With Mera Mediclaim Plan, PNB MetLife Insurance (PMLI) and Care Health Insurance Limited (Formerly known as Religare Health Insurance Company Limited) have joined hands so that you can secure your loved ones against rising living expenses and health expenses, allowing them to live their lives to their absolute best. Help them live the life you envision for them with our life plus health insurance, even in your absence.
Mera Mediclaim Plan in a nutshellBy submitting your details, you agree to PNB MetLife's Privacy Policy and authorize PNB MetLife and/or its authorized service providers to verify the above information and/or contact you to assist you with the policy purchase and/or servicing. The approval / authorization provided by you herein will supersede all earlier authorizations / approvals / disapprovals / registrations made by you in this regard.
Secure your family in the event of your absence due to natural causes or terminal illness, so they can live life comfortably.
In Patient Hospitalisation Get covered for comprehensive in-patient hospitalization and for 540+ day-care treatments. No Claim Bonus Haven’t made a claim in 5 years? Get up to 150% increase in Sum Insured in 5 claim-free years 7500+ network hospitals Get cashless hospitalization at over 7500 network hospitals across India. The best of Health BenefitsOur prime concern is your good health! To ensure this, we provide you preventive care, over and above the amount of Sum Insured. Our annual check-up benefit covers,
Our aim is to ensure that you get the medical attention that you require as soon as possible, especially in an emergency.
To make sure that your needs are met:
We care about those who help you as much as we care for you. So, beyond ensuring that your medical needs are met, we will:
At times, a combination of conventional medical treatment and alternative therapies quicken & aid the process of recovery. Our Alternative Treatments Benefit covers:
What you don't get
If the Life Assured’s death is due to suicide within twelve months from the date of commencement of risk or from the Date of Revival of the Policy as applicable, the Nominee or beneficiary of the Policyholder shall be entitled to 80% of the total Premium paid till the date of death under the Policy death or Surrender Value available as on the date of death, whichever is higher, provided the Policy is in Inforce status. We shall not be liable to pay any interest on this amount.
Alcohol or Drug Abuse
If the life insured has passed away or suffers health complications due to alcohol or drug usage, misuse or abuse, the claim is not considered valid.
Expenses that arise from treatment for pregnancy & childbirth, miscarriage, abortion, in vitro fertilisation & infertility are not covered under this plan
We do not cover expenses that arise due to treatment of external congenital disease
Mera Mediclaim Plan does not cover expenses that arise due to injuries incurred or hospitalisation due to war, riots, or nuclear weapons.
With Mera Mediclaim Plan you get:
Upto Sum Insured
Upto Sum Insured
Single Private Room
Single Private Room
*Co-payment during purchase of the first policy, if eldest member insured is
Insured persons can avail the following benefits under this plan:
Individual basis (maximum up to 6 Persons having equal Sum Insured) or Floater basis
1 Adult + 1 Child OR 1 Adult + 2 Children OR 1 Adult + 3 Children OR 1 Adult + 4 Children OR 2 Adults
+ 1 Child OR 2 Adults + 2 Children OR 2 Adults + 3 Children OR 2 Adults + 4 Children
1. Individual: Self, legally married spouse, son, daughter, father, mother, brother, sister, mother-in-law, father-in law, grandmother, grandfather, grandson, granddaughter, uncle, aunt, nephew, niece, employee or any other relationship having an insurable interest.
2. Family Floater: Self, Legally married spouse, son, daughter, father, mother, employee and his/her dependents (Legally married Spouse, Children & Parents) or any other relationship having an insurable interest.
The following are the exclusions under this plan:
To be eligible for this plan, a person must conform to the following conditions and criteria:
Life Insurance Component
Health Insurance Component
Individual: 5 years
Floater: 91 days
No limit on Entry Age
Insurance – health and life are two of the most significant protection you can guarantee for yourself and your family. You like to ensure that your loved ones are comfortable protected and financially secured against all eventualities. A comprehensive health insurance policy, which bundles up a life cover, can be a perfect policy for you. The combi plan from PNB MetLife – Mera Mediclaim Plan, aims to provide an all-round health indemnity, wrapped up with a death benefit, thus offering dual blanket cover for you and your family.
It is important to remember ‘Health is wealth’ and good health is the basic foundation of a good life. With Mera Mediclaim Plan, we insure both!
