Manipal Cigna Health Insurance Company

Manipal Cigna is a standalone health insurance provider in India which is formed as a joint venture between the Manipal Group and Cigna Corporation. The company offers a range of health insurance solutions for both its retail and corporate clients. With a presence across 769 cities in India, it is easy to reach the company to buy a policy or for any required assistance.

Highlights of Manipal Cigna Health Insurance Company

Claim Settlement Ratio 96%
NCB* 10% per year upto 100
PED Waiting# 4 years
Network Hospital 8500+
Top Health Insurance Plans by Manipal Cigna Health Insurance

Compare Top Health Plans from Manipal Cigna Health Insurance Company

Lifetime Health
ProHealth Preferred
ProHealth Plus
ProHealth Protect
Features
Inpatient hospitalization
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covered-check
covered-check
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Daycare treatments
covered-check
covered-check
covered-check
covered-check
Ambulance cover
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covered-check
covered-check
covered-check
Newborn cover
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covered-check
covered-check
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Domiciliary hospitalisation
covered-check
covered-check
covered-check
covered-check
Organ donor cover
covered-check
covered-check
covered-check
covered-check
Maternity cover
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covered-check
covered-check
notcovered-check
Worldwide emergency cover
covered-check
covered-check
covered-check
covered-check
Features
Inpatient hospitalization
Daycare treatments
Ambulance cover
Newborn cover
Domiciliary hospitalisation
Organ donor cover
Maternity cover
Worldwide emergency cover

Awards and accolades won by Manipal Cigna Health Insurance

Indian general insurer Manipal Cigna Health Insurance Company has received numerous awards and accolades. Let us have a look at a few of them:

 

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As per GTPW, the company was ranked among the top 25 workplaces in the BFSI segment

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Manipal Cigna Health Insurance has won best innovation for products in 2024.

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The Company was awarded with Best Digital Customer Experience.

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The Company was awarded the Best Customer Team of the year.

Key Highlights of Manipal Cigna Health Insurance Company

Features

Meaning

Network Hospitals

8500+

Claims settled

More than Rs.3,284 crores

Number of branches

77+

Number of international claims

1,98,877

Features of Manipal Cigna Health Insurance Company

Features

Meaning

Inpatient treatments

Under this, treatments taken on an inpatient basis, i.e. when you are hospitalized for 24 hours or more, are covered. The coverage is allowed for room rent, doctor’s fee, nurse’s fee, etc.

Pre hospitalisation

Expenses incurred before hospitalization are called pre-hospitalization expenses. Such expenses are covered up to a specified number of days

Post hospitalisation

Expenses incurred even after the discharge from the hospital are covered under this head. The expenses are covered up to a specified number of days

Ambulance charge

The cost of an ambulance used in transportation to the hospital is covered under Manipal Cigna health insurance plans

Domiciliary treatments

Treatments taken at home are called domiciliary treatments. Such treatments are covered under the policy if no hospital beds are available or if you are in no condition to be moved to the hospital

Organ donor treatments

The cost of organ harvesting, as well as the cost of hospitalization of an organ donor, are covered under this head if you are undergoing an organ transplant surgery

Daycare procedures

Medical treatments wherein a hospital stay of 24 hours is not needed are called daycare procedures. Such procedures are covered under the policy

AYUSH treatments

Non-allopathic treatments are called AYUSH treatments or alternative treatments. Such treatments are also covered under the plan

Free health check-ups

You can avail of free health check-ups at specified intervals if you renew the policy non-stop. Such health check-ups are called preventive health check-ups and they are covered under the policy

No claim bonus

This bonus is allowed if no claim is made in a policy year. Under many Manipal Cigna health plans, the sum insured is increased on a cumulative bonus if you don’t make claims in successive policy years

Exclusions in Manipal Cigna Health Insurance Company

Manipal Signa health policies have some specific exclusions wherein the claim is not paid. The exact list of exclusions depends on the policy that you choose and can be checked in the policy wordings. However, some of the most common instances that are not covered include the following –
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Pre-existing illnesses are not covered in the first few years of the policy. This period is called the waiting period

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Specific medical conditions are not covered in the first 2 years of the policy. This period is called the specific waiting period

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Illnesses within the first 30 days of the policy are not covered

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Cosmetic treatments and certain unnecessary medical treatments are excluded

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War, nuclear perils, mutiny, civil commotion, etc. are excluded

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Illegal acts, adventure activities, self-inflicted injuries, alcohol or drug addiction would not be covered

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Pregnancy and maternity-related treatments are excluded unless they are covered under the policy

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OPD expenses are not covered unless otherwise stated

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Cost of vitamins and supplements is excluded

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The costs associated with unscientific or unproven treatments are not covered

Health insurance plans offered by Manipal Cigna

Manipal Cigna has a wide variety of health insurance plans in its kitty. Some of the leading policies of the company, also available at PayBima, include the following –

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Super Top-up Plan

This is a super top-up policy wherein claims exceeding the deductible are paid. Manipal Cigna’s Super Top-up policy is a comprehensive cover that has the following salient benefits –

  • Coverage for non-medical expenses: Non-medical expenses, which are otherwise excluded from coverage, are covered under this policy. This ensures that you get comprehensive coverage and your out-of-pocket expenses are minimal.

