What It Is: A premium health insurance plan from Manipal Cigna Health Insurance offering extensive features and coverage.
Absolutely Zero Waiting Period: Offers instant cover on all illnesses.
Surplus Benefit: Get double (2X) the coverage for the first claim in a policy year with an add-on.
Guaranteed Cumulative Bonus: You get a 100% bonus every year, no matter what, up to 1000%.
Unlimited Restorations: If you use up your coverage, the insurer restores it multiple times in the same policy year.
Drawbacks
1/ Slightly expensive because it offers immediate coverage.
2/ Room options are limited to single private AC rooms, but you can upgrade for an extra cost.
3/ Lower claim settlement ratio and a high number of claim-related complaints.
Insurer Metrics (FY 2023-24)
Claim Settlement Ratio (CSR):
[1] By number of policies: 86.50% (86.50 out of 100 claims settled).
[2] By amount settled: 56.39% (only 56.39% of the total claim amount was paid out).
Incurred Claim Ratio (ICR): 64.00% (64% of the premium collected was paid out as claims).
Volume of Complaints: 25.8 complaints per 10,000 claims registered.
Red Flags
1/ Low Claim Settlement Ratio by Amount (56.39% in FY24): This means less than 60% of the claimed amount was paid out in FY24, which could lead to out-of-pocket expenses for policyholders.
2/ High Volume of Complaints (25.8 per 10,000 claims in FY24): A significant number of customers have issues with claims, indicating potential problems with the claim handling process.
3/ Limited Room Option: Restricting to single private AC rooms might not suit everyone, and upgrading adds extra costs.
4/ Higher Cost: The plan is expensive due to its immediate coverage feature, which might not be affordable for all.
Shashank specializes in simplifying insurance decisions through strategic content and marketing expertise. Backed by 3 years of experience at Algates Insurance, he focuses on helping people choose the right insurance coverage with valuable data-points and insights.
Picture this: It's 2 AM. Your parent clutches their chest, and you're rushing to the nearest hospital. Amid the sirens and paperwork, one thought hits hard — "Will my health insurance actually cover this? How do I file a claim?" For most Indian families, this...
Quick Answer: HDFC Ergo Optima Secure Plus wins on claim reliability, network size, and long-term bonus accumulation — with a 97.37% claim settlement ratio and just 14.72 complaints per 10,000 claims in FY25. Aditya Birla Activ One Max is a strong contender with a...
Get In Touch
Looking for some insurance related advice? You can book a call with us. It’s absolutely FREE.