Cigna TTK ProHealth Insurance

    Cigna TTK Health Insurance

    Cigna TTK Health Insurance Company Limited is a joint venture between the U.S. based global health services leader, Cigna Corporation and Indian conglomerate, TTK Group.

    Cigna TTK's Protect Plan shields your well-being with financial assistance for costs related to hospitalization such as room rent, treatment expenses, diagnostics, consumables, and medicines. It also covers costs before and after hospitalization for defined number of days, depending on the plan variant you choose.

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    Highlights

    • Flexibility in offering through four separate plan alternatives – Protect, Plus, Preferred & Premier
    • No maximum entry age
    • Provides lifetime renewal opportunity
    • Option of 1 year, two years and three years term
    • 10% discount on the premium amount for enrolling more than two family members under a single individual policy.
    • Additional discount of 7.5% for choosing a two year and 10% for a three-year single premium policy

    Scope of cover

    Indivdual Plan

    Entry Age

    For children : 91 days

    Adults :

    Minimum : 18 years

    Maximum : No Age Bar

    Number of Members Covered

    Maximum Members : 6

    Maximum Adults : 4

    Maximum Children : 2

    Sum Insured

    2.5 - 100 lakhs


    discount

    For longer policy term
    family discount


    Policy Periods Available

    1, 2 years


    Pre-Policy Medical Check-up

    2.5 - 7.5 - 46 and above

    10 lakhs - 41 and above
    15 lakhs and more - 18 and above


    Family Floater Plan

    Entry Age

    For children : 91 days

    Adults :

    Minimum : 18 years

    Maximum : No Age Bar

    Number of Members Covered

    Maximum Members : 5

    Maximum Adults : 2

    Maximum Children : 3

    Sum Insured

    2.5 - 100 lakhs


    discount

    For longer policy term
    family discount


    Policy Periods Available

    1, 2 years


    Pre-Policy Medical Check-up

    2.5 - 7.5 - 46 and above

    10 lakhs - 41 and above
    15 lakhs and more - 18 and above


    Important Features

    Day Care Treatments

    Due to scientific advancement, some procedures/treatments do not require you to be hospitalized for a minimum of 24 hours to raise a claim. This plan covers such procedures.

      No-Claim Benefits

      In this policy no-claim bonus equal to 5% or 10% (depending on the variant) of basic sum insured up to a maximum of 100% is available. However, this benefit is not available in the Premium variant.

        Organ Donor Cover

        This benefit covers for any expenses related the organ donation for you up to the sum insured.

          Pre Hospitalization

          The insurance company will compensate you for the medical expenses related to your hospitalization up to 60 days before it.

            Post Hospitalization

            The insurance company will pay you for the medical expenses related to your hospitalization up to 90 to 180 days (depending on the plan variant) post hospitalization.

              Restore Benefits

              It offers restore benefit equal to 100% of the sum insured. However, this advantage is not available in Premium variant.

                DEDUCTIBLE

                You have the option to choose a voluntary deductible of Rs.1 lakh, Rs.2 lakh or Rs.3 lakh. Although you’ll have to bear this amount during a claim, it will reduce the premium.

                  Good to Have Benefits

                  OPD Expense Cover

                  This plan does not cover expenses related to outpatient treatment.

                    Daily Hospitalization Allowance

                    This policy does not offer any daily hospital cash.

                      Health Check-up

                      Offers complimentary health check-up that covers some listed tests, once every three years or every year (depending on the plan variant), irrespective of the claim.

                        Home Hospitalization/ Domiciliary Hospitalization

                        You can avail treatment at home up to the sum insured, provided it meets the pre-defined conditions.

                          Non- Allopathic Treatment Expense Cover

                          This plan does not cover expenses related to non-allopathic treatment.

                            Emergency Ambulance

                            This plan provides ambulance cover up to Rs.2,000 or actuals (depending on the plan variant) per hospitalization.

                              Value Adds

                              Eye-cover

                              This plan does not provide coverage for eye treatment expenses.

                                Maternity Cover

                                This benefit is offered only for Plus, Preferred and Premium variant. For Plus plan, you are covered up to Rs.15,000 for a normal delivery and up to Rs.25,000, for a C-Section. Similarly, for Preferred and Premium plan, you are covered up to Rs.50,000 for a normal delivery and up to Rs.100,000 for a C-Section.

                                  Dental Coverage

                                  This policy does not cover any dental treatments.

