cashless claim, you need not to pay any amount to the hospital for getting admission and availing treatment. To avail cashless treatment, get medical treatment at network hospitals of ManipalCigna. 

  • Is cashless claim treatment available at ManipalCigna?

    Yes, cashless claim treatment is available at ManipalCigna. To get this benefit, you need to avail treatment at a ManipalCigna network hospital. 

  • Is cashless facility available in all cities of India?

    To know the right answer, we advise you to visit the official website of ManipalCigna wherein you will find a list of network hospitals. Or you can contact us anytime at our toll-free number 1800-1205-698. 

  • What is the reimbursement claim?

    Reimbursement claim means ManipalCigna refunds all the amount incurred during the treatment at a non-network hospital. This is applicable when you don’t find a network hospital in your city and choose to seek treatment at a non-network hospital by paying hospital bills and other amounts from your pocket. After getting discharged, you will need to send all the documents to ManipalCigna to receive the amount. 

  • What are the documents required for reimbursement claims at ManipalCigna?

    The list of documents you need to send to ManipalCigna for a reimbursement claim is original hospital bills, original discharge summary, other reports like medicine bills along with the prescription, test reports, attending physician’s reports, surgeon’s reports, etc. and follow-up checkup reports if you have any.  

  • Whom should I contact for claim intimation and settlement?

    You can notify either InsuranceDekho or ManipalCigna directly by calling at customer care numbers for planned or emergency hospitalisation. InsuranceDekho toll-free number is 1800-120-5698. 

Critical Illness

  • Does ManipalCigna offer any critical illness plan?

    Yes, ManipalCigna offers critical illness plan. 

  • What is the name of Critical Illness Plan of ManipalCigna?

    The name of the critical illness plan of ManipalCigna is Lifestyle Protection Critical Care. 

  • How many diseases are covered by the ManipalCigna critical illness policy?

    Up to 30 Major Illnesses are covered by the ManipalCigna critical illness policy. These diseases are Cancer, Loss Of Hearing, Loss Of Sight, Open Chest CABG,  Major Organ Transplant, First Heart Attack, Coronary Artery Disease, Major Burns, Loss of Speech, Permanent Paralysis of Limbs and many others.

  • Is the Medical second opinion available in the ManipalCigna critical illness policy?

    Yes, you can avail the benefits of the Medical second opinion under the plan and access to unique Online wellness programs of ManipalCigna.

  • What are the key benefits of ManipalCigna critical illness policy?

    The key benefits of ManipalCigna critical illness policy are a flexible payout, No sub-limits, availability of medical second opinion, customized online wellness programs and a wide range of discounts on your premium. 

Family Floater

  • What do you mean by family floater option?

    Family floater option allows insurance of you and your eligible dependents in a policy. Also, the sum insured for family floater shows maximum liability for any and all claims made by your/your dependents during each policy period. 

  • Does ManipalCigna offer health insurance on a family floater basis?

    Yes, you can buy insurance from ManipalCigna on both, individual as well as family floater basis. 

  • Does ManipalCigna offer a family premium discount?

    Yes, you are eligible for a family premium discount of 10% for covering more than 2 members. Note that the discount is available on an individual basis only.  

  • What if I want to add more than 2 adults or 3 children in a family floater plan?

    In this case, you will have to buy an additional policy. 

General Information

  • What is the maximum number of claims allowed in a year?

    There is no limit on the number of claims allowed in a year; however, the claim amount should not exceed the sum insured.

  • Is pre-policy medical checkup free?

    Yes, ManipalCigna bears the cost of all pre-medical tests.

  • Does ManipalCigna share medical reports if a policy is not issued?

    Yes, the medical reports are shared if you request in writing.

  • Is medical test essential for everyone?

    No, it’s required based on the age of the insured, the plan type and sum insured selected.

Help to Buy

  • How to buy and apply forManipalCigna Health Insurance Policy?

    You can buy or apply for ManipalCigna health insurance directly at its official website, or through the online broker website like insurancedekho.com.

Individual

  • What is the entry age in ManipalCigna when buying health insurance on an individual basis?

    To buy ManipalCigna health insurance, the minimum entry age for adults is 18 years. 

  • Which policies does ManipalCigna offer on an individual basis?

    ManipalCigna offers Prohealth Protect Plan, ProHealth Plus Plan, ProHealth Preferred Plan,  ProHealth Premier Plan, Lifestyle Protection - Critical Care Plan, Lifestyle Protection - Accident Care Plan, and ProHealth Accumulate Plan on an individual basis.

