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Last updated on: August 7, 2025

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The key pain points associated with choosing 1 crore health insurance in India for 2025 include justifying the high sum insured, understanding the layered policy structure, and ensuring inclusion of global and specialized treatment benefits. The featured 1 Crore Health Insurance in India effectively addresses these issues by offering all-inclusive coverage for high-cost treatments, international medical care, critical illnesses, and long-term hospitalization. It is ideal for HNIs, business owners, and families seeking top-tier medical protection without financial limits. The platform enhances user clarity with transparent breakdowns, AI-driven customization based on lifestyle and risk exposure, and expert guidance to ensure maximum return on investment and seamless claims experience.

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ManipalCigna ProHealth Insurance Policy Explained: Overview 2025

ManipalCigna ProHealth Insurance Policy is one of the most popular health insurance products in India that is aimed at offering comprehensive medical coverage to individuals and families. This policy is provided by ManipalCigna Health Insurance Company and aims at solving the increasing healthcare expenses issue, as it guarantees to cover medical expenses in case of emergency, planned procedures and hospitalisation.

Introduced as a comprehensive health cover, it has multiple sum insured options of a few lakhs to a maximum of one crore rupees, flexible add-on covers, and access to network hospitals nationwide. ManipalCigna ProHealth offers features like cashless settlement of claims, cover of pre-existing diseases after a waiting period, and wellness benefits to ensure your health as well as savings.

In 2025, customers prefer this policy due to its strong protection, customisation of covers and clarity of claim. ProHealth Insurance by ManipalCigna has emerged as a very important financial product in a world where medical expenses are unpredictable and working professionals, senior citizens and even young families are purchasing it.

Did you know? According to the IRDAI, health insurance claims have increased by 30 percent between 2022 and 2024, which is why comprehensive health covers such as ManipalCigna ProHealth are becoming more relevant.

Why ManipalCigna ProHealth Insurance Policy in 2025?

As medical expenses have been skyrocketing and the global health crisis has not yet passed, the importance of selecting the proper health insurance plan has never been greater. In 2025, ManipalCigna ProHealth Insurance is unique as it provides not only hospitalisation cover, but also day care procedures, mental healthcare and maternity benefits in select variants.

There are some benefits:

  • Sum insured can be customised between Rs 2.5 Lakhs to Rs 1 Crore
  • Pre and post-hospitalisation costs inclusivity
  • Extensive network of more than 8000 hospitals to treat cashless
  • Selection of individual, family floater and even extended family plans
  • Optional covers on critical illnesses, health check-ups and global emergency cover

ManipalCigna ProHealth Insurance Policy can be accessed and purchased on the official site or via reliable insurance aggregators and online marketplaces, and the policy comparison and premium calculation are simple and transparent.

People Also Ask: Is ManipalCigna ProHealth a family floater plan?
Yes, ManipalCigna ProHealth has both individual and family floater plans, which means that the whole family can be covered with a single policy, and it is an economical way of protecting family health.

What are the main characteristics or highlights of ManipalCigna ProHealth Insurance Policy?

In the new version of the ProHealth plan, 2025 introduces a number of interesting features:

Core Highlights:

  • Sum Insured Restoration: Automatic restoration of 100 percent of sum insured, several times a year, after it is depleted as a result of earlier claims.
  • AYUSH Treatments Coverage: Covers Ayurveda, Yoga, Unani, Siddha and Homeopathy hospitalisation costs.
  • Cashless Claims Process: Cashless service is quick and easy in all network hospitals.
  • Annual Health Check-Ups: All the insured members will have access to this benefit irrespective of whether they claim or not.
  • Maternity Cover: This is optional and covers both maternity costs as well as the health of the newborn baby.
  • No Room Rent Cap: Policyholders are free to choose any room in a hospital without restriction even the ICU expenses.
  • Wellness Benefits: Wellness programs, reward points and discounts on renewal premiums in maintaining a healthy lifestyle.

Add On Cover Options:

  • Critical Illness Rider: Covers such conditions as cancer, stroke, cardiac events, etc.
  • Personal Accident Cover: Lump sum payment in the event of accidental disability or death.
  • OPD Cover: Out patient visits and diagnostic tests.
FeatureDetails
Minimum Entry Age91 days (children) / 18 years (adults)
Maximum Age of EntryNo age restriction in most versions
Waiting Period for PED24 to 36 months (based on plan chosen)
Hospital Network8000+ hospitals in the country
Pre & Post HospitalisationUp to 60 and 180 days
Lifelong RenewalYes
Room Rent CappingNo capping on most options
Day Care Procedures500+ covered
Ambulance CoverUp to Rs 3,000 per hospitalisation
Restore Benefit100 percent restoration
No-Claim BonusUp to 200 percent of the base sum insured

Insider Tip: According to the best insurance advisors, one should enquire about wellness benefits and OPD covers when comparing health plans in 2025 as preventive care is becoming a major trend.

