ManipalCigna Health Insurance Company announces waiver of co-payment clause for senior citizens

The decision has been taken to safeguard most vulnerable population of society, ensure that cost is not a barrier for them in getting care they need related to COVID-19 treatment

ManipalCigna Health Insurance Company announced its plan to waive the mandatory co-payment clause for senior citizens aged 65 years and above if they need treatment for Coronavirus (COVID-19). The decision has been taken to safeguard the most vulnerable population of our society and ensure that the cost is not a barrier for them in getting the care they need related to COVID-19 treatment.

Speaking about the initiative, Prasun Sikdar, Managing Director and CEO, ManipalCigna Health Insurance Company said, “At moments like this, our first and foremost priority is to do all we can to protect the health and well-being of our customers. The unexpected expense for COVID-19 treatment can jeopardise a family’s financial security, thus we have taken this early action to give our customers greater peace of mind in these trying times and to help them focus their energies on fighting the virus and not on their medical bills.”

The mandatory co-payment refers to an arrangement in which the policyholder will need to pay a portion of the medical expenses on their own and the insurance company will pay the remaining amount. For example, Raj Arora aged 65 years, has a 20 per cent mandatory co-payment for his ManipalCigna ProHealth Insurance policy. He had to undergo a treatment for COVID-19. The total medical expenditure came to Rs 5 lakh. Due to the applicable co-payment clause, Arora would have to bear 20 per cent of Rs 5 lakh, i.e., Rs 1 lakh on his own, while ManipalCigna Health Insurance will pay the balance 80 per cent of the expense i.e., Rs 4 lakh. With the relaxation, this 20 per cent mandatory co-payment will also be borne by ManipalCigna.

ManipalCigna ProHealth customers aged 65 years and above can avail co-payment waiver benefit for the claims arising due to COVID-19 treatment, until August 31, 2020. This is applicable for the customers of ProHealth Insurance plans who have obligation of mandatory co-payment benefit and policy is issued on or before April 30, 2020. To further ease the processes, the company has introduced simplified claim filing process that customers can conveniently access digitally and on phone from the comfort of their homes. In addition, the Company has launched care calls under ManipalCigna’s ‘WeCare4U’ initiative for senior citizens above 65 years and pre-existing comorbidities, to help improve their awareness and take care of their health equipping them to defend against COVID-19 or other infectious diseases.