Cigna TTK ProHealth Protect Health Insurance
Cigna TTK ProHealth Protect Health Insurance policy covers expenses related to hospitalization such as room accommodation, treatment costs, diagnostics, consumables and drugs. Treatment related expenses before and after hospitalization are also covered for - specified number of days.
Key Features
· Sum Insured up to Rs.4.5 lac
· Worldwide Emergency Cover
· Health Maintenance Benefit
· Restoration of Sum Insured
· Cumulative Bonus for No Claims
What is covered?
Basic
Hospitalisation expenses |
|
Room Rent |
Covered up to shared room |
ICU Rent |
Covered up to shared room |
Fees of Surgeon, Anesthetist, Nurses and Specialists |
As per actual |
Pre-hospitalisation |
60 days before hospitalisation |
Post-hospitalisation |
90 days after discharge |
Day care expenses |
Covered |
Domiciliary Hospitalisation |
Covered |
Maternity Benefits
Waiting Period |
- |
Normal Delivery |
- |
Caesarean Delivery |
- |
New-born baby cover |
- |
Addition of New-born |
- |
Other Benefits
Auto Recharge of Sum Insured |
Yes |
Hospital Cash |
- |
Ambulance Charges |
Up to Rs.2,000 per hospitalisation |
Recovery Benefit |
- |
Health Check up |
Available |
Organ Donor Cover |
Covered |
Ayurvedic Treatment |
- |
Second Opinion |
- |
E-opinion |
Expert opinion on critical illness available |
Physiotherapy Charges |
- |
Child Education Fund |
- |
Health Programs |
- |
Add-ons or Riders (for extra premium)
Critical Illness |
Yes |
Waiver of Room Rent Sub-limits |
- |
Reduction in Maternity Waiting |
- |
Additional Benefits
Family Discount |
10% on covering more than 2 family members |
Cumulative Bonus |
Sum Insured increases by 5% on every renewal, for every claim-free year, subject to a maximum accumulation of 50% of your Sum Insured |
Two Year Policy Option |
Yes |
Co-payment |
- |
Cashless |
Yes |
Claim Loading |
No |
Health Maintenance Benefit |
Covered up to Rs.500 |
Healthy Rewards |
Reward Points can be earned for each year of premium paid and/or by enrolling the Online Wellness Programs. These earned Reward Points can be used to get a discount in premium from the 3rd Annual Premium OR they can be redeemed for equivalent value of Health Maintenance benefits. |
Worldwide Emergency Cover |
Yes |
Free Look In Period |
15 days from the receipt of the policy document |
Health Check-Up |
Provides comprehensive health check-up once every 3 years |
Deductible |
Available of Rs. 1 lac and Rs. 2 lac |
Voluntary Co-Payment* |
This option (when exercised) would mean that you choose to pay the first 10% or 20% of the claim and the balance would be covered by your plan. * Voluntary Co-pay & Deductible cannot be opted in the same plan. |
Eligibility and Restrictions
|
Minimum |
Maximum |
Coverage Amount (in Rs.) |
2,50,000 |
4,50,000 |
Policy Term (in years) |
1 |
2 |
Entry Age (in years) |
18 |
No Limit |
Renewable till Age (in years) |
- |
Lifetime |
No Medical Test Age (in years) |
- |
45 |
Tax Benefits
Health Insurance premiums paid up to Rs. 15,000 in case of individuals and Rs 20,000 for senior citizens are allowed as a deduction from the taxable income each year under section 80D of the Income Tax Act.
Exclusions - What is not covered?
Major Exclusions
Pre-existing diseases |
Covered after first 4 continuous policy years |
For the first 30 days |
Only accidents are covered. (not applicable for renewals) |
For the first 24 months |
Hypertension, Cataract, Hernia, |
Dental treatment or surgery |
Not covered (unless caused due to an accident) |
|
Routine medical, eye and ear examinations, cost of spectacles, laser surgery for cosmetic purposes or corrective surgeries, contact lenses or hearing aids, etc |
AIDS / HIV |
All expenses arising out of any condition directly or indirectly caused due to or associated with human T-call Lymph tropic virus type III (HTLV-III) or Lymphadinopathy Associated Virus (LAV) or Acquired Immune Deficiency Syndrome (AIDS), AIDS related complex syndrome (ARCS) and all diseases / illness / injury caused by and / or related to HIV and sexually transmitted diseases. |
Cosmetic treatment |
Any cosmetic surgery unless forming part of treatment for cancer or burns, surgery for sex change or treatment of obesity / morbid obesity or treatment / surgery / complications / illness arising as a consequence thereof. |