Cigna ProHealth Accumulate Plan helps you take care of your present healthcare expenses and build a reserve for your future health needs with accumulation of Health Maintenance Benefit which builds up a reserve with a 5 % bonus every year on the unutilized value. You can use the Health Maintenance Benefit to cover out-patient expenses including dental and AYUSH treatment and even to pay for deductible or co-pay amount or towards payment of non-admissible component of a claim. The plan works as a one stop solution from Day Care, Domiciliary to hospitalization cover.
You don’t have to pay even a single paisa from your own pocket in more than 4500+ network hospitals, for all the treatments that are covered by the policy. The Insurer shall pay for your treatment directly to the hospital, maximum up to Sum Insured.
Insurance company will pay for more than 170+ treatments that would require hospitalization for less than 24 hours. (Due to advancement in Technology). Please refer the terms for exact list of procedures.
You will be rewarded points equal to 1% of premium paid each year. In addition, you can accumulate points by opting for Cigna's online wellness programs. Each earned reward point will be valued at 1 Rupee. These accumulated points can be redeemed as a discount in premium from next renewal or reimbursed under health maintenance benefit or to avail services through Cigna's network partners.
Your medical related expenses will be covered for a period of 60 days before and 90 days after hospitalisation. The medical expenses should be related to the condition for which you were hospitalised
You can make a claim for medical expenses for treatment at home which would otherwise require hospitalisation either if the doctor advises that you are not in a condition to be moved to a Hospital or the Hospital room may not be available when you need the medical treatment or even the condition lasts and requires medical attention for at least three days
You can claim upto Rs2000 spent on ambulance charges from one Hospital to another Hospital. This would be helpful for advanced/better equipped medical support/aid required for rescuing your health condition.
Medical expenses of organ donor are covered upto the sum insured opted, in case of organ transplant.
Your medical expenses outside the country will be covered upto the sum insured on reimbursement basis under the conditions that your condition is declared to be an emergency. The amount will be paid in rupees.
You will be reimburshed for prescribed out patient medical expenses including diagnostic tests, drugs and dental treatment for upto Rs20000 per policy year.Any unutilised Health Maintenance Benefit limit will be carried forward to the next year.
This cover will provide lump sum amount equal to Sum Insured in case of first diagnosis of the covered critical illnesses. In case of a family floater policy, once a claim has been paid for a critical illness under this benefit Cigna will provide for 100% reinstatement of Sum Insured once during the lifetime of the policy for the other person covered.
This cover helps to increase your Sum Insured by 25% for each claim free year up to a maximum of 100% when there are no claims paid or outstanding in the expiring Policy Year provided that the policy is renewed without a break.
You need to take care of yourself so that you can provide your loved ones with all they need. Protect your health from any unwarranted financial troubles by opting for a health insurance plan.
Your family means the world to you and is the most precious thing in your life. You would want to protect it at all costs. Protect your family with health insurance plan so that no financial problem can burden your family.
The charges for transporting the insured person via ambulance before and after the hospitalization are covered under ambulance charges.
Critical illness cover provides the insured a lump sum, in case he/she gets diagnosed with a critical illness such as cancer, sclerosis, coma, heart attack, paralysis, kidney failure, etc.
Hospitalisation Expenses means the medical treatment costs that is necessary andreasonable in scope to treat the condition for which the Insured Person was Hospitalisedto the extent that such cost does not exceed the reasonable charges. The patient has to be in the hospital for at least 24 hours. Generally covers ICU charges, surgery, anaesthesia, doctor's charges etc.
Pre-hospitalization expenses include various charges related to medical tests before an individual gets hospitalized. Post hospitalization expenses include all expenses or charges incurred by an individual after he or she is hospitalized.
Day Care Treatment refers to medical treatment and/or surgical procedure which is undertaken under General or Local Anaesthesia in hospital / day care centre in less than 24 hours because of technological advancements. The expenses for these tratments are day care treatments.
Domiciliary Hospitalization is the treatment of the patient taken at home due to lack of accommodation in the hospital/nursing home or the patient's condition being such that he/she cannot be shifted to the hospital
Many insurers these days provide health check up feature for its insured members per some number of years. Many insurers also provide these check-ups as cashless at their network hospitals
There are mainly 6 types of medical expenses incurred as far as the organ donor is concerned: Organ screening for compatibility, Pre-hospitalization costs, Hospitalization Costs, Organ transplantation surgery, Post-surgery complications & recovery, Post Hospitalization Costs for the Donor
Second opition is requesting an examination and evaluation of a health condition by a second physician to verify or challenge the diagnosis by a first physician. Generally happens in case of critical illnesses
Outpatient department (OPD) expenses, such as diagnostics tests, chemist bills, doctor's visit fees, dental treatment, medical bills etc, form a major portion of total healthcare cost these expenses are called OPD expenses
Hi Dr.Mamtaa Goel, I am looking for a Health Insurance cover. Can you please brief me about this product
This plan works as a one stop solution from Day Care, Domiciliary to hospitalization cover. Also you can enjoy Cumulative Bonus for 'No Claims', Second Opinion help on Critical Illnesses, Healthy Rewards and a Worldwide Emergency Cover when you are away from home. Even in multiple claims you are protected with 100% additional sum insured under Restoration. It helps you take care of your present healthcare expenses and build a reserve for your future health needs.
Thank you so much for your help...
It’s my pleasure. Please feel free to ask whatever questions you have. Myself or my friends will try our best to answer. Just click the below button and ask your questions.
Dr. Nandagopal Pothula has been in the field of Finance and Insurance for the past 19 years. He was the Senior Vice Presidentat Birla Sun Life Insurance and also served as the CEO of Reliance Life Insurance before founding India First Life Insurance Company. He is the CEO of Insurance Inbox.
Kamalakar Sai has 22 years of experience in finance and insurance background. He has held key managerial positions at Birla Sun Life Insurance, Reliance Insurance, India First Insurance and is currently serving as the Director of Geosansar Insurance Brokerage Private Limited
Mamtaa Goel is the Business Director at Insurance Inbox. She has an excellent 12 year record in the field of Insurance having served in senior managerail capacities at Reliance Insurance, TTK Healthcare and IndiaFirst Life Insurance.
I have been very impressed with your response. When I think of Insurance Inbox I think of two things easy to use and support when I need it.
I realized that I must buy health Insurance first and Insurance Inbox provided me the cheapest and easiest way to get insurance in few minutes.
Insurance Inbox changed my perception towards insurance. It simplified my policy for me , took the stress away and keeps me secured.