                                    Recovery Benefit

                                    This plan does not offer any recovery benefit.

                                      HEALTHY REWARDS

                                      The plan offers a rewards program where you get points equal to 1% of premium paid each year. You can accumulate them up to a 10% of premium paid in the policy. Each earned reward point equals to Rs.1, and you can redeem them for a discount in premium from next renewal. You can also reimburse them under health maintenance benefit or to enjoy services through the company's network partners.

                                        EXPERT OPINION ON CRITICAL ILLNESS

                                        Under this benefit, you can claim for the cost towards an expert opinion on any of the listed critical illness before you seek the necessary treatment.

                                          HEALTH MAINTAINANCE BENEFIT

                                          Although the plan does not cover the OPD treatments or treatments for alternative medicine directly, it offers a reimbursement between Rs.500 to Rs.15,000 (depending on the plan variant) each year to take care of your OPD consultations or any alternate forms of medicine like Ayush, and so on.

                                            WORLDWIDE EMERGENCY COVER

                                            You can claim for reimbursement up to your sum insured or a maximum of Rs.10 lakh (depending on the plan variant) for any treatments covered under this policy anywhere in the world.

                                              FREE LOOK PERIOD

                                              For any reason, should you decide not to proceed with the policy, you can return the same and request for a refund within 15 days from the date of receipt of the policy document.

                                                Add-on Covers

                                                CRITICAL ILLNESS COVER

                                                At an additional premium, you will get a lump sum amount equal to Sum Insured in the case of the first diagnosis of the covered critical illnesses. In the family floater, once you claim for a critical illness, you will get 100% reinstatement of sum insured once during the lifetime of the plan for the other person covered. However, this option is not available in the Premium variant.

                                                  WAIVER OF MANDATORY CO-PAY

                                                  With an extra premium, you can choose to waive the co-payment clause even after the age of 65 years.

                                                    Terms & Conditions

                                                    Room Rent / Room Category

                                                    The plan has defined limits for room rents, and varies from sharing the room to a single private one depending on the plan variant.

                                                      Co-Payment

                                                      A compulsory co-payment of 20% applies to all claims for anyone aged 65 years and above irrespective of entry age. Likewise, if anyone has opted for a voluntary co-pay and if he chooses to take treatment out of the zone, then the co-pay percentages will apply in conjunction.

                                                        Waiting Period

                                                        Cooling Off Period

                                                        A 30 days cooling off period for all claims except any arising out of accidental injuries.

                                                          Specific Illnesses

                                                          The policy covers some specific diseases/treatments only after 24 months. These include Cataract, Hysterectomy, Myomectomy for Fibroids, and so forth.

                                                            Pre-Existing Illnesses

                                                            A 48/ 36/ 24/ 24 months waiting period will be applicable for any Pre-existing disease for Protect, Plus, Preferred & Premier Plan respectively.

                                                            Survival period of 30 days applies for any claim related to critical illness. Similarly, there is a waiting period of 90 days before the symptoms of any critical illness first occur to be able to claim.

                                                              Waiting period for Maternity

                                                              A 48 months waiting period for maternity & newborn cover applies.

                                                                Permanent Exclusions

                                                                The Plan will not cover any liabilities towards the treatments of following conditions-

                                                                • whose signs or symptoms first occur within 30 days of the policy period
                                                                • attempted suicide
                                                                • use of alcohol or drug
                                                                • AIDS
                                                                • Cost of donor screening
                                                                • Genetic disorder and stem cell implantation/surgery.
                                                                • Dental treatment other than due to an accident.
                                                                • Congenital disease
                                                                • infertility and in vitro fertilization.
                                                                • hospitalization out of war, riot, strike and nuclear weapons

                                                                The details list on what the policy does not cover is available in the policy wordings.

                                                                Review of Signa TTK ProHealth Insurance Protect

                                                                One of the greatest highlights of Cigna TTK’s Prohealth policy is the luxury of choice. With a broad range of sum insured and linked benefits, it is simpler to pick and choose the coverage that best suits your requirements as well as pocket. Most of the advantages like an optional cover for critical illness and worldwide coverage does not limit the policy’s offering. Thus, if you are looking for a comprehensive coverage for yourself or family, you can surely consider the plan.

                                                                **Reviews and ratings are based only on Benefits and Conditions. Things like Claim Settlement Ratio, Hospital Network have not been covered under product ratings. These are covered under Company ratings.

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