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Star Health Family Health Optima vs ManipalCigna ProHealth (Plus)
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Star Health Family Health Optima with similar Health Insurances
ManipalCigna ProHealth (Plus) with similar Health Insurances
Compare Star Health Family Health Optima and ManipalCigna ProHealth (Plus)
Claims Track Record:
Star Health Family Health Optima
Star Health and Allied Insurance Company Limited has a claim settlement ratio of 61.98% and claims incurred ratio of 65.41%. It has settled 95.22% of claims in less than 30 days. The company has received higher complaints related to claims as compared to other insurers.
ManipalCigna ProHealth (Plus)
Manipal Cigna Health Insurance Company Limited has a claim settlement ratio of 77.78% and claims incurred ratio of 65.08%. It has settled 99.15% of claims in less than 30 days. The company has received higher complaints related to claims as compared to other insurers.
Service Experience:
Star Health Family Health Optima
Star Health and Allied Insurance Company Limited offers customer service via its toll-free number and Twitter account. Based on our research, the Twitter response rate is slow, and the toll-free response rate is average, making it the better choice.
ManipalCigna ProHealth (Plus)
Manipal Cigna Health Insurance Company Limited offers customer service via its toll-free number and Twitter account. Based on our research, the Twitter response rate is slow, and the toll-free response rate is slow as well.
Product Benefits:
Star Health Family Health Optima
As part of the Star Health Family Health Optima Plan, hospitalisation expenses as well as pre and post-hospitalisation expenses are covered. Pre-hospitalisation expenses are covered for 60 days before hospitalisation and post-hospitalisation expenses are covered for 90 days after discharge, both up to the sum insured. Additionally, the plan covers all day care treatments and domiciliary treatments (except for 15 illnesses) up to the sum insured. Harvesting expenses related to organ donations are covered up to 10% of the sum insured, with a maximum limit of Rs 1 lakh. Modern treatment coverage and consumables coverage are available up to the sum insured, if you opt for add-ons. The Star Health Family Health Optima Plan comes with a room rent limit; you can choose any room except suites and above if you go for an add-on. But, the good news is that it doesn’t levy any ICU rent limits. Certain treatments/surgeries come with a financial sub-limit, like cataract treatments, which are covered up to Rs 50,000 per eye per policy year with a maximum limit of Rs 75,000; joint replacement surgeries are covered up to the sum insured. The Star Health Family Health Optima Plan also imposes a copay of 20% if your age at the time of entry is 60 years or above. Moreover, there are no deductible options available under this plan. The plan has a waiting period of 48 months for pre-existing diseases and a waiting period of 24 months for specific diseases.
ManipalCigna ProHealth (Plus)
As part of the Manipal Cigna ProHealth (Plus) Plan, hospitalisation expenses as well as pre and post-hospitalisation expenses are covered. Pre-hospitalisation expenses are covered for 60 days before hospitalisation and post-hospitalisation expenses are covered for 180 days after discharge, both up to the sum insured. Additionally, the plan covers 546 day care treatments, domiciliary treatments (except 8 illnesses), inpatient organ donor expenses, and modern treatments up to the sum insured. The Manipal Cigna ProHealth (Plus) Plan lets you pick any hospital room except suites. It has no ICU rent limit or sub-limits on common treatments/surgeries like cataract treatment, joint replacement surgery, etc. However, it comes with an optional copay of 10% or 20% and a mandatory copay for entry age 65 years and above. It also has an optional deductible limit of Rs 1 Lakh, 2 Lakhs, 3 Lakhs, 4 Lakhs, 5 Lakhs, 7.5 Lakhs, or 10 Lakhs. The Manipal Cigna ProHealth (Plus) Plan has a waiting period of 36 months for pre-existing diseases and a waiting period of 24 months for specific diseases.