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PNB Oriental Royal Mediclaim Insurance Policy

What is the Plan all About?

PNB Oriental Royal Mediclaim Policy is specifically designed for the Punjab National Bank account holders and employees with a family floater benefit. This PNB Oriental insurance plan is a comprehensive health insurance plan covering the hospitalization expenses and allied expenses to offer you a complete health insurance product. It also offers hospital cash benefit to cover non-medical expenses.

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Key Features

  • Hospitalization cover
  • Lifetime Renewability
  • Customized plan for users
  • Cashless treatment at the network hospitals
  • Hospital cash benefit
  • Avail Tax Benefits

Policy Benefits

  • Hospitalization expenses such as room rent, nursing charges, ICU benefit, medical practitioner, etc. are covered under this plan for a minimum stay of 24 hours.
  • Pre hospitalization expenses are covered for 30 days before hospitalization and post hospitalization expenses are covered for 60 days after hospitalization.
  • Day care treatment or procedures are covered under all the plan variants in hospital/day care centre but not in the outpatient department of the hospital.
  • Domiciliary hospitalization or treatment at home is covered due to the unavailability of hospital rooms or considering the condition of the patient.
  • Daily Hospital cash benefit allowance is given under this plan to combat the non-medical expenses during hospitalization. It is covered under gold and diamond plan variant.
  • Hospital Cash benefit is payable during the hospitalization which is Rs 200 per day to the maximum of Rs 1,000 during a policy period.

Value Added Benefits

  • Reimbursement of Funeral Expenses of the insured in case of his/her death.
  • Cashless treatment under the list of network hospitals.
  • Ambulance service expenses are paid up to the specified limit.
  • Quick Claim settlement.
  • Tax benefit as per section 80 D of Income Tax Act.

Sub Limits

  • Room Rent not exceeding 1 % of the Sum Insured per day.
  • ICU expenses not exceeding 2 % of the Sum Insured per day.
  • Ambulance service charges Rs 1,000 OR 1% of the sum insured whichever is less per hospitalization.
  • Domiciliary hospitalization paid up to 10% of sum insured to the maximum of Rs 25,000.

Waiting Period Clause

  • Initial Waiting Period: Any diseases contracted during first 30 days of the policy start date, except those arising out of accidents.
  • Specific Waiting Period: The waiting period of specific treatments as mentioned in the policy contract range from 1 year to 2 years of consecutive coverage.
  • Pre existing Disease Waiting Period: Silver variant of this plan has a waiting period of 48 months years to cover pre existing diseases.

Who can Buy the Plan?

Factor Minimum Maximum
Age (as on last birthday) Child: 3 Months, Adult: 18 Years Child: 23 Years, Adult: 79 Years
Cover Type Individual/Floater -
Policy Tenure 1 Year 1 Year
Grace Period 30 Days -
Free Look Period 15 Days -
Riders Nil -

Exclusions

  • Convalescence Benefit
  • Naturpathy Treatment
  • Genetic Disorders
  • OPD Treatment, etc.
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