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ManipalCigna Health Insurance

ManipalCigna Health Insurance Plans

ManipalCigna Health Insurance Plans

Are you interested in finding out about the best ManipalCigna health insurance plans? Well, you have come to the right place. Let us discuss the top 16 health insurance plans offered by ManipalCigna and their features.

ManipalCigna ProHealth Plan

This is a complete healthcare plan that is designed to cover all medical and surgical expenses incurred in the treatment of any sickness, illness, or injury.

The USP of this plan is that it offers 100% sum restoration unlimited number of times for unrelated illnesses.

This plan is available in 5 variants- Plus, Protect, Accumulate, Preferred, and Premier Plan.

Plan features

  • This plan offers comprehensive coverage covering hospitalization expenses.
  • Worldwide emergency coverage is available.
  • This plan covers Ayush treatment.
  • The benefit of 100% sum restoration unlimited number of times.
  • 25% increase on the sum insured every year irrespective of the number of claims.

Plan specifications

  • Age Entry- 91 days – No limit
  • Sum insured – Rs 2.5 Lakhs – Rs 1 Crore

ManipalCigna Lifetime Health Plan

This is a high sum insured health plan that offers you enough coverage for any major health eventualities. It is an ideal plan where you can cover your family members on a family floater basis. A wide range of sum insured options starting from Rs 50 Lakh to Rs 3 Crore.

It is available in two variants- India and Global Plan.

Plan features

  • This plan covers hospitalization expenses and all daycare treatments.
  • Modern treatments like robotic and cyberknife surgery, etc are covered up to sum insured.
  • Free health check-up for all insured persons once a year.
  • This plan covers all psychiatric illnesses and disorders.
  • Multiple sum restoration available for unrelated illnesses.
  • The plan also covers HIV and STDs.
  • Coverage for Ayush treatment is provided.

Plan specifications

  • Age entry – 91days- 65 years
  • Sum Insured- Rs 50 Lakh – Rs 3 Crore

ManipalCigna ProHealth Select Plan

This is a uniquely designed plan that comes with a distinctive reassurance benefit, which provides an automatic extension of policy for two years without paying any premium, in case of a critical illness or any disablement due to an accident.

The plan is available in 2 variants- Prohealth Select A and Prohealth Select B plan.

Plan features

  • This plan covers hospitalization expenses and 171 daycare procedures.
  • 100% sum restoration benefit for unrelated illness once a year.
  • 60 days pre and 90 days post hospitalization expenses are covered
  • Cumulative bonus of 5% of sum insured every year, maximum up to 100%.
  • Ambulance charges covered up to Rs 2000 per hospitalization.

Plan specifications

  • Age entry- 91days- No limit
  • Sum insured – Rs 50,000- Rs 25 Lakh

ManipalCigna Super Top Up plan

This is a top-up plan that comes into force once the policyholder exhausts the coverage of his/her initial base health policy.

A unique feature of this plan is that it provides a guaranteed 50% increase of the sum insured irrespective of any claim.
It is available in two types Super Top Up Plus and Super Top Up Select Plan.

Plan features

  • This plan covers hospitalization expenses and all daycare procedures.
  • 60 days pre and 90 days post-hospitalization charges are covered.
  • Guaranteed 50% increase of sum insured irrespective of any claim.
  • Organ donor expenses are covered.
  • The plan covers Ayush treatment.
  • Emergency ambulance services are covered.

Plan specifications

  • Age entry 19 days – No limit
  • Sum insured- Rs 1 Lakh- Rs 30 Lakh

ManipalCigna Arogya Sanjeevani Policy

This is a standard health insurance policy mandated by IRDA, It provides basic health coverage to the insured person to meet their essential healthcare requirements. This plan takes care of most of the hospitalization needs that arise from any sickness or injury.

Plan features

  • This plan covers hospitalization expenses and daycare procedures.
  • 30 days pre and 60 days post hospitalization are covered.
  • The benefit of a 5% increase of SI, maximum up to 50% for every claim-free year.
  • Ambulance charges covered up to Rs 2000 per hospitalization.
  • The plan covers Ayush treatment.
  • Modern treatments covered up to a certain limit.
  • Copayment of 5% applicable on all claims.

Plan specifications

  • Age Entry- 91 days – 65 years
  • Sum insured – Rs 50,000 – Rs 10 Lakh

ManipalCigna Corona Kavach Policy

This plan is designed to cover the medical expenses incurred in the treatment of COVID-19. It covers the cost of hospitalization and homecare treatment for a maximum of up to 14 days.

Plan features

  • This plan covers hospitalization expenses in the treatment of COVID-19.
  • Homecare treatment for a maximum period of 14 days is covered.
  • 15 days pre and 30 days post-hospitalization charges are covered.
  • Ayush treatment is covered under the plan.
  • Ambulance charges covered up to Rs 2000 per hospitalization.

Plan specifications

  • Age entry- 1 day – 65 years
  • Sum insured – Rs 50,000- Rs 5 Lakh

ManipalCigna Corona Rakshak Policy

Under this plan, the insured will receive a lump sum benefit of 100% sum insured when positively diagnosed with Covid-19. The diagnosis of the illness should take place at a government-authorized diagnostic center. This plan is available on an individual coverage basis only.

