Parents and elders took care of children in their most sensitive ages and phases of life. It is time to gift them the better Healthcare experience. Presenting ManipalCigna Prime Senior, a comprehensive Health Insurance plan which offers innovative features specially designed for Senior Citizens.
Sum Insured : ₹ 3 Lacs - ₹ 50 Lacs
Parents and elders took care of children in their most sensitive ages and phases of life. It is time to gift them the better Healthcare experience. Presenting ManipalCigna Prime Senior, a comprehensive Health Insurance plan which offers innovative features specially designed for Senior Citizens.
Best suited for
Individual
Family
Multi Individual
Key Benefits
Launch Date: 04-01-2023
Various Plans
ManipalCigna Prime Senior
is designed for better coverage, better control and better care.Sum insured (SI)
3Lacs - ₹ 50Lacs
Base premium
22,394*/annum
Sum insured (SI)
5Lacs - ₹ 50Lacs
Base premium
24,732*/annum
Prime Senior Classic
An all-inclusive plan suitable for those customers and their families, looking for value for money proposition to take care of the growing medical costs.
Ped Waiting Period
24 months (Option to reduce it to 90 days)
Sum Insured
3Lacs - 50 Lacs
Sum Insured
₹ 5 Lacs
PREMIUM PER ANNUM
22,394* inclusive of taxes(as applicable)
*The Premium value is indicative for the below mentioned profile Age – 60, Zone – 1, Cover type – Individual (1Adult) , Tenure- 1 year, Premium payment mode- Single
Choice of Sum Insured from ₹ 3 Lacs to ₹ 50 Lacs
Coverage for Modern and Advanced Treatments/HIV/AIDs and STD/Mental Illness cover
10% of Sum Insured as cumulative bonus every year maximum up to 100%
Choice to avail 'Any Room' category, whether suite or above
Flexible Health Check-up after every claim free year
Unlimited Tele-consultation including specialists
Customizable option to enhance the coverage by opting for optional covers
What’s covered
- Hospitalization expenses with an option to take treatment in 'Any Room'
- Pre & Post Hospitalization expenses of 30 and 60 days respectively
- Domiciliary Hospitalization up to Sum Insured
- Road Ambulance up to Sum Insured
- Enhanced coverage for Donor expenses up to Sum Insured
- AYUSH treatment up to Sum Insured
- Flexible Health Check-up after every claim free year
- Unlimited Tele-consultation including specialists
- Cumulative Bonus of 10% of Sum Insured as cumulative bonus every year maximum up to 100%
- Mandatory Co-Payment – 20% per claim. Options available to modify the same to 0%, 10% or 30%.
What’s not covered
- Breach of law
- Contamination from nuclear fuel or radiation
- Hazardous or adventure sports
- Foreign invasion or civil war
Above List is only indicative and not exhaustive. For complete details on Eligibility, Coverages, Benefits, Terms, Condition and Exclusions please refer Policy Wordings and Prospectus
Any Room Upgrade
Upgrade to ‘Any Room’ category, whether suite or above
Premium Management
Room accommodation limit of ₹ 3000 per day
ICU: Up to Sum Insured
.png)
Restoration of Sum Insured
Unlimited Restoration of Sum Insured for related / unrelated illnesses
Reduction in PED waiting period
PED waiting period will be reduced to 90 days
Riders
ManipalCigna Health 360
Shield – Coverage for listed non-medical expenses and durable medical equipment max up to ₹ 1 Lac
OPD – Now avail the power of cashless OPD rider with 3 flexible package options
Package 1 – Coverage for only consultation
Package 2 – Coverage for consultation and prescribed diagnostics
Package 3 – Coverage for consultation with prescribed diagnostics and pharmacy
Min Entry Age
Adult - 56 years
Cover Type
Individual/Multi-individual and family floater
Max Entry Age
Adult - 75 Years
Policy Period
1, 2 and 3 years (Discount of 7.5% for 2 years and 10 % for 3 years policy term with single premium payment mode)
Premium Payment Mode
Single, Half yearly, Quarterly, Monthly.
Prime Senior Elite
An innovative plan exclusively designed for senior citizens looking for a comprehensive Health insurance to safeguard against the growing medical costs.