What is New in ManipalCigna ProHealth Insurance 2025 vs 2024?

With respect to the customer feedback and the evolving nature of healthcare, the ProHealth Insurance Policy has been revised in 2025 by ManipalCigna. Upgrades: Some include:

  • Quicker, app-based claims settlement tools that settle cashless claims in 90 minutes at partner hospitals.
  • Wellness ecosystem integration: It consists of online doctor consultation, delivery of medication, and digital health records.
  • Better maternity and newborn covers with less waiting time.
  • More mental health care, including teleconsultation.
  • Zero co-payment options to senior citizens.

Case Study: Real Life Example

Neha is 38 years old and bought ManipalCigna ProHealth Family Floater in January 2025. In April, her husband had a small operation. The claim was processed in two hours at a network hospital because of the app-based cashless facility. It included pre and post-hospitalisation costs such as physiotherapy, and all this was done without additional paperwork.

People Also Ask: When can you claim after purchasing ManipalCigna ProHealth?
The majority of benefits take effect as soon as they are enrolled, however pre-existing conditions and certain coverages are not covered until the waiting period is over, usually 24 to 36 months.

What Is ManipalCigna ProHealth Insurance Policy?

This health policy functions in a simple way:

  1. Purchase the Plan: Choose sum insured, add-ons and members to cover.
  2. Policy Issuance: After online verification and basic health check-up (if required), you receive the digital policy.
  3. Medical Emergencies: In case of hospitalisation, present your e-health card at a network hospital and you will be admitted without paying cash.
  4. Claims: Either opt for cashless (network hospital) or reimbursement (if treated elsewhere).
  5. Annual Renewals: You may renew your policy on an annual basis and have a lifetime cover.

ManipalCigna will enable policyholders to include newborn children within 90 days of their birth as well as provide portability in case of switching to another insurer.

Covered and Not Covered Under ManipalCigna ProHealth Insurance Policy?

What’s Covered?

  • Hospitalisation costs such as ICU, room charges, physician charges, medications, diagnostics, nursing
  • Pre and post-hospitalisation costs (consultations, medicines, investigations)
  • Day-care treatments not requiring 24-hour admission (like cataract, chemotherapy)
  • Costs of organ donors
  • Road ambulance fees
  • Domiciliary hospitalisation (where home treatment is medically necessary)
  • Second opinion
  • Newborn cover (if maternity benefit selected)
  • AYUSH therapy in certain forms

What is not Covered?

  • Self-inflicted injuries, substance abuse related conditions
  • Cosmetic surgeries (unless medically necessary)
  • Waiting period treatments of pre-existing diseases
  • Non-allopathic therapies not mentioned
  • War, nuclear threats, or engagement in risky sports

Did you know? Policies with ‘restore’ benefits have significantly reduced out-of-pocket expenses for Indian families with recurring hospitalisation in 2023 and 2024.

Pros and Cons of ManipalCigna ProHealth Insurance Policy?

Pros

  • Broad sum insured and customisation options
  • Tracking, health services, app based claims
  • Family floater, multi-person, and group policy choices
  • Clear additions, minimal sub-limits
  • 8000+ hospital network
  • Health check-ups of the members on an annual basis
  • Lifelong renewability
  • Section 80D of Income Tax Act tax benefits

Cons

  • Waiting period of 24-36 months on pre-existing conditions
  • Not many optional covers have additional premiums
  • OPD up to higher variants only
  • The co-payment of older age entries in certain plans is mandatory

People Also Ask: Does ManipalCigna ProHealth cover coronavirus related hospitalisation?
By 2025, ProHealth will cover COVID-19 and other infectious diseases, within the policy guidelines.

ParameterManipalCigna ProHealthHDFC ERGO Optima RestoreICICI Lombard Complete Health
Sum Insured Options2.5 lakh to 1 crore3 lakh to 50 lakh5 lakh to 50 lakh
Room Rent LimitNo cappingSingle private roomNo limit on select plans
Restore BenefitYes (multiple)Yes (once per year)Yes (one-time)
Health Check-upAnnual, all membersOnce a year, one memberAnnual, all members
Network Hospitals8000+10,000+6500+
Pre & Post Hospitalisation60/180 days60/180 days60/180 days
Wellness RewardsYesLimitedYes
Maternity CoverOptionalNot AvailableOptional
Entry Age91 days and above91 days and above6 years and above

All details are based on plan characteristics according to 2025 customer disclosures and are subject to change.

ManipalCigna ProHealth Insurance Policy Buy and File Claims

Buying Process

  • Go to the ManipalCigna Health Insurance site or approved online marketplaces.
  • Compare ProHealth against other plans in terms of benefits, sum insured and premiums.
  • Customise and estimate your premium using the online calculator.
  • Upload your KYC documents, complete the application and make payment online.
  • Health cards and policy documents are sent online.

