PNB Oriental Royal Mediclaim Insurance Policy
  • Individual or Family Floater
  • AYUSH Cover
  • Check the eligibility criteria
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PNB Oriental Mediclaim Policy

When it comes to health no one wants to be left behind. Health is the most important thing in your life. Health is Wealth and we do everything possible such as exercise, yoga, dieting, and much more to maintain good health. But we still suffer from various diseases and illnesses which put a heavy dent in our pockets when we get those treated in the hospitals. Therefore, having a comprehensive health insurance policy is necessary today.

PNB Oriental Royal Mediclaim policy provides comprehensive coverage to the account holders of Punjab National Bank and its associated banks. The policy has three plan types based on the beneficiary and registered account holders: One Account-One Policy, Multiple Account-One Policy, and One Person One Policy.

Eligibility of PNB Oriental Royal Mediclaim Insurance Policy

Type of Plan Individual plan or Family Floater
Entry Age (Minimum) Adult: 18 years
Dependent Children: 91 days
Entry Age (Maximum) 79 years
Members covered under this plan Up to 5 family members
& up to 3 dependent children

**Last Updated on July, 2021

Key Features & Benefits of PNB Oriental Royal Mediclaim Insurance Policy

This health insurance plan is specially designed for the account holders and employees of Punjab National bank. This provides health coverage to the entire family.

  1. Plan Variants

    The plan comes with 3 variants which are: One Account - One Policy, Multiple Account - One Policy, and One Person - One Policy.

  2. Hospital/Nursing Cover

    Under this policy, consumers will get coverage against hospitalization expenses that includes room, boarding, nursing, surgeons, anaesthetist, ambulance, ICU, and funeral expenses among others.

  3. Domiciliary Cover

    It allows you to take advantage of quality treatment at your home due to a genuine reason. It will cover expenses against blood, oxygen, surgical procedures, medicines & drugs, diagnostic material and dialysis, chemotherapy, nursing expenses, surgeon, consultant and many more.

  4. Cashless Facility

    A helpful feature under which you do not need to pay a single penny to the hospital if you take treatment in one of the network hospitals.

  5. Tax Benefits

    Get the tax benefit on paid premium under section 80(D) of Income Tax Act 1961.

Details of the Plan

Variants of Policy 3
Sum insured Rs. 1 lakh - 30 lakhs
Policy Time period 1 year
Renewability Lifetime

**Last Updated on July, 2021

Why Buy PNB Oriental Royal Mediclaim Insurance Policy?

If you are a PNB account holder or an employee, you can consider buying this plan. This plan along with several add-on features covers several illnesses, diseases, or accidental bodily injury sustained by the policyholder. Let's have a quick laydown of all the benefits this plan holds.

  1. Specially Designed for Employees and Account holders

    Only the PNB account holders and employees can take advantage of it. This means if you have an account in Punjab National Bank or work in any of its branches then only, you can opt for it.

  2. Day Care Treatment

    Apart from the domiciliary and hospitalization cover this plan provides coverage on daycare treatment as well.

  3. Pre and Post-hospitalization Cover

    Under this insurance policy, you will get coverage 30 days before and after hospitalization expenses that will save your hard-earned money to a great extent.

  4. Inpatient Treatment

    This policy covers expenses related to the medical treatment involving nursing and boarding charges, instrument expenses, fees of the surgeon or medical practitioner, ICU, ICCU costs, etc.

  5. AYUSH Treatment

    The plan covers the expenses incurred on alternative treatments such as Ayurveda, Unani, Siddha, Homeopathy, and others.

  6. Cash Allowances

    In this, the insured person is provided with a lump sum amount at the time of hospitalization. The money can be used for meeting additional expenses or for compensating for the income loss during the entire period of hospitalization. You can get a daily cash benefit of up to Rs. 200 for a day. This can be extended to a maximum of Rs. 1000.

  7. Ambulance Charges

    The ambulance charges include the transportation of an individual from one hospital to another because of his/her medical treatment. The ambulance charges are also covered under this plan up to Rs. 1000.

  8. Medical Examination

    If the severe medical history of the policyholder is reported then in that case a pre-acceptance medical test is required. The policy covers 50% of expenses of medical examination as per the terms and conditions.

  9. Organ Donor Expenses

    This plan covers the medical expenses incurred on in-patient hospitalization of organ donation. This comes under the section Transplantation of Human Organs Act 1994.

What Is Covered Under PNB Oriental Royal Mediclaim Plan?