Plan features

  • 100% sum insured will be paid to the policyholder when diagnosed with COVID-19.
  • No pre-medical check-up is required.

Plan specifications

  • Age entry- 18 years- 65 years
  • Sum insured- Rs 50,000 – Rs 2.5 Lakh

ManipalCigna Lifestyle Protection – Accident Care Plan

This is a cash benefit plan that financially secures against accidents.
Policy nominee will receive 100% sum insured in the event of the accidental death of the insured individual.
It is available in 3 types- Basic, Enhanced, and Comprehensive Plan.

Plan features

  • 100% payout of the sum insured in the event of accidental death of the insured person.
  • Ambulance charges covered up to Rs 10,000.
  • This plan covers funeral expenses up to a specified limit.

Plan specifications

  • Age entry – 5 years – 80 years
  • Sum insured- Rs 5000- Rs 10 Crore

ManipalCigna Saral Suraksha Bima

Saral Suraksha Bima offers you and your family financial safety against an unfortunate event like an accident. Under this plan, the insurer will pay 100% sum insured in the event of accidental death or any permanent disablement suffered by the insured due to accident.

Plan features

  • 100% payout of the sum insured to the nominee of the policy in the case of accidental death.
  • 100% payout of the sum insured in case of permanent total disablement.
  • 5% increase of sum assured, maximum up to 50% for every claim-free year.

Plan specifications

  • Age entry 3months- 18 years – 70 years
  • Sum insured- Rs 2.5 Lakh- Rs 1 Crore

ManipalCigna Lifestyle Protection -Critical Care plan

This plan is specially curated to secure against major critical illnesses. Under this policy, the policyholder will receive a lump-sum amount of the sum insured upon diagnosis of the set listed conditions mentioned in the policy.

This plan covers critical illnesses like first heart attack, cancer, kidney failure, and so on.
It is available in 2 variants- Basic and Enhanced Plan.

Plan features

  • Coverage against 15 to 30 life-threatening illnesses depending on the plan selected.
  • Payment of 100% sum assured when diagnosed with listed illnesses.
  • Free second medical opinion provided.

Plan specifications

  • Age entry- 18 years – 65 years
  • Sum insured – Rs 1 Lakh- Rs 25 Crore

ManipalCigna ProHealth Cash Plan

This is a cash benefit plan in which the policyholder will receive a daily cash allowance during their hospital stay. This plan will assist you to pay for miscellaneous expenses that are not covered in a general plan. It comes in 2 variants- Basic and Enhanced Plan.

Plan features

  • Daily cash benefit ranging from Rs 500 up to Rs 5000 depending on the plan selected.
  • Receive double the sum insured when admitted to the intensive care unit.
  • Access to an online wellness program.

Plan specifications

  • Age entry – 91 days – 65 years
  • Sum insured- Rs 500 – Rs 5000

ManipalCigna ProHealth Group Plan

This is a group insurance plan designed to offer overall protection against health-related risks and contingencies to employees working together in a company. It covers the basic hospitalization expenses of the insured member under the policy.

Plan features

  • This plan covers hospitalization expenses and daycare treatments.
  • Pre and post-hospitalization charges are covered.
  • Organ donor expenses are covered.
  • Road ambulance services are covered.

Plan specifications

  • Age entry- No age limit
  • Sum insured- Rs 5000 – Rs 1 Crore

ManipalCigna Global Health Group Plan

This plan is designed to cover hospitalization expenses of the insured group members not just in India but all around the world with its worldwide emergency health coverage.

Plan features

  • This plan covers hospitalization expenses and daycare treatments anywhere in the world.
  • This plan covers maternity expenses, emergency repatriation, cancer, and any psychiatric illness or disorders.
  • Private ambulance expenses will be covered.
  • Multiple wellness packages to aid your health and wellbeing.
  • The plan covers the cost of all outpatient treatments anywhere in the world.

Plan specifications

  • Age of entry – 18 years – 95 years
  • Sum insured- up to $10 Million

ManipalCigna Lifestyle Protection Group Plan

It is an all-in-one plan that covers against accidents or a setlist of critical illnesses specified under the policy.
There are two covers available under this plan, group personal accident and critical illness cover. You can select both covers or one of the two to avail the respective benefit.

Plan features

  • This plan covers accidental death or disablement due to an accident.
  • This plan covers against specified listed critical illnesses and conditions.

Plan specifications

  • Age entry- 18 years- 75 years
  • Sum insured- Rs 10,000- Rs 50 Crore

ManipalCigna Group Overseas Travel Insurance Plan

This plan offers medical protection to insured group members when traveling abroad on a family or business trip.
Along with covering medical expenses, any inconveniences like loss of baggage and cancellation of trips shall be reimbursed.

It is an ideal plan for groups who frequently travel overseas for work.

Plan features

  • This plan takes care of all the hospitalization expenses abroad.
  • Payout in case of accidents covered up to a fixed limit.
  • This plan reimburses the cost in case of loss of baggage or cancellation of flights, etc.