Claim Process

  • In case of emergency, inform the insurer within 24 hours of being admitted in the hospital.
  • In the case of cashless claims, show your e-health card at any of the 8000+ network hospitals.
  • Send the pre-authorisation form as instructed.
  • To get reimbursement, present claim forms and original documents in time.
  • Through the portal or the mobile application, claims are monitored.

People Also Ask: How long does reimbursement of a claim take?
Generally, reimbursements are done within 15 working days after submission of all the documents as per the policy of the company.

What are the Premiums and Pricing Factors of ManipalCigna ProHealth Insurance Policy in 2025?

ProHealth plan premiums are based on:

  • Age and health condition of insured members
  • Sum insured amount selected
  • Number of members and type of plan (individual/family/group)
  • Riders and add ons were chosen
  • Zone of residence (metro, non-metro, or rural)
  • Policy term (1 year, 2 year, 3 year)

For example:

Age (Primary Insured)Plan TypeSum InsuredPremium (approx./annum)
30 yearsIndividualRs 5 LakhRs 7,200
40 yearsFamily Floater (2A+1C)Rs 10 LakhRs 12,800
55 yearsIndividualRs 10 LakhRs 21,500
35 yearsFamily Floater (2A+2C)Rs 25 LakhRs 23,900

Data shows the annual premium rates of healthy non-smoking adults in 2025. Real levels are different.

ManipalCigna ProHealth Insurance Discounts, Rewards and Special Offers

  • Discount on a family covering more than one member under one policy
  • Long-term policy discount on a 2 or 3 year term
  • Wellness rewards which can be redeemed against OPD bills, pharmacy, consultation or renewal premium
  • No claim bonus (cumulative bonus) up to 200 percent

Did you know? In 2025, more than 65 percent of Indian policyholders favored wellness reward-based health insurance plans that offered value and preventive emphasis.

ProHealth Insurance and a Family Case Real-Life Case Study

In 2023, Rohit and Meera Sharma took an insurance cover with ManipalCigna ProHealth to cover their family. In 2024, Meera needed an operation which would cost 2 lakhs. Their policy allowed them to have a smooth, cashless treatment in a leading network hospital. The family was provided with yearly health check-ups and wellness discounts, which saved the family a lot of money in two years.

Quick Recap or TLDR

ManipalCigna ProHealth Insurance Policy 2025 is a personal and family policy, which provides comprehensive hospitalisation cover, broad sum insured choices, customisable add-on covers, and innovative restoration and wellness benefits. It is an excellent option of health insurance in the modern Indian family with digital tools, quick claims, and flexibility.

Frequently Asked Questions: People Also Ask (2025)

  1. How long is the waiting period of maternity cover with ManipalCigna ProHealth?
    The standard waiting time on maternity cover is between 3 and 4 years, although 2025 plans might have shorter times in some versions.

  2. Can I increase my sum insured once I have bought the policy?
    Yes, you can apply to increase the sum insured at the time of renewal with underwriting and health check-up.

  3. Is ManipalCigna ProHealth international?
    Select riders have global emergency coverage.

  4. What are wellness rewards in this policy?
    Healthy activities or health checks are rewarded with points which can be used to offset the OPD costs or the renewal premiums.

  5. Is daycare treatment included automatically?
    Yes, more than 500+ daycare procedures are covered, including minor surgeries or treatment.

  6. Is there any tax advantage?
    Yes, it can be deducted as premiums under Section 80D of the Income Tax Act.

  7. Is it possible to add parents in the family floater?
    Yes, parents, parents-in-law, spouse, and children may be included under wider family floater plans.

For more professional details, official documentation, and updates, visit the ManipalCigna Health Insurance page (nofollow).

Sources:

  • ManipalCigna Customer Disclosures 2025
  • Industry Expert Insights (
  • Market Research June 2025

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Naveen K 114 days ago
App Would Be Great
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Anil R 114 days ago
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Policy Docs Took Time
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Pre-Existing Not Covered
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Zoya F 468 days ago
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Written by Prem Anand, a content writer with over 10+ years of experience in the Banking, Financial Services, and Insurance sectors.

Who is the Author?

Prem Anand is a seasoned content writer with over 10+ years of experience in the Banking, Financial Services, and Insurance sectors. He has a strong command of industry-specific language and compliance regulations. He specializes in writing insightful blog posts, detailed articles, and content that educates and engages the Indian audience.

How is the Content Written?

The content is prepared by thoroughly researching multiple trustworthy sources such as official websites, financial portals, customer reviews, policy documents and IRDAI guidelines. The goal is to bring accurate and reader-friendly insights.

Why Should You Trust This Content?

This content is created to help readers make informed decisions. It aims to simplify complex insurance and finance topics so that you can understand your options clearly and take the right steps with confidence. Every article is written keeping transparency, clarity, and trust in mind.

🏅 This content follows Google's People-First Content Guidelines

Based on Google's Helpful Content System, this article emphasizes user value, transparency, and accuracy. It incorporates principles of E-E-A-T (Experience, Expertise, Authoritativeness, Trustworthiness).

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