PNB Oriental Royal Health Insurance - Check Benefits & Plans
Designed exclusively for PNB account holders, the PNB-Oriental Royal Mediclaim Policy is a comprehensive family floater health insurance plan that keeps your entire family protected — at premiums that won't strain your budget. Open to eligible customers up to 80 years of age, this plan goes well beyond standard hospitalisation cover. From hospital cash allowance to health check-up costs, every benefit is thoughtfully included to give PNB customers truly end-to-end healthcare protection.
Table of Contents
What is Not Covered under PNB Oriental Royal Health Insurance?
Exclusions under PNB Oriental Royal Health Insurance
- Pre-existing diseases not covered up to 3 years since policy inception.
- Treatments for health complication such as aesthetic dental treatment, circumcision, eye surgery, AIDS, HTLD-III, pregnancy, obesity, non-treatment hospital visits, accident from adventure sports, massages etc. are not covered.
- Treatments such as hernia, polycystic ovarian diseases, non-infective arthritis, cataract, piles, sinusitis, hypertension, diabetes, joint replacements etc. are covered after a specific amount of time has passed since policy inception (1-2 years depending on ailment).
Eligibility for PNB Oriental Royal Health Insurance
- Must have an account with PNB.
- Covered individuals should be above three months and less than 80 years old.
- Coverage for two children apart from applicant and his/her spouse.
- Female child can be covered under this policy till her marriage.
- Male child can be covered up to 26 years of age.
How to Renew Policy for PNB Oriental Royal Health Insurance?
- Renewal can be done at the end of policy tenure, within 30 days of expiry of the policy.
- Renewal may be rejected at the company's discretion.
Benefits of PNB Oriental Royal Health Insurance
- Family floater scheme where up to 4 family members can be covered under a single policy.
- Policyholder, spouse and two dependent children can be included under a single premium.
- Sum assured available from Rs.1 lakh to Rs.5 lakhs.
- Medical examination not required at any stage of application or renewal.
- Cashless hospitalization, health check, ambulance charges etc. are covered under the policy.
- Attractive premium amounts with greater transparency in rates owing to uniform premium rates for all applicants under the age of 80.
- Standard premium rates are - Rs.1,749 for Rs.1 lakh sum insured, Rs.3,320 for Rs.2 lakhs sum insured, Rs.4620 for Rs.3 lakhs sum insured, Rs.5,780 for Rs.4 lakhs sum insured, and Rs.6,830 for Rs.5 lakhs sum insured.
- Nursing, boarding and room expenses up to 1% of total sum insured per day of hospitalization.
- ICU expenses up to 2% of sum insured on a daily basis. Also, consultant, specialist, surgeon, anaesthetist etc. fees are covered.
- Reimbursement of expenses when hospital not a part of network of PNB.
- Pre-hospitalization cover up to 30 days before getting admitted, and post-hospitalization cover for 60 days.
Tax Benefits for PNB Health Insurance
Tax benefits are applicable under Section 80D of the IT Act, 1961. Under this section, tax deductions are provided on all health insurance premiums paid in a year, subject to maximum deduction of Rs.25,000 for individuals and Rs.30,000 for senior citizens.
GST rate of 18% applicable for all financial services effective July 1, 2017.
FAQs on PNB Oriental Royal Health Insurance
- What is the minimum age to buy the PNB Oriental Royal Health Insurance?
The minimum age to buy PNB Health Insurance is 18 years and for dependent children, the minimum age is 91 days (three months).
- Can I buy PNB Oriental Royal Health Insurance online?
Yes, you can buy PNB Oriental Royal Health Insurance online by visiting the official website of Oriental Insurance, filling in the application form, and paying the payment.
- Can I get tax benefits on the premium paid for PNB Oriental Royal Health Insurance?
Yes, you can get tax benefits under Section 80D of the Income Tax Act, 1961, on the premiums paid. A person can claim a deduction of up to Rs.25,000 per year. On the other hand, a senior citizen who is 60 years or above is eligible for a higher deduction of up to Rs.50,000.
- What is the available sum insured range for PNB-Oriental Royal Mediclaim Policy?
You can get coverage options that range from Rs.1 lakh to Rs.10 lakhs, depending on the variant selected by you.
- Is there an upper age limit to enroll in PNB Oriental Royal Health Insurance?
Yes, the maximum age of a person to buy this policy is 79 years.
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