Plan specifications

  • Age entry- up to 95 years
  • Sum insured- up to Rs 50 Lakh

ManipalCigna FlexiCare Group Insurance Policy

This plan is named FlexiCare because it gives the option to customize the health plan according to the requirements of the group members. This plan offers comprehensive coverage against illnesses, domestic travel, accidents, and so on.

Plan features

  • This plan offers hospitalization expenses and multiple daycare treatments.
  • The plan covers accidents, domestic travels, surgery, etc.
  • The plan provides wellness packages to aid your health and wellbeing.
  • Ambulance charges are covered.
  • Alternative treatments like Ayush are covered under the plan.

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Health Insurance

Why is health insurance important?

Why is health insurance important?

There could never be a more appropriate time to use the age-old expression “Health is wealth”
With the world struggling with a global pandemic, it is now more important than ever to take care of our health and wellbeing.

That being said, uncertainty can strike at any time, and it is important to be protected in the face of adversity. Health insurance can be our cushion during such trying times. So, why is health insurance important? Let’s find out:

Top 11 important benefits of health insurance

It’s critical to have a health insurance policy in this day and age. Learn about the top 7 most important benefits of having a health insurance policy.

  • Protection against rising medical expenses
  • Maintains your existing lifestyle
  • Protection to your family
  • Pre and post hospitalization coverage
  • Inflation adjusted coverage
  • Health insurance plus savings
  • Protection against accidents
  • New age covers
  • Free medical check-up
  • Alternative therapies
  • Income tax benefits

Protection against medical expenses

A health insurance policy will protect you against unforeseen medical emergencies, and the expenses associated with it. It is also important to understand that the cost of medical expenses is rapidly rising, and you should consider this fact while you decided on your coverage.

Maintains your existing lifestyle

An unforeseen sickness has the ability to wreak havoc on your existing lifestyle. The cost of treatment can adversely affect your existing lifestyle as funds need to be routed towards medical expenses. A health insurance policy can protect your lifestyle as it would be the insurance company looking after your medical bills, not you.


Protection to your family

There are times when a sickness not only affects the patriarch of the family but the entire family itself. There is an old saying “A sickness not only affects one person. It affects the entire family”
It is important to protect your family and their finances in such trying times. A health insurance policy can alleviate a lot of the stress on the family during trying times.

Pre and post hospitalization coverage

a large number of health insurance policies provide pre and post-hospitalization expenses. That basically means that your coverage starts even before you physically enter into a hospital, and is still present even after you exit the hospital.
For instance, a person may need to visit an OPD specialist after his fracture. The insurance company will provide coverage for the same. This is called post-hospitalization coverage.

Inflation-adjusted coverage

Medical expenses are continuing to be prohibitively expensive. The cost of medical expenses in India is rising at an average of 15% a year, compared to general inflation of 5-7% a year. This is a worrying trend if you are not covered.
A No-claim bonus (NCB) can also provide a cushion against high medical inflation. Please enquire about an NCB with your insurance provider.

Health insurance plus savings

There are various insurance plans in the market that provide health coverage along with a savings component. They are called ULIP plans. There are worth investigating.

Protection against accidents

In 2019, over a hundred and fifty thousand Indians lost their lives in road accidents alone. This was a result of over 5 Lakh accidents in 2019. Protection against accidents is a crucial component of a health insurance policy. Ensure that your plan has accident coverage.

New age covers

New age covers include maternity coverage, daycare expenses, OPD expenses, etc. These new-age covers provide additional protection to policyholders.

Free medical check-up

A lot of insurance policies provide the benefit of a free medical check-up, either once a year or once every alternate year.

Alternative therapies

Have you ever wondered if an insurance policy can cover your Ayurvedic treatment? The answer is yes. New age policies cover Ayurvedic, Unani, Homeopathic, Siddha treatments. Ensure that you confirm this with your insurance company beforehand.

Income tax benefits

A person can claim up to Rs 25000 as deductions when you buy a health insurance policy. Further, the limit of deductions can increase based on certain other criteria. It would be a prudent decision to buy a health insurance policy to lower your tax liability. This would provide a double benefit, you get coverage, and you get a tax deduction as well.

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Star Health Insurance

Star Health Insurance Plans

Star Health Insurance Plans

In this article we will be discussing about the 20 health plans offered by Star Health Insurance.

Star Comprehensive Health Plan

This is a complete health insurance plan that safeguards an individual against major healthcare expenses. It covers the cost of hospitalization, pre and post-hospitalization expenses, ambulance charges, and so on. This plan also provides maternity and new-born baby coverage.

This policy can be purchased on an individual or family floater basis, where you can cover your family members in a single plan.

Plan features

  • This plan covers the cost of hospitalization and multiple daycare treatments.
  • This plan protects against accidental death and any disablement suffered due to an accident.
  • Cost of 60 days pre and 90 days post-hospitalization expenses are covered.
  • Air Ambulance charges are covered up to Rs 5 lakh.
  • This plan covers AYUSH treatment.
  • Organ donor expenses are covered.
  • The benefit of 100% sum restoration in case you exhaust your initial coverage due to previous claim.
  • Free health check-up every claim-free year.

