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ProHealthPrime-Active Onepager Phase2

The ProHealth Prime - Active Plan offers comprehensive health coverage including pre-existing conditions, non-medical expenses, and a cumulative bonus for policy years. It provides unlimited restoration of sum insured for unrelated illnesses, daily hospital cash benefits, and a wellness program with rewards. Additionally, it includes various coverage options, discounts, and a premium waiver benefit in case of accidental death or critical illness diagnosis.

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0% found this document useful (0 votes)
64 views2 pages

ProHealthPrime-Active Onepager Phase2

The ProHealth Prime - Active Plan offers comprehensive health coverage including pre-existing conditions, non-medical expenses, and a cumulative bonus for policy years. It provides unlimited restoration of sum insured for unrelated illnesses, daily hospital cash benefits, and a wellness program with rewards. Additionally, it includes various coverage options, discounts, and a premium waiver benefit in case of accidental death or critical illness diagnosis.

Uploaded by

hocasiy206
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

YOUR HEALTH DESERVES

BETTER!
Presenting

A comprehensive plan to keep you


Healthy bhi and Active bhi

ProHealth Prime - Active Plan is BETTER because...


Covers you from 91st day for pre-existing conditions such as Diabetes, Hypertension,
COVERAGE

Asthma, Dyslipidemia & Obesity

Covers your Non-Medical expenses

Lets you earn 10% of Cumulative Bonus for each policy year, up to maximum 100% of Sum
BETTER

Insured

Restores Sum Insured unlimited times in case you are short of coverage, applicable for
unrelated illnesses
CONTROL

Waives off your next 1 year renewal premium in case of Accidental Death or diagnosis of
any of the listed Critical Illnesses

Lets you avail Daily Hospital Cash benefit for opting shared accommodation

Lets you stay fit and earn rewards up to 15% of base premium
CARE

Condition Management Program for those with select PED conditions


Unlimited Tele consultation

Pre-existing Health Conditions Welcomed!


Diabetes, Hypertension, Asthma, Dyslipidemia and Obesity
APPLICABILITY AND DELIGHTFUL

ELIGIBILITY DISCOUNTS
Min/Max Entry Age:

Adults: 18 years to No Limit NO claim discount Standing Instruction Long Term Wellness Discount
Discount Discount of up to
Children: 91 days to 17 years

Sum Insured option (in Rs.): 3/5/7.5/10/12.5/15 Lacs 1% 3% 2 years


7.5% 15%
discount on the on renewal with Condition
Policy Type: Individual/ Multi-Individual Options renewal premium if
no claim has been
premium 3 years
10% Management
Program
Policy Term: 1/2/3 years made during the
expiring policy
Lifetime Renewability tenure.

TYPE OF
COVERAGE NAME COVERAGE DETAILS
COVER
In-Patient Hospitalization Up to Sum Insured
For Sum Insured = `3 Lacs 1% of Sum Insured per day
Room Accommodation For Sum Insured > = `5 Lacs Single Private AC room
ICU: Up to Sum Insured
Modern and Advanced Treatments, Mental Illness Cover Up to 50% of Sum Insured
HIV/AIDS & STD Cover Up to Sum Insured

Pre - Hospitalization 30 Days; Up to Sum Insured

Post - Hospitalization 60 Days; Up to Sum Insured


BASE COVERS

Day Care Treatment Up to Sum Insured

Domiciliary Hospitalization Up to 10% of Sum Insured

Road Ambulance Up to Sum Insured

Donor Expenses Up to Sum Insured

AYUSH Treatment Up to Sum Insured

Lumpsum benefit of `30,000 per hospitalization of at least 10 consecutive days,


Convalescence Benefit
applicable for Sum Insured `5 Lacs and above

Restoration of Sum Insured Unlimited times for unrelated illnesses. Applicable from 2nd claim onwards

For Sum Insured `5 Lacs to `10 Lacs: �800 per day up to maximum of �5,600
Daily Cash for Shared Accommodation
For Sum Insured > `10 Lacs: �1,000 per day up to maximum of �7,000

Mandatory Co-Payment 10% per claim

Domestic Second Opinion Once during a Policy Year for each of the 36 listed Critical Illnesses
VALUE ADDED

Tele - Consultation Unlimited Tele-consultation in a Policy Year

Cumulative Bonus Bonus of 10% per year, subject to a maximum: upto 100% of sum insured.
COVERS

Earn rewards up to 15% of base premium based on adherence to


Wellness Program
Condition Management Program and improvement in health parameters
Discount on pharmacy, diagnostics and health supplements offered by the
Discounts from network providers network providers of ManipalCigna Health Insurance Company Limited

Waives off next one year renewal Policy Premium upon occurrence of
Premium Waiver benefit
Accidental Death or diagnosis of any of the listed Critical Illnesses

Available once every 3rd Policy Year for insured persons who have
OPTIONAL

Health Check-Up
COVERS*

completed 18 years of Age

Non-Medical Items Up to Sum Insured

Worldwide Accidental Emergency Hospitalization Cover


(Indemnity) This benefit is available once in a Policy Year for each Insured Person

Any room; ICU Up to Sum Insured


Prime

Rider
Plus

ManipalCigna Prime Plus Room Rent Modification


Twin Sharing AC room; ICU Up to Sum Insured.

Manipal Cigna Prime Plus Deductible Deductible ₹10K, ₹25K, ₹50K, ₹1 Lac, ₹2 Lacs, ₹3 Lacs, ₹4 Lacs, ₹5 Lacs
Initial Waiting Period 30 Days
WAITING
PERIOD

Specified disease/procedure Waiting Period 24 Months


90 days for Asthma, Diabetes, Hypertension, Dyslipidaemia &
Pre-existing disease waiting period Obesity related conditions
For all other conditions - 24 months
Mental Illness Cover 24 Months

*For complete list of optional covers please check with your sales representative or refer policy wordings. Terms and conditions apply

Disclaimer: ManipalCigna Health Insurance Company Limited (Formerly known as CignaTTK Health Insurance Company Limited) | CIN: U66000MH2012PLC227948 | IRDAI Reg. No.: 151
| Regd. Office: 401/ 402, 4th Floor, Raheja Titanium, Off Western Express Highway, Goregaon East, Mumbai – 400 063 | For more details on risk factors, terms and conditions, please read
the sales brochure/ sales document available on our website (Download section) before concluding a sale | Trade Name / Trade Logo belongs to MEMG International India Private Limited
and Cigna Intellectual Property Inc. and is being used by ManipalCigna Health Insurance Company Limited under license | ManipalCigna ProHealth Prime UIN: MCIHLIP26036V022526 |
Toll free: 1800-102-4462 | Website: www.manipalcigna.com | ARN: XXX

Your expert Health Insurance Advisor has the answer.

1800-102-4462 [email protected] www.manipalcigna.com

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