Health Insurance Claims FAQ's | ManipalCigna Health Insurance

Frequently Asked Questions

Content with PRODUCTS Corona Rakshak Policy .

Corona Rakshak Policy is developed by IRDAI and made available by ManipalCigna Health Insurance Company. It is designed to provide lump sum benefit equal to 100% of the Sum Insured on positive diagnosis of Covid, requiring hospitalisation for a minimum continuous period of 72 hours. The positive diagnosis of Covid shall be from a government authorised diagnostic centre.

A person can consider investing in corona-specific plan for fixed benefits. Such plan helps you to get additional coverage for Personal Protective Equipment (PPE) kits and other consumables required during the treatment of Covid-19, which your base policy may or may not cover. The fixed benefit payout also takes care of incidental expenses. However, for maximum value a comprehensive health insurance plan that protects against a wide range of illnesses including coronavirus, will be more suitable.

You can contact our sales advisor at any of our branches (list available on website https://www.manipalcigna.com) or can call our Toll free customer care number 1800-102-4462 for details.

Policy can be availed by persons between the age of 18 years and 65 years (inclusive of both ages). Proposer with higher age can obtain policy for adult members of the family, without covering self.

The Policy can be availed on Individual basis only.

Policy can be availed for Self and the following family members

i. legally wedded spouse;

ii. Son & Daughter (Min 18 years and max 65 years);

ii. Parents and Parents-in-law.

No pre-insurance medical examination test is required, irrespective of the sum insured and age of the insured.

No, there is no discount applicable under this policy.

The Sum Insured options available under this policy are Rs. 50000, 1 lac, 1.5 lacs, 2 lacs and 2.5 lacs.

This policy is available for 3 ½ months (105 days), 6 ½ months (195 days) and 9 ½ months (285 days).

The policy provides individual coverage which pays lump-sum amount upon testing positive and requiring hospitalization.

There is no such restriction on number of days. Coverage available is maximum up to the Sum Insured.

We will not pay any claims arising out of or attributable to any of the following:

▪ Investigation & Evaluation

i. Expenses related to any admission primarily for diagnostics and evaluation purposes.
ii. Any diagnostic expenses which are not related or not incidental to the current diagnosis and treatment

▪ Any diagnosis which is not related and not incidental to COVID is not covered in this Policy
▪ Testing done at a Diagnostic centre which is not authorized by the Government shall not be recognized under this Policy
▪ Any claim with respect to COVID manifested prior to commencement date of this policy or during the waiting period.
▪ Cover under this Policy shall cease if the Insured Person travels to any country placed under travel restriction by the Government of India.

The policy provides lump sum benefit equal to 100% of the Sum Insured on positive diagnosis of Covid, requiring hospitalisation for a minimum continuous period of 72 hours. The positive diagnosis of Covid shall be from a government authorised diagnostic centre. On lump sum payment, the coverage amount can be used for medical and non-medical expenses as per need.

Renewal available, subject to the underwriting policy of the Company

All claims under the policy shall be payable in India and in Indian currency only. Cover under this Policy shall cease if the Insured Person travels to any country placed under travel restriction by the Government of India.

In general, one has to submit a filled and signed proposal form along with a payment instrument to apply for health cover under this policy.

In case, any additional documents are required, we will contact you.

This policy constitutes the complete contract of insurance. This Policy cannot be modified by anyone (including an insurance agent or broker) except the company. Any change made by the company shall be evidenced by a written endorsement signed and stamped.

The policyholder may be changed during the Policy Period only in case of his/her demise or him/her moving out of India. The new policyholder must be the legal heir/immediate family member. Such change would be subject to acceptance by the company and payment of premium (if any).

Yes, the policy provides lump sum benefit equal to 100% of the Sum Insured on positive diagnosis of Covid, requiring hospitalization for a minimum continuous period of 72 hours. The positive diagnosis of Covid shall be from a government authorised diagnostic centre.

Hospital means any institution established for in-patient care and day care treatment of disease/ injuries and which has been registered as a hospital with the local authorities under the Clinical Establishments (Registration and Regulation) Act, 2010 or under the enactments specified under Schedule of Section 56(1) of the said Act, OR complies with minimum criteria as specified in Policy Terms and Conditions.

For the purpose of this policy any other set-up designated by the Government as hospital for the treatment of Covid shall also be considered as hospital.

There is only single premium payment mode available under this policy.

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