Plan specifications

Age Entry

3 months – 65 years

Sum Insured

Rs 5 Lakh – Rs 1 Crore

Policy Term

1 year, 2 year,3 year

 

Senior Citizen Red Carpet Health Plan

True to its name, this plan is designed to take care of the essential healthcare and medical needs of senior citizens.

It covers the cost of hospitalization, daycare treatments, and outpatient care. The plan also covers a set of listed modern procedures like robotic surgeries and deep brain stimulation. This plan starts covering any pre-existing conditions after one year from inception of the policy period.

Plan features

  • This plan covers hospitalization expenses and all daycare procedures.
  • This plan covers pre and post-hospitalization expenses.
  • Emergency ambulance charges are covered.
  • Free health check-up every claim-free year.

Plan specifications

Age entry

60 years – 75 years

Sum Insured

Rs 15 Lakh – Rs 25 Lakh

Policy term

1 year, 2 years or 3 years

 

Star Health Super Surplus Plan

This is a top-up health plan that comes into force when the policyholder has exhausted the coverage of his/her base health plan. It is an ideal choice if you wish to opt for a high coverage health plan at an affordable premium. The plan is available in 2 variants- Silver – Gold Plan.

Plan features

  • This plan covers the cost of hospitalization expenses.
  • Modern treatments like stem cell therapy, robotic surgery, etc are covered under this plan.
  • Maternity expenses are covered under this plan.
  • Ambulance charges covered up to 10% of SI.
  • Organ donor expenses are covered.

Plan specifications

Age entry

91 days – 65 years

Sum insured

Rs 5 lakh- Rs 1 Crore

Policy term

1 years or 2 years

 

Star Family Health Optima Plan

This is a family floater health plan that covers you and your family members in a single policy. It offers you many benefits like covering pre and post-hospitalization expenses and providing emergency air ambulance services.

You can choose to cover yourself, your spouse, dependent children, and your parents under this plan.

Plan features

  • This plan covers hospitalization and multiple daycare procedures.
  • This plan also provides coverage towards accidental death or any disablement suffered due to an accident.
  • Organ donor expenses are covered.
  • Automatic reinstatement of 300% of sum insured under sum refill benefit.

Plan specifications

Age entry

18 years- 65 years

Sum insured

Rs 1 Lakh – Rs 25 Lakh

Renewability

Lifelong

 

Star MediClassic Plan

This plan offers broad protection against medical contingencies while securing your finances.
It covers hospitalization, organ donor expenses, and much more.

The policyholder will also receive the benefit of automatic reinstatement of 200% of sum insured in case they exhaust their initial coverage due to previous claim.

 

Plan features

  • This plan covers hospitalization expenses.
  • Emergency ambulance services are covered.
  • Cost of pre and post-hospitalization expenses are covered.
  • The plan covers expenses incurred in the treatment of any psychiatric and psychosomatic disorders.
  • The benefit of automatic sum restoration of 200% of sum insured.
  • The plan provides coverage towards AYUSH treatment.

Plan specifications

Age entry

5 months – 65 years

Sum insured

Rs 1.5 Lakh- Rs 25 Lakh

Policy term

1 year, 2 years or 3 years

 

Star Health Gain Plan

This is a complete health plan that offers you coverage against hospitalization due to any illness or injury. It also covers the cost of any outpatient treatments and diagnostic tests in any network hospitals of the insurer.

Plan features

  • This plan covers hospitalization expenses.
  • All daycare procedures are covered.
  • Ambulance charges covered up to Rs 1500.
  • 30 days pre and 60 days post-hospitalization charges are covered.
  • This plan covers the cost of any outpatient treatments in network hospitals of the company.

Plan specifications

Age entry

 91 days to 65 years

Sum insured

Rs 1 Lakh- Rs 5 Lakhs

Renewability

Lifelong

 

Star Health Diabetes Safe Plan

This plan is specially designed to cover individuals who are suffering from diabetes. It covers persons who are diagnosed with type 1 and type 2 diabetes. This plan is available in 2 types of variants- Plan A and B.

Plan features

  • This plan covers hospitalization expenses incurred in the treatment of diabetes and its complications.
  • It also pays for outpatient treatments, diagnostic tests, etc.
  • 100% sum insured to be paid to the nominees of the policy in case of accidental death of the insured individual.

Plan specifications

Age entry

18 years – 65 years

Sum insured

Rs 3 Lakh – 10 Lakh

Renewability

Lifelong

 

Star Cardiac Care Plan

This plan is carefully crafted for individuals suffering from cardiac ailments and diseases. It insures against cardiac-related ailments that other plans do not cover.

The plan covers against any heart ailments or diseases after 90 days from the inception of the policy period. It is available in 2 types of variants – Silver and Gold Plan.

Plan features

  • This plan covers hospitalization expenses incurred in the treatment of cardiac-related illness and its complications.
  • This plan also covers all daycare procedures.
  • 100% sum insured to be paid to the nominees of the policy in case of accidental death of the insured individual. 

Plan specifications

Age entry

10 years and 65 years

Sum insured

Rs 3 Lakh – Rs 4 Lakh

Policy term

1 year

 

Star Cancer Care Gold Plan

This is plan is designed to cover individuals who are suffering from cancer.