Mera Mediclaim Plan is an extremely thoughtful policy designed by PNB MetLife for all those looking to ensure all-round health coverage for themselves and their families, along with enjoying comprehensive life cover. The Mera Mediclaim Plan combines the best of health insurance and life plan to provide you with an all-inclusive policy that caters to dual insurance needs.
Mera Mediclaim Plan also includes benefits like:
Apart from these benefits, there are a host of advantages offered by the Mera Mediclaim Plan.
These include:
The procedure of a Mera Mediclaim Plan is remarkably simple and hassle-free to understand. The two-in-one plan that offers Health Cover and Death Benefits has been widely popular among people aspiring for a flexible, cost-effective, and affordable cover with extensive dual benefits.
To demonstrate how the Mera Mediclaim Plan works, here are some illustrations of the plan:
Case 1: Mr Pandit is a 35-year old man who is looking for illness and a death cover. Hence, he buys the Mera Mediclaim Plan to get health insurance and life cover for a term of 30 years. Under the policy, the basic sum assured as a life insurance component by Mr Pandit is ₹25 lakhs, while the health component is ₹10 lakhs.
He opts for a regular premium paying term, and the annualized combined premium of the plan is calculated at ₹14,157. The Mera Mediclaim Plan offers a 7.5% discount on both the life and health plan. In this case, the discount calculates to be ₹1,148.
However, at the age of 40, Mr Pandit is admitted in the hospital and thus, makes a health insurance claim. He is eligible to get benefits up to ₹25 lakhs (owing to ₹10 lakh of sum assured + 10% sum assured as No claim bonus + 50% sum assured as No claim bonus Super). This amount is reimbursed to Mr Pandit, and the policy continues with the medical policy available for all insured. At the age of 50 years, Mr Pandit dies, and the family gets the death benefit of ₹25 lakhs and the policy terminates.
Case 2: In another example, Mrs Sridevi, 40 years, buys the Mera Mediclaim Plan to get a health policy along with a life cover. In the regular pay programme, she opts for a 25-year long policy term with ₹25 lakhs as life insurance and another ₹5 lakhs as a health plan.
Her annualized combined premium for the policy is ₹13,262. The Mera Mediclaim Plan offers a 7.5% discount on both the life and health plan. In this case, the discount calculates to be ₹1,075.
At the age of 45 years, Mrs Sridevi made a medical insurance policy claim and was reimbursed ₹12.5 lakhs (owing to ₹5 lakh of sum assured + 10% sum assured as No claim bonus + 50% sum assured as No claim bonus Super). Post this, the policy continues to provide a health insurance plan for all those insured. At the age of 55 years, Mrs Sridevi dies, and the family gets the death benefit of ₹25 lakhs and the policy terminates.
Case 3: Mr Ayush, who is a healthy 55-year-old man, aims to get a health insurance plan combined with life insurance policy. He secures a sum of ₹25 lakhs in life insurance and ₹15 lakhs in health policy under the Mera Mediclaim Plan. The policy term is 20 years.
His annualized combined premium for the policy is ₹47,088. The Mera Mediclaim Plan offers a 7.5% discount on both the life and health plan. In this case, the discount calculates to be ₹3,818.
At the age of 60 years, Mr Ayush is admitted to the hospital and thus, files for reimbursement. He is granted ₹37.5 lakh (owing to ₹15 lakh of sum assured + 10% sum assured as No claim bonus + 50% sum assured as No claim bonus Super). Post this, the policy continues to provide health coverage for all those insured. At the age of 75 years, Mr Ayush dies, and the policy terminates.
The plan can be bought via the below steps:
Tell me more about PNB MetLife.
PNB MetLife is a joint venture between MetLife International Holdings LLC, Punjab National Bank Limited, Jammu & Kashmir Bank Limited, M. Pallonji and Company Private Limited, and other private investors. MetLife International Holdings LLC and Punjab National Bank Limited are the major shareholders in the company, which started operation in 2001 in India. PNB MetLife is an amalgamation of MetLife Inc’s financial know-how and Punjab National Bank’s distribution strength. MetLife Inc has served over 90 million customers in the last 140+ years, while Punjab National Bank has catered to over 80 million customers in the last 120 years.
Health insurance is a policy that covers a host of medical and surgical expenses of an insured individual, provided certain conditions are met.
Mera Mediclaim Plan is a cost-effective, tax-advantageous, combi policy by PNB MetLife which provides an extensive health insurance coverage along with a comprehensive life insurance policy, inclusive of an inbuilt terminal illness. The plan provides several additional benefits, along with a promising value of the sum insured by the insurer.
