Manipal Cigna Sarvah Param

Overview

Manipal Cigna Health Insurance recently launched a slew of health insurance plans which were marketed as “meant for everyone”. Hence the name “Sarvah” which means everyone. The top-end variant of the Sarvah series is Manipal Cigna Sarvah Param, a product with no waiting period, an industry-first of its kind.

Manipal Cigna Sarvah Param comes with zero waiting period on pre-existing illnesses as well as specified diseases. It does not include any initial waiting period, starting your cover from day 1 for all covered conditions. The plan also covers all the base benefits well making it a comprehensive health insurance plan. 

However, the immediate cover with zero waiting periods comes at a cost as the plan is slightly expensive. Manipal Cigna’s claim settlement ratio for FY 2023 – 24 was 88.54% which is lower than the benchmark of 90%. Also, a high volume of claim-related complaints reflect the challenges faced by the insurer while handling claims.

Zero waiting period for all conditions

The plan comes with absolutely zero waiting period for all conditions. You get immediate cover from day 1 without having to serve any waiting period.

Surplus Benefit: Get 2X cover from day 1 with an add-on

Opt for Surplus Benefit add-on and enjoy 2X cover from day 1. This double cover is only available for the first claim in any policy year.

Room rent limit

Under the base cover, all your in-patient hospitalisation expenses are covered. You can choose up to a single private AC room. If you pick something more fancy like a suite or a deluxe room, proportionate deductions on room rent and associated medical expenses apply. You end up paying a considerable portion of the claim amount out-of-pocket. However, room upgrades are available as an add-on.

Day care treatments are covered

Some medical procedures and surgeries done under anesthesia now require less than 24 hour hospitalisation due to advancement in medical science. These are called day care treatments. The plan covers the full cost of such treatments.

Cover for pre and post hospitalisation medical expenses

Your plan also covers treatment-related medical expenses up to 90 days before hospitalisation and 180 days after hospitalisation. These include diagnostic tests, medication, follow-up consultations and other expenses.

Get cover even if you are forced to be hospitalised at home

Your plan covers treatment-related expenses even if you are forced to be hospitalised at home under the supervision of a medical practitioner due to non-availability of hospital beds or patient’s condition not allowing him to be moved to a hospital.

Ambulance charges are covered

The plan covers road ambulance charges up to sum insured. You can also get air ambulance charges covered by opting for an add-on.

Get cover for alternative treatments

Want to take alternative treatment like Ayurveda or Homeopathy? Don’t worry. Your insurer fully covers your hospitalisation and related expenses.

Organ donor expenses covered

Your insurer covers the cost of harvesting the organ from an organ donor in case you are the organ recipient. Moreover, the insurer also covers pre and post-hospitalisation expenses of the donor, cost of donor screening and complications arising for the donor due to hospitalisation.

Unlimited restorations available with an add-on

Even if you claim a part of your base cover, you don’t have to worry about the coverage for future claims. Your insurer restores your full sum insured for all future claims any number of times during a policy year. This feature comes handy if you make multiple claims during a policy year under the same policy.

Get guaranteed cumulative bonus up to 1000%

You get 100% guaranteed cumulative bonus every policy year up to a maximum of 1000%, irrespective of the claims you make.

Get free health check-up every year

Get a free health check-up once every year (listed tests only). This benefit is only available on a cashless basis through the insurer’s network.

Tele-consultations and Wellness Benefit

Get unlimited tele-consultations with general physicians in a policy year through the insurer’s network. Be active and stay healthy to get up to a 20% discount on your renewal premium. Activity tracking is through the insurer’s official health app.

Deductible and copay options available

The plan offers multiple deductible and copayment options. Pick any one that suits you to lower the premium.

Get non-medical items and durable medical equipment cover with an add-on

The base plan does not offer cover for non-medical items. These form 10% to 20% of every health claim. Opt for an add-on to get non-medical items like gloves, masks, syringes and others covered by the insurer. With this add-on, you also get cover for the cost of listed durable medical equipment such as wheelchair, prosthetic device, ventilator etc.

Policy Conditions

About the Insurer

Manipal Cigna is a stand-alone health insurance company in India founded in 2014. It is a joint venture between Manipal Group and Cigna Corporation. The company showed robust growth in business figures in the last few years. It offers a comprehensive range of health insurance plans at affordable prices. 

However, if we look at the company’s operational metrics, there is still a lot of scope for improvement if the insurer wants to match up with the top players in the industry. The insurer showcases a low claim settlement ratio, below the recommended benchmark of 90%, and a high volume of claim-related complaints.

Will the insurer be able to work on its operations and improve its metrics in the coming years? Only time will tell. Till then, let’s wait and watch.

Performance Highlights (FY24)

Turnover – Rs. 1,691 Crore

Claim Settlement Ratio – 88.54%

Incurred Claim Ratio – 64%

Volume of Claim Complaints – 25.8 / 10,000 claims

Network Hospitals – 15,000+