It provides a lump sum amount to the policyholder in case of recurrence or second stage of cancer that is unrelated to first cancer. The plan is only available on individual coverage basis.

Plan features

  • Receive lump sum payout in the event of recurrence or second stage of cancer.
  • This plan also covers pre and post-hospitalization charges.
  • All daycare procedures are covered.

Plan specifications

Age entry

5 months -65 years,

Sum insured

Rs 3 Lakh- Rs 5 Lakh

Policy term

1 year

 

Star Care Micro Health Plan

This plan is crafted for individuals belonging to the rural and urban sections of the nation. It provides standard health coverage at an affordable premium.

Plan features

  • This plan covers hospitalization expenses.
  • Ambulance charges are covered up to Rs 1000.
  • 30 days pre and 60 days post-hospitalization expenses are covered.
  • The benefit of daily cash allowance during the hospital stay up to a maximum period of 14 days.
  • More than 400+ daycare procedures are covered.

Plan specifications

Age entry

18years -65 years

Sum insured

Rs 1 Lakh

Renewability

Lifelong

 

Star Criticare Plus Plan

Star’s Criticare Plus plan protects the policyholder against a listed set of critical illnesses and conditions specified under the policy.

Under this plan, the policyholder will be paid a lump sum payout in the event of diagnosis of any of the listed critical illnesses or conditions. Along with providing a lump sum benefit this plan also covers hospitalization expenses in case of any illness and injury.

Plan features

  • This plan covers the cost of hospitalization due to any illness or accident.
  • Receive lump sum payout when diagnosed with any of the listed major life threatening illnesses like first heart attack, stroke, cancer and so on.
  • The plan covers Ayush treatment.
  • Pre and post-hospitalization expenses are covered.

Plan specifications

Age entry

18 years – 65 years

Sum insured

Rs 2 Lakh – Rs 10 Lakh

Renewability

Lifelong

 

Star Family Delite Plan

This is a family floater health plan that secures you and your loved ones from hospitalization expenses under a single plan. It offers extensive coverage protecting you from medical expenses at a budget friendly premium.

Plan features

  • This plan inpatient hospitalization expenses.
  • Ambulance charges are covered up to a certain limit.
  • Pre and post-hospitalization charges are covered under the plan.
  • This plan covers multiple daycare treatments and procedures.

Plan specifications

Age entry

5 months – 65 years

Sum insured

Rs 2 Lakh – Rs 3 Lakh

Renewability

Lifelong

 

Star Special Care Plan

This is a unique plan that is designed to cater to the essential medical needs of children suffering from autism. It also pays for treatments like physiotherapy, behavioural, occupational, and speech Therapy.

Plan features

  • This plan covers hospitalization expenses.
  • Emergency ambulance covered up to Rs 1,500 per hospitalization.
  • This plan also covers 60 days of post-hospitalization expenses.

Plan specifications

Age entry

3 years – 25 years

Sum insured

Rs 3 Lakh

Policy term

1 year

 

Star Hospital Cash Insurance Plan

This is a cash benefit plan which provides a daily cash allowance during the hospital stay.

It is an ideal plan that will assist you to pay for miscellaneous expenses like attendant fees, travel costs, etc that are not covered in a general health plan. It is available in 2 types of variants- Basic and Enhanced plan

Plan features

  • Receive lump sum cash allowance during hospitalization stay.
  • Receive 200% of the sum insured when the insured is admitted to the intensive care unit.

Plan specifications

Age entry

18 years -65 years

Sum insured

Rs 1000 – Rs 5000

Policy term

1 year , 2 years and 3 years

 

Star Outpatient Care Health Plan

This plan is specifically designed to cover outpatient treatments like OPD consultations, diagnostics tests, and so on.

This plan can be purchased as an add-on to boost the benefits of your base plan. It is available in 3 variants – Silver, Gold, and Platinum Plan.

Plan features

  • This plan covers outpatient treatments at any network hospital of the company.
  • This plan covers the cost of diagnostics, pharmacy, physiotherapy at any network hospital of the insurer.
  • It also covers the cost of dental treatments arising out of an accident.

Plan specifications

Age entry

18 years – 50 years

Sum insured

Rs 25,000 – Rs 1 Lakh

Policy term

1 year

 

Star Young Star Insurance Plan

Star Young Star health offers extensive health coverage to persons below or up to 40 years of age.

This plan also offers multiple other benefits like 100% sum restoration and a cumulative bonus as reward for claim free years. It is available in two types of variants -Silver and Gold Plan.

 

Plan features

  • This plan covers hospitalization expenses incurred in the treatment of any illness or injury.
  • Free health check-up once a year.
  • The benefit of 100% sum restoration once during the policy period.
  • The plan covers 30 days pre and 60 days post-hospitalization charges.
  • Receive the benefit of daily cash allowance under the Gold plan.

Plan specifications

Age entry

18 years – 40 years

Sum insured

Rs 5 Lakh – 1 Crore

Renewability

Lifelong

 

Star Novel Coronavirus (COVID-19) Insurance Plan

This is a cash benefit plan that pays the insured lump sum amount in the event of the first positive diagnosis of Covid-19. It is available two types Silver and Gold Plan.