  • Guaranteed no-claim bonus: You get a no-claim bonus of 5% enhancement of the sum insured every year that you don’t make a claim. The maximum bonus allowed is 50% of the sum insured. 

  • Critical illness rider: You get the option of adding a critical illness rider to enhance the scope of coverage. This rider pays an additional sum insured in case you suffer from a covered illness.

  • Optional coverage benefits: There are different types of coverage benefits available under the policy. You can choose one or more of these coverage benefits to enhance the scope of your policy.

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Super Top-up Plus Plan

Super Top-up Plus is the other variant of the Super Top-Up plan offered by Manipal Cigna Health Insurance. The plan offers guaranteed continuity benefits on deductibles from the 5th policy year on buying a separate base health policy. Other salient features of the plan are:

  • AYUSH Cover: The plan covers medical expenses towards non-allopathic treatment such as Ayurveda, Yoga, Naturopathy, Unani, Siddha, and Homeopathy up to the plan sum insured. The cover is available only for hospitalization undertaken in a Government Recognised Institute or hospital or registered AYUSH Hospital. 

  • Reduction in Pre-existing Waiting Period: The pre-existing waiting period of the plan is 48 months which can be reduced to 24 months through a pre-existing disease optional rider. The optional cover is available at the time of buying the policy. 

  • Discounts and rebates: Super Top-up Plus variant offers various discounts to make the plan affordable for you. You can get a family discount of 10% of the sum insured for covering two or more family members in the plan. You can also get a long-term discount of 7.5% if you opt for a 2-year policy and a 10% discount on the sum insured if you opt for a 3-year policy term.

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ProHealth Plus

One of the variants of the ProHealth policy, the Plus variant is a comprehensive health insurance policy that offers the needed coverage benefits. Some of the features of the policy are as follows –

  • Worldwide emergency cover: If you suffer from a medical emergency, you can avail yourself of coverage both in India as well as abroad. This coverage is available up to the sum insured once every policy year.

  • Sum insured restoration: If you use up the sum insured on a previous claim in the same policy year, the plan allows the benefit of sum insured restoration. Under this benefit, the sum insured is refilled back to its original amount so that subsequent claims can be met. Moreover, this restoration benefit is available multiple times in a single policy year.

  • Maternity and newborn cover: The plan allows coverage for maternity-related expenses. So, if you are hospitalized for delivering a child, the cost of normal, as well as C-Section deliveries, would be covered. Moreover, the policy extends coverage for your newborn baby too if the baby is hospitalized after birth. 

  • Range of optional coverage benefits: There are different types of coverage benefits that you can choose to enhance the scope of coverage of the policy. These coverage benefits include features like hospital cash allowance, reduction of the waiting period for maternity cover, cumulative bonus booster, etc. 

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ProHealth Protect

Another variant of the ProHealth policy, this policy offers basic coverage benefits at affordable premium rates. Some of the features of the plan are as follows –

  • Health maintenance benefit: This benefit rewards you if you maintain a healthy lifestyle. If you fulfill the fitness conditions specified, you get to earn an Activ Day. You can accumulate these days throughout the policy tenure. Thereafter, on renewal, based on the Activ Dayz accumulated, you get premium discounts and other monetary benefits. 

  • Annual health check-ups: The policy allows you to avail of annual health check-ups. Every insured member aged 18 years and above can avail of free health check-ups on every renewal.

  • A second opinion on critical illness: There is a feature for availing of an online second opinion in case you or any other insured member suffers from a critical illness covered by the policy. This second opinion is available free of cost from the insurer’s panel of experts. 

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ProHealth Preferred

The third variant in the ProHealth plan, Preferred offers high sum insured levels and an optimal scope of coverage. The features of the plan are as follows –

  • International coverage in emergencies: In the case of medical emergencies, the policy does not restrict your coverage based on geography. Even if you are traveling abroad, you can avail of claim settlement for the medical costs incurred. 

  • Coverage for newborn's first-year vaccinations: Besides covering maternity and newborn hospitalizations, the Preferred also covers the cost of first-year vaccinations of the newborn. 

  • Option of critical illness add-on: The plan allows the critical illness rider that you can add to your policy for protection from named critical illnesses. If you choose this rider and suffer from a covered illness, the policy would pay a lump sum benefit to help you meet the associated financial challenges that you might face.

