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    PNB MetLife Linked Surgicash Benefit Rider

    Individual, Unit - Linked, Non-Participating, Pure Risk, Health Insurance Rider | UIN:117A026V01

    Please fill out personal information

    By 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. You have the option to opt-out of this contact authorization by un-checking the box. The authorization provided by you herein will supersede all earlier authorizations/registrations made by you in this regard.

    Thank you for your interest in PNB MetLife Solutions, the brochure has been sent to your email ID.

    Medical treatments can bring unexpected financial strain – especially when surgery is involved. PNB MetLife Linked Surgicash Benefit Rider offers a lumpsum payout as additional financial support, helping you take care of surgical expenses without disrupting your savings.

    Benefits of PNB MetLife Linked Surgicash Benefit Rider
    • Choose Surgicash Sum Assured ranging from Rs. 1 Lakh to Rs. 10 Lakhs
    • You can claim up to maximum of 2 times of Surgicash Sum Assured over the Rider policy term
    • Protect you spouse and up-to 3 children under the same policy with Family Coverage benefit
    • Get coverage for 100+ Day Care Procedures and Surgeries
    Why do you need a Surgicash Rider?
    Financial Support during Surgery

    Financial Support during Surgery

    The Surgicash Sum Assured, will help you manage surgery expenses without compromising your savings

    Flexibility

    Flexibility

    • Choice of Sum Assured that suits your needs
    • Cover extended to your family under same policy
    Affordable Premiums

    Affordable Premiums

    Cost-effective rider that offers protection at a low premium, making them affordable

    Compliments your existing Health Insurance

    Compliments your existing Health Insurance

    Working alongside your regular health insurance and creates a comprehensive coverage

    Things to Remember

    • Minimum Hospitalization Period
      • Benefit under this Rider shall be payable only after a continuous and completed 24 hours of Hospitalization of the Insured Person(s) for each claim except in case of Day Care Procedures.
    • Waiting Period
      • Waiting Period of 90 days is applicable for all Benefits payable under this Rider
      • Specific Waiting Period of 24 (Twenty-Four) months or 36 (Thirty-Six) months is applicable for specific conditions/procedure as mentioned in Policy terms and conditions
      In case of any claim for Surgicash Benefit during the waiting period, no Benefit shall be payable. The waiting period shall not apply if Surgicash Benefit claim arises due to accident.
    • Exclusions
      • Pre-existing diseases, self-inflicted injuries and certain medical procedures. Please refer to respective terms & conditions for more details on PNB MetLife Linked Surgicash Benefit Rider

    Frequently Asked Questions

    Expand All Collapse All

    What is Surgicash Benefit?

    Surgicash Benefit is a lumpsum benefit payable in case of hospitalization for medically necessary surgery in India

    What will be payable in case of Surgery?

    We shall pay Surgicash Benefit as a fixed defined percentage of Surgicash Sum Assured on occurrence of applicable Surgical Procedures as mentioned below:

    Surgery Description Pay-out (% of Surgicash Sum Assured)
    Listed Day Care Procedures Day Care Procedures Minimum of (10% of Surgicash Sum Assured or Rs. 50,000) whichever is lower
    Listed Surgeries Listed Surgeries by Organ Type  25% to 100%
    Non-Listed Surgeries All non-listed surgeries meeting the Surgery definition and requiring minimum 24 hours of Hospitalization  10%

    Please refer to terms and conditions of this Rider to know about the covered Day Care Procedures and Surgeries.

    Can I add my family members under this Rider?

    You have an option to add family member(s) (legal spouse and up to 3 dependent children of Primary Life Assured) by paying additional premium at inception or at Policy anniversary.

    If you choose to add family member(s), Surgicash Sum Assured as chosen by you at inception shall be shared between the Primary Life Assured and added family member(s)

    Is there any waiting period?

    For all Insured Person, a Waiting Period of 90 days is applicable for all Benefits payable under this Rider (except for claims solely due to Accident)

    Specific Waiting Period of 24 months or 36 months is applicable for specific conditions/procedure.

    In case of addition of family member(s) under the Family Coverage Benefit, the applicable Waiting Period shall apply individually to each family member, based on the respective date on which such family member is added to this Rider.

    Please refer to terms and conditions of the Rider for further details.

    What is the eligibility criteria for this Rider?

    Parameters Minimum Maximum
    Entry Age~ Primary Life Assured/Policyholder 18 years 65 years
    Family Coverage (Spouse) 18 years 65 years
    Family Coverage (Child) 91 days 17 years
    Maturity Age~ Primary Life Assured/Policyholder 23 years 70 years
    Family Coverage (Spouse) 23 years 70 years
    Family Coverage (Child) 5 years 22 years
    Premium Payment Term (PPT) / Policy Term (PT) For Regular Premium Payment:
    PPT and PT: 5 years
    For Single Premium Payment:
    PPT: 1 year
    PT: 5 years
    Surgicash Sum Assured per Policy year Rs. 1,00,000 Rs. 10,00,000
    Annualized Rider Premium1 Shall be derived basis Surgicash Sum Assured, Premium Payment Term, Entry Age for Insured Person
    Premium Payment Mode Annual, Semi-Annual, Quarterly and Monthly^

    ~All reference to age is as on age last birthday.
    ^Monthly mode is available for Standing instruction/direct debit options (including Electronic Clearing System (ECS), and Automated Clearing House (ACH)
    1Annualized premium is the premium amount payable in a year excluding taxes and underwriting extra premium on riders, if any

    Disclaimer:

    This page/document is updated as on
    Family Coverage is an optional benefit under this Rider. Please refer terms and conditions for further details. Family Members include Family Members of Primary Life Assured i.e., maximum of one spouse and maximum of three children.
    For more details on risk factors terms and conditions, please read the sales brochure carefully before concluding any sale.
    PNB MetLife Linked Surgicash Benefit Rider is an Individual, Unit - Linked, Non-Participating, Pure Risk, Health Insurance Rider | UIN:117A026V01
    Please refer to terms & conditions for more details on PNB MetLife Linked Surgicash Benefit Rider

    Please fill out personal information

    By 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. You have the option to opt-out of this contact authorization by un-checking the box. The authorization provided by you herein will supersede all earlier authorizations/registrations made by you in this regard.

    Thank you for your interest in PNB MetLife Solutions, the brochure has been sent to your email ID.

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