Plan Features

  • Receive lump sum benefit of 100% sum insured in the event of first positive diagnosis of COVID-19.

Plan specifications

Age entry

 18 years – 65 years

Sum insured

Rs 21,000 -Rs 42,000

 

Star Health Arogya Sanjeevani Plan

This is a standard health policy that protects against hospitalization expenses due to any illness or injury. It also covers the cost of cataract and Ayush treatments up to a specified limit.

Plan features

  • This plan covers hospitalization expenses and multiple daycare treatments.
  • Ambulance charges are covered up to Rs 2000 per hospitalization.
  • 30 days pre and 60 days post-hospitalization expenses are covered.
  • This plan also covers AYUSH treatment.
  • The benefit of cumulative bonus which increases your sum insured up to 50%.

Plan specifications

Age entry

3 months – 65 years

Sum insured

Rs 50,000 – Rs 10 Lakh

Policy term

1 year

 

Star Corona Rakshak Plan

This is a cash benefit plan under which the policyholder will receive a lump sum payment in the event of the first positive diagnosis of COVID-19 and is available on an individual basis only.

Plan features

  • Payment of 100% sum insured when the insured is diagnosed with COVID-19.

Plan specifications

Age entry

18years -65 years

Sum insured

Rs 50,000 – Rs 2.5 Lakh

Policy term

3 ½ months, 6 ½ months and 9 ½ months

 

Star Health Corona Kavach Plan

This is a short-term health plan that is designed to cover medical expenses incurred in the treatment of COVID-19 only.

It covers hospitalization expenses and homecare treatment when the insured is infected with COVID-19. This plan is available on an individual and family floater basis.

Plan features

  • This plan covers hospitalization expenses in the treatment of COVID-19.
  • The plan covers the cost of medical items like oxygen, ventilator, PPE Kits, gloves, etc
  • Ambulance charges are covered under the plan.
  • The plan covers AYUSH treatment.
  • This plan covers 15 days pre and 30 days post-hospitalization expenses.

Plan specifications

Age entry

18years -65 years

Sum insured

Rs 50,000- Rs 5 Lakh

Policy term

3 ½ months, 6 ½ months and 9 ½ months

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Health Insurance

Raksha Health Insurance TPA Pvt Ltd

Learn about Raksha Health Insurance TPA Pvt Ltd

Raksha Health Insurance Tpa Pvt Ltd is a private TPA company based out of Faridabad, having a Pan-India presence. The company provides claim processing and billing-related assistance to insurance companies and policyholders alike.
Whenever a policyholder gets admitted to a networked hospital and avails cashless claims, Raksha Health Insurance TPA will handle all of the policyholder’s billing and documentation-related tasks.

The company will act as a bridge between the hospital and the insurance company and make everything smooth for the policyholder.

This article aims to shed some light on the following points about Raksha TPA:

 

  • Company Details
  • Management
  • Industry Details
  • Services
  • Contact Details

Company Details

Company NameRaksha Health Insurance Tpa Pvt Ltd
Registration Number113925
Date of Registration2002
Authorized CapitalRs 4 crores
Paid-up CapitalRs 4 crores
Registered Address202, First floor, Rokhla Industrial Estate, Phase 3, New Delhi- 110020
Email IDshankarmishra@rakshatpa.com

Company Management

NameDesignationLinkedin
Ms. Nitasha NandaChairmanNA
Mr. Pawan K. BhallaManaging Director and CEOhttps://in.linkedin.com/in/pawan-bhalla-74a2168a
Dr. Naresh TrehanDirectorNA
Mr. Prabodh ChanderDirectorNA
Mr. Gopalakrishnan RamakrishnanSenior VPhttps://in.linkedin.com/in/gopalakrishnan-ramakrishnan-00a961bb

Industry Facts

Policies Handled10 Crore+
Claims Processed30 Lakh+
Affiliated Hospitals7857
Serviceable Locations88
Grievance Percentage 0.0003

Services

The company provides the following services:

Enrollment: The company assists the policyholder during their hospital enrolment.

Registration: The company registers the policyholder’s claim and passes on the same to the insurance company for further action.

Regular Claim Processing: Non-cashless claims are also handled by Raksha TPA on behalf of the policyholder.

Cashless Claim Processing: Raskha TPA manages cashless claims on behalf of the policyholder.

24×7 Customer support: The company provides a 24×7 dedicated customer care line for assistance and grievance redressal.

ID Card Issuance: Raksha TPA provides health care ID cards to policyholders, that they can use to avail cashless treatment at the time of hospitalization.

Contact Details

24×7 Phone NumbersMumbai :022-67876666,1800-220-456
Bangalore :080-42839999, 1800-425-8910
Faridabad :0129-4289999,1800-180-1444
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Facultative Reinsurance: Meaning, Features and Examples

Facultative Reinsurance: Meaning, Features and Examples

Have you ever wondered what could happen if your insurance company fails? The answer to this question is understanding the concept of reinsurance. Understanding how reinsurance works can give you peace of mind. The scope of this article is to provide a brief understanding of the following:

  • What is Reinsurance
  • What is Facultative Reinsurance
  • Facultative Reinsurance Example
  • Treaty vs Facultative Reinsurance

What is Reinsurance?