Coverage of Expenses Limits
Nursing, Boarding and Room expenses 1% of the sum insured per day
ICU Expenses 2% of sum insured per day
Fees of Surgeon, medical practitioner, and consultant
OT charges, Anaesthesia, Surgical equipment, chemotherapy and radiotherapy, and similar kinds of expenses.
As per the limits of the sum insured
Charges for Ambulance services This plan provides an option of reimbursement up to Rs. 1000 in any policy tenure subject to claim. This is admissible at the time of hospitalization as per the policy sections.
The daily Hospital cash allowance Rs. 200 per day of hospitalization and the maximum compensation can be up to a limit of Rs.1000 during the policy term.
Funeral Expenses A lump-sum payment of Rs1000 for an insured person in case of his/her death.
Pre and Post hospitalization It covers the medical expenses incurred for 30 days before the hospitalization and up to 60 days after getting discharged from the hospital.
Domiciliary Hospitalization - This includes the fees of specialist, medical practitioner, consultant, surgical equipment, chemotherapy, nursing expenses 10% of sum insured and a maximum of Rs.25,000 during the policy term

**Last Updated on July, 2021

How To Buy PNB Oriental Royal Mediclaim Policy?

The process of buying the PNB Oriental Royal Mediclaim Policy is quite easy. Follow the below steps to buy this policy:

  • Visit the official website of Oriental Insurance Company.
  • Scroll down and choose the health policy you wish to buy.
  • On the next page, fill in the required details and calculate the premium.
  • Once done, you will get the payment details.
  • Make an online payment and your policy document will be sent to your registered email address.

Documents required to Buy this plan

  • Identity Proof - Aadhaar card, PAN card, Passport, Driving license
  • Address proof - Voter ID, electricity bill, telephone bill, etc.
  • Proof of Age
  • 2 Passport size photographs

What Is The Claim Process Of The PNB Oriental Royal Mediclaim Policy?

There are two processes to register a claim: Cashless and Reimbursement process. In cashless claims, you are not required to pay a single penny to the hospital and it saves you from financial stress at the time of medical emergency. In case, when you are hospitalized to a non-network hospital, then the policyholder pays the amount to the hospital, and afterwards, after submitting the required documents, the amount paid to the hospital is refunded back by the insurer.

Cashless Claim

In case if you want to avail of a cashless claim and are admitted to a network hospital then follow the below steps:

  • For availing of cashless treatment, the claim application form is required to be authorized by the network hospital.
  • The insurance company checks the information related to the medical condition and then analyzes if the claim is eligible for you or not.
  • When the insurance company is satisfied with the information, at that time, the policyholder can avail cashless treatment. The insurer settles all the medical expenses directly with the network hospital.

Reimbursement Claim

In case of emergency hospitalization, the insurer must be informed within 24 hours of hospitalization or getting admitted to the hospital.

  • Fill the claim application form.
  • Attach all the medical documents and submit all other required documents to the insurance company within 15 days of discharge from the hospital.
  • Then, after the approval or the rejection from the insurer, the reimbursement claim is processed.

Documents Required

  • Completely filled and signed claim application form
  • Medical bills of all the medical examinations, doctor consultations
  • Proof of hospitalization and hospital discharge card
  • Doctor's prescription
  • Medical Report about your complete treatment

Cancellation Policy of PNB Oriental Royal Mediclaim Insurance Policy

You can cancel the policy at any time during the policy tenure, provided the policyholder is not making any kind of claims during that time and have cleared all the payments. The time to cancel the policy is 30 days and the company shall pay the refund on time.

Exclusions

  1. Pre-existing disease

    The Company will not provide coverage on pre-existing diseases for up to 3 years.

  2. Few diseases

    Some diseases such as surgery of hydrocele, surgery of hernia, cataract, pilonidal sinus, etc. are not included in the same.

  3. Naturopathy Treatment

    Naturopathy treatment, experimental or alternative medicine, unproven procedure, and such type of treatment's expenses are not liable for any cover from the insurer.

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PNB Oriental Royal Mediclaim Insurance Policy: FAQs

1. What is the waiting period for pre-existing diseases under PNB Oriental Royal Mediclaim policy?

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.

2. When the PNB Royal Mediclaim policy cannot be renewed?

If the insured individuals commit fraud, misrepresentation, non-cooperation, or moral hazard, the insurance company will not renew the policy.

3. Is it possible to include a family member in the middle of the policy period?

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).

4. Did this policy cover the treatments that do not require hospitalization for a whole day?

Yes, the PNB Oriental Royal Mediclaim policy offer coverage for daycare treatment.

5. Can Oriental Insurance cancel my PNB Oriental Royal Mediclaim policy?

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.

Find Out What the Customers Are Saying

(Showing latest 5 reviews only)

- 4.7/5 (40 Total Rating)

June 9, 2022

Ritika

Kanpur

I purchased an insurance plan from oriental insurance and I am happy to be a part of this organization.

October 19, 2021

Simran C

Delhi

happy with the claim settling speed....they responded within no time and were super efficient during the whole process

October 18, 2021

Sukhi singh

Delhi

good service...in fact super quick repsponse time of the customer support team...they have knowledge and are effective

October 8, 2021

Kamakshi

Bengaluru

i raised my claims and they covered most of my surgery expenses ...they truly want to help which is the greatest thing about them

September 8, 2021

Himesh Nigam

Chandigarh

Man I was pleasantly surprised with the customer agent I spoke to at Oriental...so detailed and thoruough about every query I had...going to get a health plan super soon!

Last updated on July, 2021

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