Oriental Pravasi Bharatiya Bima Yojana - 2017

Eligibility Criteria

Coverage Offered

The Oriental Pravasi Bharatiya Bima Yojana 2017 Policy offers coverage for expenses incurred for the following:

• Death or Permanent Disability
• Hospital admission for a minimum of 24 hours
• Pre-hospitalization for up to 30 days before hospitalization
• Post-hospitalization expenses for up to 60 days in case of insured emigrant
• Daycare treatment for listed procedures
• Maternity cover to women emigrants
• Telemedicine expenses
• Advanced Surgeries and Modern Treatments
• AYUSH treatments are covered without any sub-limit.
• Cost of transporting mortal remains in case of death of the insured emigrant.
• Repatriation expenses of insured emigrant
• Legal expenses relating to the employment of insured emigrants

Inclusions of the plan

Given below are the other inclusions of the policy apart from the basic coverage.

The below procedures will be covered in the Oriental Pravasi Bharatiya Bima Yojana 2017 policyif treated as in-patient care or daycare procedure: 

• Uterine artery Embolization and HIFU
• Balloon Sinuplasty
• Deep Brain Stimulation
• Immunotherapy
• Oral Chemotherapy
• IV Injections
• Robotic Surgeries
• Stereotactic Surgeries
• Bronchial Thermoplasty
• Vaporization of prostate
• Stem Cell therapy

Expenses for Medical Advice from a medical practitioner, including the issue of prescription and follow-up prescription, are included.

Medical expenses incurred by the insured person for medical treatment due to an illness on a medical practitioner's advice. 

Exclusions of the plan

The significant exclusions under the Oriental Pravasi Bharatiya Bima Yojana 2017 Policy are:

• Treatment of pre-existing diseases
• Investigation and diagnostic expenses
• Cosmetic, plastic and similar surgeries
• Infertility treatments
• Obesity and weight loss treatments
• Change of gender procedures
• Excluded providers
• Harm or injury caused due to hazardous or adventure sports
• Cosmetic dental surgeries
• Injury caused to breach of law or criminal activity.

Refer to the Policy document for a detailed exclusion list. 

Features & Benefits

Given below are the significant features and benefits of the Oriental Pravasi Bharatiya Bima Yojana 2017 plan:

• The Oriental Pravasi Bharatiya Bima Yojana 2017 Insurance policyis designed to aid emigrants by offering them appropriate health insurance cover while abroad for employment after obtaining emigration clearance.
• An insurance cover of a minimum of Rs. 10 lakhs is payable to the nominee in case of death or permanent disability of the Indian emigrant.
• The insurance policy is valid for a minimum period of 2 years or the actual employment period, whichever is longer.
• The waiting period for pre-existing diseases is 48 months.
• Cashless reimbursement benefit is offered in Network Hospitals if the treatment is taken in India.
• The premium paid and the benefits received under this policy are eligible for tax deduction under section 80D of the Income Tax Act 1961*

*Tax benefit is subject to changes in tax laws 

Cancellation of Policy

The company will allow cancellation of the policy if:

• If a Pravasi Bharatiya Bima Yojana policyis in place with respect to the emigrant insured from another insurer or,
• When the overseas journey is not undertaken subject to original passport production as proof, the insurance company will retain Rs.101 as cancellation charges.

Companies can also cancel the policy on the grounds of misrepresentation, non-disclosure of essential information or non-cooperation of the insured person. In this case, no premium will be refunded.