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ProHealth Premier

A premium policy, Premier offers a high sum insured and the following coverage benefits to ensure that you can enjoy all-round protection –

  • Sum insured of Rs.1 crore: The policy is a high-sum insured policy wherein coverage of Rs.1 crore is provided. You can avail of the coverage and meet even the most expensive medical treatments without any hassles.

  • Domiciliary treatments without limits: If you are hospitalized at your own home and your hospitalization is categorized as a domiciliary hospitalization, you can avail of coverage without sub-limits. The medical costs would be covered up to the sum insured so that your out-of-pocket expenses are minimal. 

  • Multiple sum insured restoration: Sum insured restoration allows you to restore the coverage amount to the original amount if the base sum insured is used up in the previous claim. However, while many policies allow this restoration benefit only once during the policy tenure, ProHealth Premier allows multiple restorations, without limits.

  • High no-claim bonus: If you don’t claim your policy, the plan increases your sum insured by 10% after every claim-free year. This increase keeps on accumulating up to a maximum of 200% of the sum insured.

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ProHealth Accumulate

This is the last variant in the ProHealth policy. The salient features of the plan are as follows -

  • Choice of Health Maintenance Benefit: There are three coverage options for the Health Maintenance Benefit feature. You can choose an option that best suits your needs. Moreover, the accumulated benefit can be used to pay for deductibles or for co-payments to reduce your out-of-pocket expenses at the time of claims

  • Healthy Rewards: The policy allows different types of wellness programs. You can participate in these programs and earn reward points equalling 1% of the premium amount. You can use the accumulated reward points to claim a premium discount or convert them to health maintenance benefits.

Eligibility conditions

Minimum entry age

18 years for adults and 90 days for children

Maximum entry age

65 years for adults and 18 years for children

Sum insured

INR 2.5 lakh – INR 3 Crore

Policy term

1 year – 3 years

Number of family members covered

Self, spouse, children, elderly parents

Renewability

Lifetime renewability

Waiting period (PED)

24 months - 48 months

How to buy Manipal Cigna Health Insurance Plan?

Go to the official portal of Manipal Cigna Health Insurance. Go to "Health Insurance”. Select plan according to your requirement and answer a few questions about the policy seeker and submit to get a quote.

Or visit the Paybima portal and select  Health Insurance from the options available.

1

Visit the Paybima homepage and click on the ‘Health Insurance’ tab in the dropdown menu.

2

Fill in your required details and request a callback.

3

A Paybima representative will help you buy the most suitable plan.

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You may also reach us at 1800 267 67 67 from 10 AM to 7 PM, or

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You can visit a Paybima branch near you.

The process of renewing Manipal Cigna Health Insurance Policy

What is the Process for Filing a Claim for Manipal Cigna Health Insurance Plan?

You just need to complete the following steps:
1
Finding a network hospital

Go to the insurance company’s website to find the nearest network hospital to make a cashless claim. You can also contact the company’s claim department and locate a hospital for cashless claims.

2
Admission

Upon finding a networked hospital, you can be admitted by showing your ID proof and health card.

3
Pre-authorization Claim form

The insurance company must receive a pre-authorization claim form to process a cashless settlement of your claim. The pre-authorization form is available online or at the nearest branch. In the case of planned hospitalization, the form must be submitted at least three to four days before the event. During an emergency, the form can also be submitted within 24 hours after hospitalization.

4
Reimbursement Claim Facility

If you are admitted to a hospital that is not in the company’s network, your claim will be reimbursed. Alternatively, if your cashless claim is not approved, you can claim on a reimbursement basis. You must notify your insurance company before you plan to be admitted to a non-network hospital. You can notify the insurance company after you have been admitted and before you are discharged if you have an emergency admission. You will need to pay the medical bills incurred. When you submit a claim form along with original receipts, bills, and medical records, the hospital will reimburse you after it assesses your claim and validates your documents.

Guaranteed Claim Support

When you buy or renew a health insurance plan from us, we guide at every step till your claim is settled.

Start your claim process with us to get our support

Review of Manipal Cigna Health Insurance Company

Manipal Cigna is a leading name in the health insurance industry. Here are some of its distinguishing features –

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More than 21,000 agents are tied up with the company making it easier for you to buy the available plans

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The company promotes healthy living and so it has made more than 93,000 customers happy with its attractive rewards programs

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With digitized services, Manipal Cigna has eased up the buying, renewing, and claiming process for its health insurance policies

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The company has a dedicated customer care department which helps you with your problems round the clock

Sahi Advice,
Sahi Insurance

If you have any questions on how to choose the best insurance plan, you can connect with our IRDAI certified insurance advisors.

Advice that comes with Experience.

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