  • Why do I need an individual health insurance cover from ManipalCigna when I am already covered under employee health insurance?

    Buying a separate health cover from ManipalCigna will allow you to get your specific medical needs met without having to compromise because of employee health insurance’s drawbacks, such as discontinuation of policy after leaving job, and others.

  • If I purchase ManipalCigna health insurance on an individual basis, will I be eligible for tax benefit?

    Yes, you can avail tax exemption under Section 80D of the Income Tax Act for the premium paid under the policy.

Kids

  • Has ManipalCigna health insurance for kids/children?

    Yes, ManipalCigna has health insurance for kids/children. The insurer covers vaccinate expenses of a newborn baby until the baby completes 12 months. It covers children between 91 days to 5 years only if either of the parents is covered. Under the floater as dependents, ManipalCigna covers children up to 23 years. To know more benefits of a child/kid, ready the plan’s policy wordings or call InsuranceDekho at 1800-1205-698.

  • Does ManipalCigna offer coverage for children of 6 years?

    Yes, ManipalCigna has the policy that covers children from 6 years to 18 years. However, one of the parents must be the proposer. 

  • Which policy of ManipalCigna covers a newborn baby?

    ManipalCigna’s ProHealth is the plan to cover your newborn baby. The policy provides coverage for all expenses incurred in the treatment of the Insured person's newborn baby.

  • I have a 3-month old kid. Does ManipalCigna have any plan that can cover my kid?

    Yes, ManipalCigna has a policy that can cover kids between 91 days to 5 years. However, either of the parents must be covered.

  • Is there any policy that can cover only kids and not their parents?

    No, there is no such policy that can cover only your kids and not their parents.

  • Is children coverage available under ManipalCigna family floater plan?

    Yes, cover for children is available under ManipalCigna family floater plan?

Maternity

  • Does ManipalCigna cover maternity benefits?

    Yes, you can avail maternity benefit from ManipalCigna. Note that maternity benefits at ManipalCigna cover delivery expenses, medical expenses, and lawful termination of pregnancy. 

  • Does ManipalCigna provide coverage for newborn baby expenses?

    Yes, ManipalCigna provides newborn baby expenses coverage, but up to limit under maternity expenses.

  • How much does one have to wait to avail maternity benefit in ManipalCigna?

    The maternity benefits in ManipalCigna come with 48 months or 4 years of a waiting period. 

  • Can I reduce maternity waiting period? If yes, how?

    The insured individual can get their maternity waiting period reduced by paying the one-time additional premium. By doing so, the waiting period will reduce to 24 months or 2 years. Reduction in waiting period also applies to newborn cover and first-year vaccination (if provided).

Parents

  • I want to buy ManipalCigna insurance for my parents. Can I buy it online?

    Yes, ManipalCigna provides online services to policy buyers. You can buy all its plan for your parents online. 

  • What are the features I should consider when buying ManipalCigna health insurance for parents?

    It is advisable to check age factors, sub-limits, premiums, co-payments, etc. when buying a health insurance policy for your parents. 

  • What is the renewability age to buy health insurance at ManipalCigna for parents?

    The upper age limit for purchasing ManipalCigna health insurance is 65 years. There is no age limit on renewal.

  • Can I save tax by having parents health insurance from ManipalCigna?

    Yes, by having a health insurance plan from ManipalCigna for your parents, you can enjoy tax benefits under Section 80D of the Income Tax Act.

Plan Coverage

  • What to do if a cashless hospital is not available at my location?

    You can choose a non-network hospital for the treatment and raise a reimbursement claim. However, you need to inform the insurance company within 48 hours of your admission in case of emergency and 3 days before in case of planned treatment.

  • Does ManipalCigna always accept the cashless facility for hospitalisation?

    There are some cases. ManipalCigna may deny a cashless facility for hospitalisation because of incomplete information or insufficient sum insured to determine admissibility. In such a case, you need to pay for the treatment and submit the claim for reimbursement depending on the policy terms & conditions.

Portability

  • What is portability feature all about in ManipalCigna?

    The same portability feature is applied to all insurance companies. With it, you are able to change your health insurance policy from an insurance company to ManipalCigna without losing the benefits you have accumulated.

  • Does ManipalCigna offer portability feature?

    Yes, ManipalCigna provides portability facility to its customers. With this option, you can switch to ManipalCigna Health Insurance policy. 

  • When can I port my policy with ManipalCigna?

    You can be eligible for the portability feature only at the juncture of renewal of the policy. This means that your new insurance period will be with the new insurance company

Premium

  • How do I pay the premium of ManipalCigna health insurance?