Ped Waiting Period
24 months (Option to reduce it to 90 days)
Sum Insured
5Lacs - 50 Lacs
Sum Insured
₹ 5 Lacs
PREMIUM PER ANNUM
24,732* inclusive of taxes(as applicable)
*The Premium value is indicative for the below mentioned profile Age – 60, Zone – 1, Cover type – Individual (1Adult) , Tenure- 1 year, Premium payment mode- Single
Choice of Sum Insured from ₹ 5 Lacs to ₹ 50 Lacs
Coverage for Modern and Advanced Treatments/HIV/AIDs and STD/Mental Illness cover
10% of Guaranteed cumulative bonus every year maximum up to 100%
Choice to avail 'Any Room' category, whether suite or above
Flexible Health Check-up from 1st year onwards
Coverage for Air Ambulance, over and above base Sum Insured ; subject to a max of ₹ 10 Lacs
Customizable option to enhance the coverage by opting for optional covers
What’s covered
- Hospitalization expenses with an option to take treatment in 'Any Room'
- Pre & Post Hospitalization expenses of 60 and 90 days respectively
- Domiciliary Hospitalization up to Sum Insured
- Road Ambulance up to Sum Insured
- Unlimited Restoration of Sum Insured even for same illnesses
- Enhanced coverage for Donor expenses up to Sum Insured
- AYUSH treatment up to Sum Insured
- Air Ambulance cover up to Sum Insured, subject to a max of ₹ 10Lacs
- • Flexible Health Check-up once per year from first year onwards
- Unlimited Tele-consultation including specialists
- Guaranteed Cumulative Bonus of 10% of Sum Insured every year, maximum up to 100% of Sum Insured
- Mandatory Co-Payment – 20% per claim. Options available to modify the same to 0%, 10% or 30%.
What’s not covered
- Breach of law
- Contamination from nuclear fuel or radiation
- Hazardous or adventure sports
- Foreign invasion or civil war
Above List is only indicative and not exhaustive. For complete details on Eligibility, Coverages, Benefits, Terms, Condition and Exclusions please refer Policy Wordings and Prospectus
Any Room Upgrade
Upgrade to ‘Any Room’ category, whether suite or above
Reduction in PED waiting period
PED waiting period will be reduced to 90 days
Riders
ManipalCigna Health 360
Shield – Coverage for listed non-medical expenses and durable medical equipment max up to ₹ 1 Lac
OPD – Now avail the power of cashless OPD rider with 3 flexible package options
Package 1 – Coverage for only consultation
Package 2 – Coverage for consultation and prescribed diagnostics
Package 3 – Coverage for consultation with prescribed diagnostics and pharmacy
Min Entry Age
Adult - 56 years
Cover Type
Individual/Multi-individual and family floater
Max Entry Age
Adult - 75 Years
Policy Period
1, 2 and 3 years (Discount of 7.5% for 2 years and 10 % for 3 years policy term with single premium payment mode)
Premium Payment Mode
Single, Half yearly, Quarterly, Monthly.
Prime Senior Elite
An innovative plan exclusively designed for senior citizens looking for a comprehensive Health insurance to safeguard against the growing medical costs.
Ped Waiting Period
24 months (Option to reduce it to 90 days)
Sum Insured
5 Lacs - 50 Lacs
Sum Insured
₹ 5 Lacs
Premium PER ANNUM
24,732* inclusive of taxes(as applicable)
*The Premium value is indicative for the below mentioned profile Age – 60, Zone – 1, Cover type – Individual (1Adult) , Tenure- 1 year, Premium payment mode- Single
Benefits
Choice of Sum Insured from ₹ 5 Lacs to ₹ 50 Lacs
Coverage for Modern and Advanced Treatments/HIV/AIDs and STD/Mental Illness cover
10% of Guaranteed cumulative bonus every year maximum up to 100%
Choice to avail 'Any Room' category, whether suite or above
Flexible Health Check-up from 1st year onwards
Coverage for Air Ambulance, over and above base Sum Insured ; subject to a max of ₹ 10 Lacs
Customizable option to enhance the coverage by opting for optional covers
What’s covered
- Hospitalization expenses with an option to take treatment in 'Any Room'
- Pre & Post Hospitalization expenses of 60 and 90 days respectively
- Domiciliary Hospitalization up to Sum Insured
- Road Ambulance up to Sum Insured
- Unlimited Restoration of Sum Insured even for same illnesses
- Enhanced coverage for Donor expenses up to Sum Insured
- AYUSH treatment up to Sum Insured
- Air Ambulance cover up to Sum Insured, subject to a max of ₹ 10Lacs
- • Flexible Health Check-up once per year from first year onwards
- Unlimited Tele-consultation including specialists
- Guaranteed Cumulative Bonus of 10% of Sum Insured every year, maximum up to 100% of Sum Insured
- Mandatory Co-Payment – 20% per claim. Options available to modify the same to 0%, 10% or 30%.