Yes, the Mera Mediclaim Plan covers the family. In terms of the health component, the annual medical check-ups of the family members are conducted for free on a cashless basis in the authorized network hospitals. Also, upon policy termination, the death benefit is directly paid to the nominee or family. The plan also offers floater coverage to provide insurance to family members.
There is no fixed rule to determine health insurance coverage. However, the amount should ideally be dependent on factors such as general health of the insurer, residential city, history of family illnesses, nature of the job, current income, future liabilities, tax advantageous, etc.
Some of the advantages of buying Mera Mediclaim Plan include:
Unlike a traditional health insurance plan that only provides medical coverage, the Mera Mediclaim Plan offers health insurance, along with a comprehensive life insurance cover. The combi policy also offers other attractive features such as automatic recharge, No Claim Bonus, No Claim Super Bonus, and double sum insured for accidental Hospitalisation.
Moreover, the plan provides free medical check-ups, cashless treatment across 7500+ network hospitals, and covers IPD + Day Care charges, pre and post-Hospitalisation costs, floater, donor, ambulance expenses, and others. Further, it provides coverage for alternative treatment methods such as homoeopathy, Ayurveda, etc.
Yes, a claim can be rejected if the following conditions are true:
The cashless Hospitalisation benefit can be obtained by filing and submitting a pre-authorization form at the hospital desk or downloaded from Third Party Administrator’s official website.
Up to 150% increase in sum insured in 5 claim-free years with No Claims Bonus & No Claim Bonus – Super (Optional Cover).
The Mera Mediclaim Plan is not an ordinary plan which expires once a claim is made. PNB MetLife understands the critical need for a person to be insured and backed financially for all times.
In this option, if an insurer runs out of or completely exhausts his health insurance policy component due to claims made, then PNB MetLife reinstates the entire sum insured in the policy for the leftover period of the cover. The reinstated amount can be used by the insurer for a different claim or by any other individual (in case of a floater policy) for any claim. The automatic recharge feature allows the insurer to avail the recharge benefit for as many times as needed in a year.
Disclaimer:
Mera Mediclaim Plan is a Individual Non-Linked, Non Participating, Pure Risk Premium, combi Insurance Plan (UIN: 117Y102V01). It is advised to familiarize yourselves with the policy benefits and policy service structure of the ‘Combi Product’ before deciding to purchase the policy. Please read the Sales brochure carefully before concluding any sale. This product is jointly offered by PNB MetLife India Insurance Company” and “Care Health Insurance Limited” (Formerly known as Religare Health Insurance Company Limited). PNB MetLife is lead insurer for this product. The risks of this ‘Combi Product’ are distinct and are assumed / accepted by respective insurance companies as per their underwriting guidelines. The liability to settle the claim vests with respective insurers, i.e., for health insurance benefits “Care Health Insurance Limited” (Formerly known as Religare Health Insurance Company Limited) and for life insurance benefits “PNB MetLife India Insurance Company”. The policyholders of the ‘Combi Product’ are eligible to continue with either part of the policy, discontinuing the other during the policy term. The Risk of this “Combi Product” are distinct and are assumed/accepted by respective Insurance companies. Goods and service Tax (GST) shall be levied as per the prevailing tax laws which are subject to change from time. "Tax benefits are as per the Income Tax Act, 1961, & are subject to amendments made thereto from time to time. Please consult your tax consultant for more details". Cash payment is not eligible for tax benefit under Sec 80D of Income Tax Act, 1961. For complete details on terms, coverage, exclusions, please refer to Policy Terms & Conditions.
This product is jointly offered by “Care Health Insurance Limited” (Formerly Religare Health Insurance Co. Ltd.) and “PNB MetLife India Insurance Co. Ltd.
Reg Office - Care Health Insurance Limited (Formerly known as Religare Health Insurance Company Limited), 5th Floor, 19, Chawla House, Nehru Place, New Delhi-110019 | IRDAI Regd. No.: 148 | CIN - U66000DL2007PLC161503
1 For 2 consecutive claim-free years by using No Claim Bonus & No Claim Bonus Super (optional cover). Incremental increase every year is applicable on base Sum Insured. If a claim is made in any particular year, accrued No Claim Bonus & Claim Bonus Super will be reduced at the same rate at which it is accrued. No Claim Bonus Super is an optional cover available on payment of additional premium.
