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Last updated on: August 7, 2025

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The key pain points associated with choosing 1 crore health insurance in India for 2025 include justifying the high sum insured, understanding the layered policy structure, and ensuring inclusion of global and specialized treatment benefits. The featured 1 Crore Health Insurance in India effectively addresses these issues by offering all-inclusive coverage for high-cost treatments, international medical care, critical illnesses, and long-term hospitalization. It is ideal for HNIs, business owners, and families seeking top-tier medical protection without financial limits. The platform enhances user clarity with transparent breakdowns, AI-driven customization based on lifestyle and risk exposure, and expert guidance to ensure maximum return on investment and seamless claims experience.

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Oriental Health Insurance OBC Royal Mediclaim Policy: Your Guide 2025

Oriental Health Insurance OBC Royal Mediclaim Policy is a leading health insurance product designed to suit the needs of customers of Oriental Bank of Commerce or its merged bank, Punjab National Bank. This plan offers policyholders current healthcare coverage, medical expense reimbursement, and value-added services which are grounded on the fast-changing healthcare landscape in 2025. Knowing about this policy will provide you with an idea of whether it is suitable to your family health coverage requirements, and you will have peace of mind when it comes to increasing medical expenses.

What Is OBC Royal Mediclaim Policy?

OBC Royal Mediclaim Policy is a partnership between the Oriental Insurance and the former OBC to provide retail and family floater health insurance. The policy is specifically targeted at account holders, staff and their families and offers wide coverage against hospitalization, surgeries, critical illnesses and cashless network benefits.

Introduced to meet the increasing need of wide-ranging and affordable mediclaim products, the plan establishes a safety net of people in both urban and rural India. The policy can be reached by branches and digital platforms, which means that it is accessible to the wide range of customers of the bank.

Did you know? In 2024, more than 30 percent of new health insurance buyers in India bought their policies via bank alliances, indicating an increasing confidence in bancassurance distribution.

Why OBC Royal Mediclaim Policy in 2025?

It is particularly appropriate to select this policy because healthcare inflation is on the rise in India. The consistent claim settlement history of Oriental Insurance along with the customized benefits to the OBC PNB account holders offers security as well as convenience.

  • Hospitalization and critical conditions all-round cover
  • Treatment in a broad variety of hospitals without cash
  • Competitive premiums at reasonable sum insured amounts
  • Good no-claim bonuses and health check-ups once a year

In the event that you are within the combined OBC and PNB network, or want a balanced plan with a reliable customer service, then this policy is one of the best in 2025.

Main Features and Highlights of Oriental OBC Royal Mediclaim Policy

These are the best features and highlights, which are of most importance to customers comparing health plans in 2025:

  • Entry Age: Adults: ages 18-79 years; children: 91 days-25 years as dependents
  • Sum Insured: Various choices, usually between 1 lakh to 10 lakhs INR
  • Coverage: In-patient hospitalization, pre and post hospitalization, day-care procedures
  • Cashless Network: More than 6000 empanelled hospitals in the country
  • Critical Illness Benefit: Payout in lump sum on certain life-threatening illnesses
  • No-Claim Bonus: Claim-free years: up to 20 percent
  • Tax Benefits: Under Section 80D deductible premium
  • No Health Checkup until 55 years (unless there is a bad health record)
  • Reinstatement of Sum Insured: Reinstatement of a plan automatically after exhaustion in some plans

Other benefits such as health check-ups and daily cash benefits to accompanying persons can also be provided, particularly in the family floater policies.

Speedy Table: Important Parameters of Oriental OBC Royal Mediclaim Policy (2025)

FeatureDetails
Min Entry Age18 years (adults), 91 days (children)
Maximum Age of Entry79 (adult), 25 (child)
Sum Insured1 lakh to 10 lakhs INR
Network Hospitals6000+
Pre/Post Hospitalization30 days / 60 days
Critical Illness Count10 to 12 conditions (depends on plan variant)
No-Claim Bonus5-20 percent of base sum insured (on each claim-free yr)
Policy Term1 year (lifelong renewable, subject to terms)
Waiting Period30 days (general), 2-4 years on some conditions

Expert Insight
According to Dr. Anirudh Rajan, Insurance Consultant, Mumbai, family floaters such as OBC Royal Mediclaim have gained popularity due to the desire of families to have single premium, flexible sum insured and broad and reliable cashless networks.

What Does the Cashless Hospitalization Entail?

After being insured under this policy, in case you or your family member is hospitalized, you can enjoy cashless treatment at any of the hospitals listed by Oriental Insurance. Just give your e-card and complete a preauthorization form. The hospital liaises with the TPA (Third Party Administrator) of the insurer and the bills are settled directly without you having to pay upfront (unless it is not covered or the standard deductions).

The main advantages of Cashless Services:

  • There is no necessity to organize big cash payments on short notice
  • Network has the best multi-specialty hospitals and nursing homes
  • Billing transparency, advance approvals and direct settlements

What Is OBC Royal Mediclaim Policy?

The policy will provide cover on a variety of medical expenses, including:

  • Room rent, ICU, nursing (inpatient hospitalization)
  • Professional charges and doctor fees
  • Diagnostics and medicines before hospitalization (up to 30 days)
  • After-hospitalization (within 60 days)
  • Day-care surgery (cataract, dialysis)
  • Costs of organ donors
  • Ambulance charges (to a certain extent)
  • Critical illness payout (on selected diseases)
  • Some health examinations upon 4 consecutive renewals without claims
  • Maternity Benefit (limited) is also an add-on feature of some variants.

