PNB Metlife Major Illness Premium Back Cover Plan

What is the Plan all About?

PNB Metlife Major Illness Premium Back Cover is a comprehensive fixed benefit health insurance plan that provides coverage against 35 critical illnesses. The plan provides coverage for the treatment cost in the event insured is diagnosed with any of the specified life threatening illnesses. This plan returns back the premium in case there is no claim made during the policy period.

What are the Key Features?

Plan covers 35 Critical Illnesses
Return of Premiums in the event of No claim
Avail Discount on buying Policy Online
Provides Health cover for 10 years
Get Tax Benefits under section 80D

What are the Plan Benefits?

Policy Benefits

Lump Sum Benefit

On insured being diagnosed with any of the listed 35 Critical Illnesses post the initial waiting period of 90 days from the policy inception date, the lumpsum amount opted as the sum assured is paid to the insured and the policy terminates thereafter.

Maturity Benefit

Upon survival of the insured till end of the policy term in an active policy, the premiums paid are returned to the insured as maturity benefit. Maturity benefits are payable only if there is no claim made during the policy tenure.

Death Benefit

There is no death benefit payable under this plan.

Value Added Benefits

Avail tax benefits u/s 80D as per IT Act, 1961 for premium paid for this plan.
Quick Claim Settlement.

Sub Limits

No Co pay/cost sharing is applicable.

Waiting Period Clause

Initial Waiting Period: No claim is admissible within a period of 90 days beginning on the Commencement Date or the Date of Reinstatement of the Policy.
Survival Period Waiting Period:Insured needs to survive a period of 30 days beginning on the date of diagnosis of the Critical Illness to get the policy benefits.
Pre Existing Disease Waiting Period: For all the pre-existing diseases or health conditions at proposal stage, the benefits would be available after a waiting period of 48 months of continuous coverage.

Product Snapshot

Factor	Minimum	Maximum
Age (as on last birthday)	18 Years	55 Years
Sum Assured	5 Lacs	50 Lacs
Cover Type	Individual	-
Policy Tenure	10 Years	10 Years
Grace Period	30 Days & 15 Days For Monthly Mode	-
Freelook Period	30 Days	-
Riders	Nil	-
Plan Type	Online	-

Exclusions

Any critical illness or it’s signs or symptoms having occurred within the “Waiting Period “ of 90 days of policy issue date or reinstatement date, whichever is later.
Death due to Suicide within one year from the Date of Inception of the Policy, the Co. shall make payment under the Policy only to refunding 80% of the total Regular Premium received under the Policy.
Unreasonable failure to seek or follow medical advice.
Existence of any sexually Transmitted Disease (STD) and its related complications or Acquired Immune Deficiency Syndrome (AIDS) or the presence of any Human Immuno-deficiency Virus (HIV).
Self-inflicted Injuries, etc.