PNB Oriental Royal Mediclaim Policy: Benefits & Premiums | PolicyX
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PNB Oriental Royal Mediclaim Insurance Policy

PNB Oriental Royal Mediclaim Policy offers comprehensive health insura ...Read More

Up to 2 Crores
Sum insured
1
No. of plans
1,000+
Pan India presence
91.62%
Claim settlement ratio
🛡️ IRDAI Approved
4.4/5 · 2,704 reviews
🏥 4,000+ hospitals
📊 -1.03 solvency ratio
91.62% claim settlement
Written by Simran saxena
Reviewed by Raj Kumar
Published: 24 Oct 2024
Updated: 27 Jul 2026
Expert Verified
IRDAI Licensed

Overview

The PNB Oriental Royal Mediclaim policy, introduced by Oriental Health Insurance, provides comprehensive coverage to account holders of Punjab National Bank and its associated banks. This Oriental Insurance Mediclaim policy covers individuals up to 79 years of age. It is available as an individual and family floater plan, covering two or more individuals.

Key Features and Benefits

It offers an extensive range of features and benefits at affordable premiums, including:

Policy Details

The policy comes with different sum insured options ranging between ₹1 Lakh and ₹10 Lakh and can be purchased for a term of 1 year.

Plan Types

The policy has three plan types based on the beneficiary and registered account holders:

  • One Account-One Policy
  • Multiple Account-One Policy
  • One Person Policy

Things To Remember: PNB Oriental Royal Mediclaim Health Insurance

Know more about PNB Oriental Royal Mediclaim Health Insurance, its claim process, buying process, and contact details by clicking on the sections below:

Exclusions

  • Hospitalization due to war, riot, strike, and nuclear weapons
  • Intentional self-injury
  • AIDS
  • Miscarriage and abortion
  • Congenital diseases
  • Infertility and in-vitro fertilization
  • Listed ailments after 12 months
  • Pre-existing diseases after 36 months

Sample Premium Illustration of PNB Oriental Royal Mediclaim Plan

To understand the premium amount one needs to pay, let us go through the below examples:

1 Adult

Sum Insured (in ₹) 5 Lakhs 7 Lakhs 10 Lakhs
Premium Payable 8,393 11,009 13,240

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
18 to 79 Years
Plan type
Individual and Family Health Insurance
Sum insured options
₹1 L, ₹2 L, ₹3 L, ₹4 L, ₹5 L, ₹6 L, ₹7 L, ₹8 L, ₹9 L, ₹10 L
Waiting period
30 days
Renewability
Lifetime
Policy term
1 Year

*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Covers family
  • High sum insured
  • Ambulance cover

Cons

  • Illegal activities
  • Alcoholism and drug abuse
  • Obesity

What's covered

A quick look at what this plan covers — and what it doesn't.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Covered
  • Day-care treatment Covered
  • OPD charges Not covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Not covered
  • Automatic restoration of SI Not covered
  • Daily hospital cash Covered

Family & special care

  • Maternity cover Not covered
  • New-born baby cover Not covered
  • IVF treatment Not covered
  • AYUSH treatment Not covered
  • Organ donor expenses Covered

Modern & preventive care

  • Modern treatment Not covered
  • Road ambulance Covered
  • Air ambulance Not covered
  • E-consultation Not covered
  • Health check-up Not covered
  • Second medical opinion Not covered
  • Vaccination Not covered

Conditions & global

  • Co-payment Not covered
  • Sub-limits Not covered
  • Compassionate travel Not covered
  • Global coverage Not covered

Video reviews

Walkthroughs from the PolicyX team — pros, cons, real claim experiences and who should buy.

Oriental Health Insurance

Oriental Health Insurance

This video talks about Oriental Health Insurance in detail. It talks about the Solvency Ratio, and Claim Support Ratio which helps an individual to analyze the Claim settling ability of the Insurer.

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Min entry age: 18 years
  • Max entry age: 79 years
  • Initial waiting period: 30 days
  • Sum insured: Up to 10 Lakh

Frequently Asked Questions

The 5 most-asked questions about PNB Oriental Royal Mediclaim Insurance Policy, answered.

PNB Oriental Royal Mediclaim policy has a 36-month waiting period for pre-existing ailments and 12/24/36 month waiting periods for specific diseases.
If the insured individuals commit fraud, misrepresentation, non-cooperation, or moral hazard, the insurance company will not renew the policy.
It is only permissible by giving written notice to the insurer in the case of a newly married spouse (within 90 days of marriage) or a newborn child (within 90 days of birth).
Yes, the PNB Oriental Royal Mediclaim policy offer coverage for daycare treatment.
Oriental Insurance can cancel your policy at any time for misinterpretation or fraud by you by giving a 30 days notice. Also, in the event of cancellation due to the above-mentioned reasons, no refund of the premium would be issued.

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