There could be times where an insurance company will not be in a position to service all its claims. What can an insurance company do in such a scenario? It will enter into a reinsurance contract with a reinsurance company. The reinsurance company will take over the risk burden of the insurance company for a premium. Thus if the insurance company fails to honor the claim due to the unavailability of funds, the reinsurance company will step in and honor the claim.

What is Facultative Reinsurance?

Facultative reinsurance is when an insurance company comes into an ad-hoc reinsurance contract with a reinsurance company. It is a specialized contract with special specific terms and conditions unique to a particular project/venture.
An insurance company can come into a facultative reinsurance contract with a reinsurance company if It wants to cover something which is not covered in its regular treaty reinsurance contract.

Facultative Reinsurance Example

Suppose an insurance company wants to cover a new specialized real estate project that is not part of its treaty reinsurance contract. How will the insurer insure this new project? The answer is the insurance company will enter into a facultative reinsurance contract with a reinsurer that covers risks associated only with this project. The treaty reinsurance contract will cover the other

Treaty vs Facultative Reinsurance

A treaty reinsurance contract is a blanket reinsurance treaty that agrees to cover all of the insurance company’s risk. A treaty reinsurance contract can cover all of the risks on the books of the insurance company or risks associated with a particular sector. For instance, there could be a treaty reinsurance contract that covers all of the marine insurance-related risks of an insurance company.
Facultative reinsurance is where an insurance company is inclined to cover a specific project that is not covered under its blanker reinsurance treaty.

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Health Insurance

Domiciliary Hospitalization

Domiciliary Hospitalization

Domiciliary Hospitalization is where the medical treatment is done at home. It is also commonly known as Home Hospitalization. There are various cases where a person may prefer domiciliary Hospitalization over regular hospitalization. Certain ailments are better handled at home, rather than in the hospital. This is where Domiciliary Hospitalization can be boon.

There could be situations where the doctor states that a home environment would be better suited for the healing of the patient. In this situation, a policyholder can avail a domiciliary hospitalization cover from his insurance company.
This is could be important to know whether your health insurance policy covers domiciliary hospitalization.

This article will aim to cover the most important points on this topic, such as:

• Domiciliary hospitalization meaning
• Domiciliary hospitalization eligibility
• Coverage and exclusions under domiciliary hospitalization
• Companies that provide domiciliary hospitalization coverage
• Benefits of domiciliary hospitalization

Domiciliary Hospitalization Meaning

Let us aim to understand Domiciliary Hospitalization with an easy example. Let us say Mr. Shyam slipped and had a leg injury at his home.
He called a doctor at his home and the doctor suggested that due to the sensitive nature of his injury he not be moved out from the house. Mr. Shyam decided to get home treatment.
Mr. Shyam was lucky as his health insurance policy covered domiciliary hospitalization treatment.

Domiciliary Hospitalization Eligibility

Domiciliary Hospitalization coverage will only be considered in the following cases:

  • If the patient cannot be moved to the hospital due to the nature of the injury/illness.
  • If there was no availability of hospital bed.
  • There should be a valid reason to get home treatment

Coverage and Exclusions under Domiciliary Hospitalization

Coverage

Coverage will vary from policy to policy. You must check your health insurance policy coverage in the case of home hospitalization. That being said, most companies will cover most illnesses if you can prove that it was not possible to shift the patient to a hospital, and home treatment was the only option.

Exclusions

Some general exclusions include:

  • Hypertension
  • Arthritis
  • Diarrhoea, Dysentery
  • Diabetes Mellitus and Insipidus
  • Bronchitis
  • Chronic Nephritis
  • Epilepsy
  • Common cough and cold
  • Influenza
  • Psychosomatic Disorders
  • Tonsillitis
  • Laryngitis or Pharyngitis

Benefits of Domiciliary Hospitalization

  • Home treatment could be the ideal choice for some people during the COVID-19 pandemic
  • Certain illness’ merit home or domiciliary hospitalization
  • In certain situations the patient can recover faster at home
  • Some policies cover Ayurveda, Unani and Homeopathic treatments at home (Depends on policy to policy)

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Difference between Double Insurance and Reinsurance

Difference between Double Insurance and Reinsurance

It is common to confuse Double Insurance with Reinsurance. This article aims to give you complete clarity on what both these terms mean, as well as the difference between double insurance and reinsurance.
But before we get to their difference we need to understand what each term means.

What is Double Insurance?

Double insurance is two or more insurance companies cover the same risk. This is where the insured buys two or more insurance policies from two or more insurance companies covering the same insured object.
An example of double insurance would be that an individual would buy 2 or more health insurance policies for himself. Both policies are bought from different companies.


What is Reinsurance?

Reinsurance provides insurance to insurance companies. Let us decompress this a little further. At times an insurance company insures huge projects like real estate projects, marine engineering projects, civil engineering projects, etc. These huge projects increase the risk exposure of the insurance company.
That company suspects that if there is a claim made, it may not be able to service it. So what is the solution to this issue? This is where reinsurance comes into play. The insurance company will enter into a reinsurance contract with another insurance company (generally larger than itself) and the reinsurance company will insure against any loss that the insurance company may face due to claims made.
Reinsurance basically transfers the risk from the insurance company to the reinsurance company.