What’s not covered
- Breach of law
- Contamination from nuclear fuel or radiation
- Hazardous or adventure sports
- Foreign invasion or civil war
Above List is only indicative and not exhaustive. For complete details on Eligibility, Coverages, Benefits, Terms, Condition and Exclusions please refer Policy Wordings and Prospectus
Add Ons and Options
Any Room Upgrade
Upgrade to ‘Any Room’ category, whether suite or above
Reduction in PED waiting period
PED waiting period will be reduced to 90 days
Riders
ManipalCigna Health 360
Shield – Coverage for listed non-medical expenses and durable medical equipment max up to ₹ 1 Lac
OPD – Now avail the power of cashless OPD rider with 3 flexible package options
Package 1 – Coverage for only consultation
Package 2 – Coverage for consultation and prescribed diagnostics
Package 3 – Coverage for consultation with prescribed diagnostics and pharmacy
Eligibility
Min Entry Age
Adult - 56 years
Cover Type
Individual/Multi-individual and family floater
Max Entry Age
Adult - 75 Years
Policy Period
1, 2 and 3 years (Discount of 7.5% for 2 years and 10 % for 3 years policy term with single premium payment mode)
Premium Payment Mode
Single, Half yearly, Quarterly, Monthly.
Other plans under Prime Senior
Sum insured
₹
Base premium
22,394*/annum
Plan Comparison
| PLAN NAME | Prime Senior - Classic | Prime Senior - Elite | |
|---|---|---|---|
| Sum Insured | 3 Lacs - ₹ 50 Lacs | 5 Lacs- ₹ 50 Lacs | |
| Room Accommodation | Single Private AC Room ICU: Up to SI |
Single Private AC Room ICU: Up to SI |
|
| Pre - Hospitalization | 30 days; Up to SI | 60 days; Up to SI | |
| Post - Hospitalization | 60 days; Up to SI | 90 days; Up to SI | |
| Day Care Treatment | Up to SI | Up to SI | |
| Domiciliary Hospitalization | Up to SI | Up to SI | |
| Road Ambulance | Up to SI | Up to SI | |
| Donor Expenses | Up to SI | Up to SI | |
| Restoration of Sum Insured | Not Available | Unlimited times for related/unrelated illnesses | |
| AYUSH Cover | Up to SI | Up to SI | |
| Air Ambulance Cover | Not Available | Up to SI, subject to a maximum of ₹ 10Lacs | |
| Daily Cash for Shared Accommodation | Not Available | Per Hospitalization: ₹ 800 per day max ₹ 5600 |
|
| Health Check Up | After every claim free year (Available from 2nd year onwards). | Once in a policy year (Available from 1st year onwards) | |
| Domestic Second Opinion | Not Available | Available for 36 listed Critical Illnesses | |
| Tele- Consultation | Unlimited | Unlimited | |
| Cumulative Bonus | 10% of SI for every year maximum up to 100% (Bonus will not reduce in case of claim) | Guaranteed: 10% of SI for every year maximum up to 100% | |
| Premium Waiver benefit | Not Available | Waives off next one year renewal policy premium upon occurrence of any of the listed contingencies | |
| Mandatory Co-Payment | 20% per claim. Options available to modify the same to 0%, 10% or 30%. | 20% per claim. Options available to modify the same to 0%, 10% or 30%. | |
| Optional Covers | |||
| ANY ROOM UPGRADE | Upgrade to "Any Room" | Upgrade to "Any Room" | |
| PREMIUM MANAGEMENT | Room Accommodation limit option: 3000 per day ICU Limit: Up to SI | Not Available | |
| RESTORATION OF SUM INSURED | Unlimited times for related/unrelated illnesses | Not Available | |
| REDUCTION IN PED WAITING PERIOD | Reduce the PED waiting period to 90 Days | Reduce the PED waiting period to 90 Days | |
| ELIGIBILITY | |||
| PED WAITING PERIOD | 24 Months | 24 Months | |
| POLICY TYPE | Individual, Multi individual and Family Floater (2A- Self and Spouse) | Individual, Multi individual and Family Floater (2A- Self and Spouse) | |
Got Questions?
What are the details to be provided at the time of intimation of claim?
The following details are to be provided to the company’s at the tine of intimation of Claim: Policy number, Name of policy, Name of the insured person in whose relation the Claim is being lodged. Nature of illness / injury. Name and address of the attending Medical Practitioner and hospital. Date of Admission and any other information as requested by Us.