Frequently Asked Questions

An accident means a sudden, unforeseen and involuntary event caused by external, visible and violent means.

Saral Suraksha Bima Policy is a standard personal accident product developed by IRDAI and made available by ManipalCigna Health Insurance company to take care of unexpected expenses arising from accidental death or permanent total disablement or permanent partial disablement.

Saral Suraksha Bima comes with other benefits like Temporary Total Disablement, Hospitalisation Expenses due to Accident and Education Grant that assures financial support to the dependent children.

Policy covers permanent total disablement of loss of sight of both eyes, hands, feet, physical separation or loss of use of hand or foot or loss of sight of one eye and physical separation or loss of use of hand or foot due to accident.

Policy covers permanent partial disablement of eye, ears, hand, feet, toes, fingers, loss of hearing and loss of metacarpus due to accident.

Yes, the policy covers Temporary Total Disablement (TTD) of the Insured Person if he/she sustains an Injury in an Accident during the Policy Period and which completely incapacitates the Insured Person from engaging in any employment or occupation of any description whatsoever which the Insured Person was capable of performing at the time of the Accident.

The TTD benefit is payable as 0.2% of the Base Sum Insured per week for a maximum 100 weeks, provided temporary total disablement exceeds 4 weeks.

Under family basis, members are eligible for cover as a percentage of the earning members sum insured.

Sum Insured is calculated as a maximum of 10 times of gainful annual Income of the Proposer or Earning member to be insured.

Yes, The policy covers hospitalisation expenses due to accident up to 10% of the base sum insured without any capping on room rent / category. Hospitalisation expenses due to accident is an optional cover in the product.

The coverage is worldwide except for the optional cover “Hospitalization expenses due to accident”. The coverage of optional cover “Hospitalization expenses due to accident”, is limited to medical treatment taken in India only.

No, hospital daily cash benefit is not available in Saral Suraksha Bima policy.

The Premium for the policy depends on the Sum Insured, Optional Covers and Premium payment mode.

Premium modes available in the policy are Yearly, Half Yearly, Quarterly and Monthly. Premium payment mode can only be selected at the inception of the Policy or at the renewal of the Policy. In case of premium payment modes other than Single or Yearly, a loading will be applied on the premium. Loading grid  applicable for Half-yearly, Quarterly and Monthly payment mode.

Proposals with a medical history / any disability may be required to undergo tele underwriting and/or physical medical tests on a case to case basis after assessment of each individual risk. Cost of the Pre Policy Medical Tests will be borne by the Company.

There is no tax benefit for the premium paid towards Saral Suraksha Bima policy.

We will increase the sum insured by 5% for every year up to a maximum of 50%. For example, if you have coverage of Rs. 5 Lacs, an additional Sum Insured of Rs. 25,000 will be allowed as Cumulative Bonus every year, maximum up to 50%.

Few key exclusions under this policy are:

Any claim for death or disablement arising due to War and war like occurrence, civil war, hostilities etc

Any claim for death, disablement from intentional self-injury , intoxicating liquor or drugs etc

Any claim for death, disablement due to participation as a professional in hazardous or adventure sports. 

Any claim resulting or arising from or any consequential loss or Ionizing radiation or contamination by radioactivity.

Any loss arising out of the willful participation in an illegal act or any violation or attempted violation of the law.

Expenses related to any admission primarily for diagnostics and evaluation purpose.

Above list is only indicative and not exhaustive. Please refer policy terms and conditions for complete details.

Alteration in sum insured and addition/deletion of insured person are allowed at the time of renewal subject to underwriting.

The Insured may cancel this Policy by giving 15 days' written notice, and in such an event, the Company shall refund premium on short term rates for the unexpired Policy Period as per policy terms and conditions.

Yes, Hospitalisation expenses due to accident is available, as an optional cover in the policy on indemnity basis through Cashless/Reimbursement.

 Saral Suraksha Bima offers one time Education Grant of 10% of base sum insured, for per dependent child, on the admissible claim due to Death or Permanent Total Disability of the Insured Person.

The below documents are required for all Claims. Documents specific to each benefits are mentioned in the prospectus available on our website.

Photo Identity Proof - Voter ID, Passport, PAN Card, Driving License, Ration Card, Aadhar, or any other proof accepted by the KYC norms as approved by the Company and which is admissible in court of law.

Duly completed and signed claim form in original as prescribed by Us.

Copy of FIR/ Panchnama /Police Inquest Report (if conducted) duly attested by the concerned Police Station;

Copy of Medico Legal Certificate(if conducted) duly attested by the concerned Hospital,

Income Proof

               - Last 3 months Salary Slip/Form 16 for salaried persons

               - Last financial years ITR for self-employed persons

 All claims for Saral Suraksha Bima to be informed within 30 days of occurrence of the event at a ManipalCigna branch   call center or head office. Submit the dully filled and signed claim form along with the documents mentioned in the  claim form within 30 days of occurrence of the event at any of our branches or head office.

If any treatment for which a claim may be made is to be taken and that treatment requires  Hospitalisation in an Emergency, the company shall be informed within 24 hours of the admission of the Insured Person in Hospital.

For any claims related query, information or assistance you can contact our Health line 1800-102-4462 or visit our website https://www.manipalcigna.com/ or email us at customercare@manipalcigna.com .

All Payments under the Policy will be made in Indian currency only.