What is Corona Rakshak Policy, ManipalCigna?
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.
Why to buy this policy?
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.
How can I buy this policy?
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.
Is there any age limit to buy Corona Rakshak Policy, ManipalCigna?
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.
What type of policies are available under this product?
The Policy can be availed on Individual basis only.
Who can be covered in this policy?
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.
Is there any Pre policy medical check (PPMC) required for buying this policy?
No pre-insurance medical examination test is required, irrespective of the sum insured and age of the insured.
Is there any discount applicable under this policy?
No, there is no discount applicable under this policy.
What are the Sum Insured options available?
The Sum Insured options available under this policy are Rs. 50000, 1 lac, 1.5 lacs, 2 lacs and 2.5 lacs.
What are the policy term options available under this policy?
This policy is available for 3 ½ months (105 days), 6 ½ months (195 days) and 9 ½ months (285 days).
What are the coverages available under this policy?
The policy provides individual coverage which pays lump-sum amount upon testing positive and requiring hospitalization.
Is there a limit as to how long can I stay in hospital?
There is no such restriction on number of days. Coverage available is maximum up to the Sum Insured.
What are the Key exclusions under this policy?
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.
Are OPD expenses covered under this product?
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.
What is the procedure of Renewal of this policy?
Renewal available, subject to the underwriting policy of the Company
Does this policy offer worldwide coverage?
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.
What all documents do I need to furnish to get this policy?
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.
What endorsements are applicable for this product?
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).
Are medical expenses covered for private hospitalization?
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.
How many modes of premium payment available in this policy?
There is only single premium payment mode available under this policy.
What is the claim process under this policy?
Upon the happening of the covered event, which may give rise to a claim under this policy, notice with full particulars shall be sent to the Company within 15 days from the date of occurrence of the event / diagnosis of COVID.
The insured person may submit the necessary documents to TPA (if applicable)/Company within the prescribed time limit of 30 days of date of discharge from hospital following positive diagnosis for Covid.
The Company shall settle or reject a claim, as the case may be, within 30 days from the date of receipt of last necessary document.
For complete details on claim process refer Policy Terms and Conditions available on our website (download section).
What documents do I need to submit at the time of COVID claim?
The claim is to be supported with the following documents and submitted within the prescribed time limit of 30 days from the date of discharge from hospital following positive diagnosis for COVID.
i. Duly filled and signed Claim Form
ii. Copy of Insured Person’s passport, if available (All pages)
iii. Photo Identity proof of the patient (if insured person does not own a passport) Medical practitioner’s prescription advising admission
iv. Medical practitioner’s prescription advising admission
v. Discharge summary including complete medical history of the patient along with other details.
vi. Investigation reports including Insured Person’s Test Reports from Authorized diagnostic centre for COVID.
vii. NEFT Details (to enable direct credit of claim amount in bank account) and cancelled cheque
viii. KYC (Identity proof with Address) of the proposer, where claim liability is above Rs 1 Lakh as per AML Guidelines
ix. Legal heir/succession certificate, wherever applicable.
x. Any other relevant document required by Company/TPA for assessment of the claim.
Will I get tax benefit under this policy?
One can avail tax benefit under sec.80 D as per IT Act. This section is subject to revision in tax laws.
If I pay the premium in cash will I get the tax benefit?
If premiums are paid in cash no tax benefits are allowed under section 80D.
For any product, service, claims and other related query what can I do?
If you need to speak to us about the product, services or claims, contact our Customer Care Toll free 1800- 102- 4462 or you can write to us at customercare@manipalcigna.com for assistance.