    You can pay your premium through net banking, credit/debit card, UPI, cheque, or cash. 

  • Will I get payment acknowledgment from ManipalCigna after paying the premium?

    Yes, you’ll get the payment acknowledgment from the insurer at your registered email id. This acknowledgement serves as proof of the paid premium. 

  • Can I get a duplicate copy of my premium receipt from ManipalCigna?

    Yes, you can get a duplicate copy of your premium receipt. For this, login to your online account to download the receipt or call us at 1800-1205-698 or visit the ManipalCigna branch. 

  • Does ManipalCigna offer any discounts on its policy premium?

    Yes, ManipalCigna can provide you with offers and discounts on your policy premium subject to the policy terms and conditions. For details, dial 1800-1205-698. 

  • Can I calculate the premium of a particular health insurance policy of ManipalCigna?

    Yes, you can calculate the premium at the official website of the insurer or at www.insurancedekho.com. 

Senior Citizen

  • Can I purchase ManipalCigna insurance for senior citizens online?

    Yes, you can buy ManipalCigna insurance for senior citizens online. 

  • What are the features I need to check while buying senior citizen health insurance?

    When buying senior citizen health insurance, you should check aspects such as age factor, premiums, sub-limits, and co-payment.

  • What is the renewability age for purchasing senior citizen insurance at ManipalCigna?

    The upper limit to enroll for ManipalCigna is 65 years. Note that there is no age limit on renewal.

  • Does senior citizen insurance in ManipalCigna offer tax benefits?

    Yes, buying senior citizen insurance from ManipalCigna makes you eligible for tax deduction under Section 80D of the Income Tax Act, for an annual premium account not exceeding Rs.30,000 in a financial year.

Top-up

  • Does ManipalCigna have any Top-up plan?

    Yes, ManipalCigna offers ProHealth Protect Plan as a top-up. 

  • What is a top-up of ManipalCigna all about?

    The top-up of ManipalCigna is a supplement to your existing health insurance policy. It helps you extend the sum insured of your existing health insurance if it (the basic sum insured) gets exhausted. 

  • Can I buy the ManipalCigna top-up plan if I don’t have any other policy?

    No, you can’t buy a top-up plan if you have no ManipalCigna health insurance policy. 

  • What are the key benefits of ManipalCigna top-up plan?

    ManipalCigna can provide you with multiple benefits such as coverage for room rent, inpatient treatment, organ donor, pre and post hospitalisatin, and critical illness. It also lets you enjoy free health check-up and boost cumulative bonus. 

Woman

  • Can I buy a health cove at ManipalCigna for women?

    Yes, you can get health cover for women. Remember the benefits for women at ManipalCigna can include cover for maternity, medical expenses, delivery expenses, and termination of pregnancy in a legal way. 

  • Does Cigna ManipalCigna expenses of a newborn baby under its women health plan?

    Yes ,ManipalCigna offers coverage for newborn baby expenses. But, the cover is up to the maternity expenses.

  • How long should a woman wait to get benefits of the plan in ManipalCigna?

    Usually, the most suitable plan for women at ManipalCigna is one that covers maternity. And for the maternity coverage, the waiting period is 4 years. 

  • Is it possible to reduce the maternity waiting period?

    Yes, ManipalCigna provides women an option to reduce the maternity waiting period. For this, you need to pay one-time additional premium. This way, you can be able to reduce the waiting period for up to 24 months. 

ManipalCigna Health Insurance Plan List

Name of PlanSum Insured
Pro HealthMin: 91 Days; Max: No Limit2 Lakh Get Quotes Now
Lifestyle Protection Critical CareMin: 18 Years; Max: 65 Years1 Lakh Get Quotes Now
ProHealth SelectMin: 91 Days; Max: 65 Years50 Thousand Get Quotes Now
ProHealth CashMin: 91 Days; Max: 65 Years500/day Get Quotes Now
Arogya Sanjeevani PolicyMin: 3 months; Max: 65 years1 Lakh - 5 Lakh Get Quotes Now
Corona Kavach PolicyMin: 1 day ; Max: 65 years50,000 - 5 lakh Get Quotes Now

ManipalCigna Health Insurance Top Up List

Name of PlanSum Insured
Pro HealthMin: 91 Days; Max: No Limit2 Lakh Get Quotes Now

Claim Process at ManipalCigna Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 48 hours and for planned hospitalisation intimate within 3 days prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 48 hours and for planned hospitalisation intimate within 3 days prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

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