When it comes to health no one wants to be left behind. Health is the most important thing in your life. Health is Wealth and we do everything possible such as exercise, yoga, dieting, and much more to maintain good health. But we still suffer from various diseases and illnesses which put a heavy dent in our pockets when we get those treated in the hospitals. Therefore, having a comprehensive health insurance policy is necessary today.
|Type of Plan||Individual plan or Family Floater|
|Entry Age (Minimum)|| Adult: 18 years|
Dependent Children: 91 days
|Entry Age (Maximum)||79 years|
|Members covered under this plan|| Up to 5 family members|
& up to 3 dependent children
**Last Updated on May, 2021
The plan comes with 3 variants which are: One Account - One Policy, Multiple Account - One Policy, and One Person - One Policy.
Under this policy, consumers will get coverage against hospitalization expenses that includes room, boarding, nursing, surgeons, anaesthetist, ambulance, ICU, and funeral expenses among others.
It is one of the best features that allow you to take advantage of quality treatment at your home due to a genuine reason. This feature assists you in several helpful ways. It will cover expenses against blood, oxygen, surgical procedures, medicines & drugs, diagnostic material and dialysis, chemotherapy, nursing expenses, surgeon, consultant and many more.
A helpful feature under which you do not need to pay a single penny to the hospital if you take treatment in one of the network hospitals.
Get the tax benefit on paid premium under section 80(D) of Income Tax Act 1961.
|Variants of Policy||3|
|Sum insured||Rs. 1 lakh - 30 lakhs|
|Policy Time period||1 year|
**Last Updated on May, 2021
If you are a PNB account holder or an employee then you must buy this plan as this is specially made for you. This plan provides maximum coverage at an affordable price. The add-on features and benefits make it a must-have for you. This plan covers several illnesses, diseases, or accidental bodily injury sustained by the policyholder. Let's have a quick laydown of all the benefits this plan holds.
Only the PNB account holders and employees can take advantage of it. This means if you have an account in Punjab National Bank or work in any of its branches then this plan is for you. You can take advantage of many helpful features designed specially for you.
Apart from the domiciliary and hospitalization cover this plan provides coverage on daycare treatment as well.
Under this insurance policy, you will get coverage 30 days before and after hospitalization expenses that will save your hard-earned money to a great extent.
This policy covers expenses related to the medical treatment involving nursing and boarding charges, instrument expenses, fees of the surgeon or medical practitioner, ICU, ICCU costs, etc.
The plan covers the expenses incurred on alternative treatments such as Ayurveda, Unani, Siddha, Homeopathy, and others.
In this, the insured person is provided with a lump sum amount at the time of hospitalization. The money can be used for meeting additional expenses or for compensating for the income loss during the entire period of hospitalization. You can get a daily cash benefit of up to Rs. 200 for a day. This can be extended to a maximum of Rs. 1000.
The ambulance charges include the transportation of an individual from one hospital to another because of his/her medical treatment. The ambulance charges are also covered under this plan up to Rs. 1000.
If the severe medical history of the policyholder is reported then in that case a pre-acceptance medical test is required. The policy covers 50% of expenses of medical examination as per the terms and conditions.
This plan covers the medical expenses incurred on in-patient hospitalization of organ donation. This comes under the section Transplantation of Human Organs Act 1994.
|Coverage of Expenses||Limits|
|Nursing, Boarding and Room expenses||1% of the sum insured per day|
|ICU Expenses||2% of sum insured per day|
| Fees of Surgeon, medical practitioner, and consultant|
OT charges, Anaesthesia, Surgical equipment, chemotherapy and radiotherapy, and similar kinds of expenses.
|As per the limits of the sum insured|
|Charges for Ambulance services||This plan provides an option of reimbursement up to Rs. 1000 in any policy tenure subject to claim. This is admissible at the time of hospitalization as per the policy sections.|
|The daily Hospital cash allowance||Rs. 200 per day of hospitalization and the maximum compensation can be up to a limit of Rs.1000 during the policy term.|
|Funeral Expenses||A lump-sum payment of Rs1000 for an insured person in case of his/her death.|
|Pre and Post hospitalization||It covers the medical expenses incurred for 30 days before the hospitalization and up to 60 days after getting discharged from the hospital.|
|Domiciliary Hospitalization - This includes the fees of specialist, medical practitioner, consultant, surgical equipment, chemotherapy, nursing expenses||10% of sum insured and a maximum of Rs.25,000 during the policy term|
**Last Updated on May, 2021
The process of buying the PNB Oriental Royal Mediclaim Policy is quite easy. Follow the below steps to buy this policy:
Documents required to Buy this plan
There are two processes to register a claim: Cashless and Reimbursement process. In cashless claims, you are not required to pay a single penny to the hospital and it saves you from financial stress at the time of medical emergency. In case, when you are hospitalized to a non-network hospital, then the policyholder pays the amount to the hospital, and afterwards, after submitting the required documents, the amount paid to the hospital is refunded back by the insurer.
In case if you want to avail of a cashless claim and are admitted to a network hospital then follow the below steps:
In case of emergency hospitalization, the insurer must be informed within 24 hours of hospitalization or getting admitted to the hospital.
You can cancel the policy at any time during the policy tenure, provided the policyholder is not making any kind of claims during that time and have cleared all the payments. The time to cancel the policy is 30 days and the company shall pay the refund on time.
The Company will not provide coverage on pre-existing diseases for up to 3 years.
Some diseases such as surgery of hydrocele, surgery of hernia, cataract, pilonidal sinus, etc. are not included in the same.
Naturopathy treatment, experimental or alternative medicine, unproven procedure, and such type of treatment's expenses are not liable for any cover from the insurer.
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