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Surgery - Permanent Partial Disablement Cash Cover Plan

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If the patient is unable to rejoin their primary occupation due to a surgery, this situation can mean a loss in the daily income. An insurance policy that offers a cash pay-out for permanent partial disablement due to surgery can help relieve the patient of some financial stress.
FlexiCare Group Insurance Policy - Surgery Permanent Partial Disablement Cash from Manipal Cigna Health Insurance Co. Ltd. offers a pay-out in case the policyholder undergoes a surgical procedure due to an illness or injury caused by an accident covered under the policy and suffers from permanent partial disablement.

Plan Details

Sum insured up to

Premium (including GST)

Rs. 20,000 per 30 days up to a maximum of 90 days

Rs. 34

Eligibility: Individuals between the age of 18 and 65 years can avail this plan. The age is taken as on the last birthday.

Plan Validity: The plan is valid for a tenor of one year.

What's Covered

  • Money-in-bank

    Surgery Permanent Partial Disablement Cash

    If the policyholder suffers from an injury due to an accident covered under the policy and directly results in undergoing a surgical procedure covered under the policy and suffers permanent partial disablement of the nature specified below, the cash cover will be payable. The illness or accident must occur within the policy year. The cash coverage is payable as per the policy schedule within 365 days from the date of the injury if caused due to an accident.

    Waiting Period
    The initial waiting period for this cover is 30 days, whereas the waiting period for a specific illness is 24 months. 

    Specified disease or procedure waiting period 

    Since the inception date of the cover, a waiting period specified in the policy schedule shall apply to all treatments. The following treatments, medical or surgical, for all medical expenses along with their complications, are not covered: 

    1. a) Cataract.
    2. b) Hysterectomy for Menorrhagia or Fibromyoma or prolapse of uterus unless necessitated by malignancy myomectomy for fibroids.
    3. c) Knee replacement surgery (other than caused by accident), non-infectious Arthritis, Gout, Rheumatism, Osteoarthritis and Osteoporosis, Joint Replacement Surgery (other than caused by accident), prolapse of intervertebral discs (other than caused by accident), all Vertebrae Disorders, including but not limited to Spondylitis, Spondylosis, Spondylolisthesis, or Congenital Internal. 
    4. d) Varicose Veins and Varicose Ulcers.
    5. e) Stones in the urinary urogenital and biliary systems, including calculus diseases. 
    6. f) Benign Prostate Hypertrophy, all types of Hydrocele. 
    7. g) Fissure, Fistula in the anus, Piles, all types of Hernia, Pilonidal sinus, Hemorrhoids, and an abscess related to the anal region. 
    8. h) Chronic Suppurative Otitis Media (CSOM), Deviated Nasal Septum, Sinusitis, and related disorders, surgery on tonsils/Adenoids, Tympanoplasty, and any other benign ear, nose, and throat disorder or surgery.
    9. i) Gastric and duodenal ulcer, any Cysts/Nodules/Polyps/internal tumours/ 

    skin tumours, and any Breast lumps (unless malignant), Polycystic Ovarian diseases. 

    1. j) Any Surgery of the Genito-urinary system unless necessitated by malignancy.
    If these diseases are pre-existing diseases at the time of proposal or subsequently found to be pre-existing, the waiting periods mentioned in the policy schedule shall apply.

    The cover will be payable if: 

    • The permanent partial disablement is proved. A disability certificate issued by a civil surgeon or the equivalent appointed by the District, State, or Government Board needs to be submitted 
    • For disablement other than physical separation of limb/s, digit/s, the permanent partial disablement continues for at least 180 days from its commencement. If at the expiry of the 180 days there is no reasonable medical hope of improvement, such disability is considered permanent at the end of this period 
    • If the policyholder passes away before the claim is admitted, no amount will be payable under this cover. However, coverage under Accidental Death shall become payable instead of this cover if opted
    • If the policyholder suffers a loss that is not of the nature of permanent partial disablement specified above, then a disability certificate issued by a civil surgeon or the equivalent appointed by the District, State, or Government Board will determine the degree of disablement and the amount payable, if any
    Note: For definitions of permanent total disablement, permanent partial disablement, temporary total disablement, or coma, please refer to the product brochure before concluding a sale.

    Nature of Permanent Partial Disablement Percentage of the Sum Insured payable unless specified otherwise
    i. Total and irrecoverable loss of sight in one eye 50%
    ii. Loss of one hand or one foot 50%
    iii. Loss of all toes - any one foot 10%
    iv. Loss of toe great - any one foot 5%
    v. Loss of toes other than great, if more than one toe lost, each 2%
    vi. Total and irrecoverable loss of hearing in both ears 50%
    vii. Total and irrecoverable loss of hearing in one ear 15%
    viii. Total and irrecoverable loss of speech 50%
    ix. Loss of four fingers and thumb of one hand 40%

What is Not Covered / Exclusions

  • Coverage for more than 1 injury within a policy year
  • Medical treatment for any pre-existing diseases

*For a complete list of exclusions, please refer to the policy wordings.

How to Apply

Click on ‘Apply Now’ button and share your basic details in the online application form

Check and confirm your application by entering the OTP received on your mobile number

Pay the premium via credit/debit card, UPI, mobile wallet, or any other available online payment mode

You will receive the details of your membership via email/WhatsApp

Claim process

You can raise a claim by reaching out to the insurer via one of the following ways:
  • Insurer’s Email: servicesupport@manipalcigna.com
  • Insurer’s Toll free number: 1800-102-4462

Contact Us

In case you have any queries about coverage, exclusions, or claims, please write to us at wecareinsurance@bizsupportc.com.

Disclaimer - Conditions apply. This product is offered under the Group Insurance scheme wherein Bajaj Finance Limited is the Master policyholder. The insurance coverage is provided by our partner Insurance Company. Bajaj Finance Limited does not underwrite the risk. IRDAI Corporate Agency Registration Number CA0101. The above-mentioned benefits and premium amount are subject to various factors such as age of insured, lifestyle habits, health, etc (if applicable). BFL does NOT hold any responsibility for the issuance, quality, serviceability, maintenance and any claims post sale. This product provides insurance coverage under ManipalCignaFlexiCare Group Insurance Policy, UIN: MCIHLGP20120V011920. Purchase of this product is purely voluntary in nature. BFL does not compel any of its customers to mandatorily purchase any third-party products.

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