Difference between Double Insurance and Reinsurance

Comparison TermReinsuranceDouble Insurance
Meaning This is where the insurance company transfers its risk to a reinsurance company.This is where an insured takes 2 or more insurance policies with 2 or more insurance companies covering the same risk.
Risk BearingRisk is borne by the insurance companyRisk is borne by the reinsurance company
Done By WhomInsurance is done by insurance companyInsurance is done by reinsurance company
ObjectiveTo insure the insuredTo insure the insurance company

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What is no claim bonus in health insurance?

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What is No Claim Bonus in health insurance?

You must have heard about the term ‘no claim bonus’ by your insurance agent. But what is a no-claim bonus (NCB)? This article will help you in understanding the concept of a no-claim bonus with respect to health insurance. Also, to solidify this concept, this article will drive home the concept of NCB with illustrations and examples. Let us begin.

  • What is NCB in health insurance?
  • Example of NCB
  • Companies providing maximum NCB

What is NCB in health insurance?

No claim bonus (NCB) is a bonus coverage provided to the insured if the insured does not raise a claim within a stipulated amount of time. It is a reward provided to the policyholder for not raising a claim. The insurance company will provide a predetermined additional coverage to the insured as a bonus for keeping their health in check and thereby not making a claim.

Example of NCB

Let us understand the concept of NCB with a simple example. Let us assume Mr. Mangesh purchased a health insurance policy with Bajaj Allianz Health Insurance. His policy provides him with coverage of Rs 10 Lakhs along with an NCB clause. According to this clause, if Mr. Mangesh does not make a claim, each year he will get additional coverage of 10% on his basic sum assured (i.e Rs.10 Lakhs) up to a total of 50%.

Years

No Claim Bonus (NCB)

Total Coverage

1

1 Lakh

11 Lakhs

2

1 Lakh

12 Lakhs

3

1 Lakh

13 Lakhs

4

1 Lakh

14 Lakhs

5

1 Lakh

15 Lakhs

At the end of the first claim-free year, Mr. Mangesh’s total coverage will increase from Rs 10 Lakhs to Rs 11 Lakhs. In the second year, it will increase to Rs 12 Lakhs. This increment will only last till his coverage reaches Rs 15 Lakhs. In the interim, if he makes a claim, his next year’s coverage will again roll back to the initial sum assured (Rs 10 Lakhs).

Companies providing maximum NCB

Health Insurance Companies

No Claim Bonus (NCB)

Manipal Cigna

Up to 200%

Apollo Munich

Up to 100%

Max Bupa

Up to100%

Aditya Birla

Up to 100%

Care Health Insurance

Up to 100%

HDFC ERGO

Up to 50%

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Aditya Birla Health Insurance

Aditya Birla Health Insurance Customer Care

Aditya Birla Health Insurance Customer Care

Are you looking to contact an Aditya Birla Health Insurance executive? look no further. Mentioned within are all necessary customer care details of the company’s support team. You may reach out to them via the below mentioned contact details and raise your issue or query with them.

Contact Information

ParticularsContact Details
Contact Number 1800 270 7000
Email IDcare.healthinsurance@adityabirlacapital.com
Email ID for senior citizensseniorcitizen.healthinsurance@adityabirlacapital.com
Official Websitehttps://www.adityabirlacapital.com/healthinsurance/

If your grievance is not addressed properly or you are not satisfied with their support, you can contact their senior support executives below:

 

  • Customer Care Head: carehead.healthinsurance@adityabirlacapital.com
  • Grievance Redressal Officer:  gro.healthinsurance@adityabirlacapital.com

If you are still not satisfied with their resolution you can contact the Insurance Regulatory and Development Authority of India (IRDA)

 

  • Toll Free Number: 155255 (or) 1800 4254 732
  • Email Id: complaints@irdai.gov.in.

You can also reach out to your nearest insurance ombudsman office for a resolution. Locate your nearest ombudsman office phone number here:  https://www.cioins.co.in/SecretaryCenterwise

 

Source: https://www.adityabirlacapital.com/healthinsurance/contact-us

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Aditya Birla Health Insurance Renewal

Aditya Birla Health Insurance Renewal

One needs to pay their health insurance premiums on time to experience the continuous benefits of their health plan. Premiums not paid on time can lead your health plan to lapse. Below mentioned are simple and easy to follow steps to renew your Aditya Birla insurance policy. 

Online Procedure

Step 1: Go to the official website of Aditya Birla health insurance and click on the ‘’Renew” button on the top right-hand side, then click on “Quick Renew”.

Step 2: Enter valid details such as your policy number, mobile number, and date of birth.

Step 3: You are then required to pay your premium online via debit/credit card or other various modes of payments provided.

Step 4: After making the payment you will receive a confirmation mail on your email ID along with a premium payment receipt.

Offline Procedure

You can also renew your policy by directly visiting the nearest Aditya Birla Health Insurance Branch, or by connecting with their customer care team at 1800-270-7000.

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