What Is Excluded?

This policy, as any other health insurance, has some scenarios that are not covered. Key exclusions:

  • Unreported or waiting period pre-existing illnesses
  • Non-allopathic/experimental medicine treatment
  • Cosmetic surgery, dental or hearing aids
  • War, nuclear accidents or self-harm injuries
  • Unrecognized hospital care
  • OPD costs not otherwise specified
  • Inherited illnesses, fertility therapies

Your policy wordings should always be read or digital brochures viewed to see the full list of exclusions.

People also enquire

Q: Is there any waiting period on covering pre-existing ailments?
A: Yes, it has a waiting period of 2 to 4 years on pre-existing diseases unless in the case of an accident.

What are the advantages and disadvantages of OBC Royal Mediclaim Policy?

The comparison of pros and cons simplifies the choice on your part.

Pros

  • Low premiums as compared to standalone retail policies because of the tie up with the bank
  • Hospitalization, surgery, critical illness Comprehensive base coverages
  • Various budget sum insured options
  • Many of the applicants do not need a pre-policy check-up until the age of 55 (without adverse history)
  • Cashless and reimbursement claim process is easy
  • Lifetime renewal in case policy is maintained
  • Section 80D tax savings of the Income Tax Act

Cons

  • Not accessible to all. Only customers and affiliates of OBCPNB would be eligible
  • Limited amounts of some claims (room rent, ICU, ambulance charges)
  • Critical illness benefit does not cover so many diseases as niche standalone plans
  • Sub-caps on maternity, dental or particular procedures
  • No OPD cover unless as a separate rider

Did you know? In 2023-2024, Oriental Insurance settled more than 93 percent of health claims within 3 months as per IRDAI.

Who can avail OBC Royal Mediclaim Policy in 2025?

The policy is aimed at:

  • PNB now has saving account holders of former OBC
  • Customers of fixed deposit or recurring deposit
  • Employees and retired employees of OBCPNB group
  • Their close relatives (husbands, wives, dependent children under the age of 25, dependent parents)

In case you are not a banking relationship with OBC PNB, then you might have to open an account to become eligible. This renders the plan a bit exclusive, however, it also implies custom-negotiated pricing and coverage.

How Do You Purchase and Renew the Policy? How does it Work in 2025?

By 2025, the process is highly digitized to make it convenient to the customers. You can:

  • Apply in the nearest PNB (former OBC) branch by using banking staff
  • Visit official Oriental Insurance site or mobile app, and enter your customer/bank details
  • KYC documents, banking proofs, health declaration
  • Select sum insured and check variant of plan
  • Make premium payment online through UPI, netbanking or cheque

After this, your policy is issued and e-copy sent to your registered email and phone.

It is automatically renewed when configured, or you can log in and renew manually. Grace period is normally 30 days after expiry.

Insider Take
“The digital sale of health insurance increased almost 30 percent in FY2024, and a large number of insureds are willing to compare the features of the policy and the premiums on online platforms before making a final purchase,” says Prachi Jagota, Insurance Comparison Analyst.

Oriental OBC Royal Mediclaim Policy Vs Other Health Insurance Plans (2025 Update)

It is useful to compare this policy with other health plans in India.

Feature / ParameterOBC Royal MediclaimLeading Standalone Retail MediclaimEmployer Group Health Policy
EligibilityOBC PNB customersAnyoneEmployees only
Sum Insured Range1-10 lakh2-50 lakh2-10 lakh
Premium on 35YO familyRs 8,000Rs 12,500Nil (normally paid by company)
Cashless Network6000+ hospitals7000+ hospitals6000+ hospitals
Pre-existing Conditions2-4 year wait2-4 year wait0-4 years (variable)
NCBUp to 20 percentUp to 50 percentNot generally applicable
Maternity Add-onSomeMoreMore in some cos.
PortabilityRestrictedClumsyNone

This snapshot reveals that OBC Royal Mediclaim is a good cover to most families at a cheaper premium. But standalone retail plans can be superior when it comes to higher sum insured or advanced wellness features. The employer policies are usually most suitable to young skilled employees who do not have family requirements.

People also inquire

Q: Can I raise the sum insured on renewal?
A: Yes, you can ask to increase sum insured when you renew the policy, depending on your health condition and insurers permission.

What will be the Premium of OBC Royal Mediclaim Policy in 2025?

The premiums depend on:

  • Sum insured selected (greater sum insured, greater premium)
  • Family size (the more, the better premium)
  • Eldest insured age
  • Place (metro/non-metro loading)
  • Add-ons or optional covers chosen

To refer to 2025: A floater policy of two adults and one child, 35 years, with sum insured of Rs 5 lakh will cost approx Rs 7500 to Rs 9000 plus taxes, per year. Older ages or bigger sum insured options increase correspondingly.

Online sites offer convenient calculators to give you an estimate of your actual premium in a few seconds so that you can compare this with other company offerings in a single location.

Real World Example: Ravi

Ravi Kumar, 42, a customer of PNB in Kolkata purchased the OBC Royal Mediclaim Policy in 2022 on the advice of a friend. His wife had to undergo gallbladder surgery in March 2024. Ravi chose to be hospitalized in a listed hospital in a cashless manner and he did not pay anything at the time of admission except some sundry expenses. The process of approval of the claim was fast and the hospital bill of Rs 1.6 lakh was paid directly. Ravi attributes his peace of mind and low out-of-pocket cost to his decision to select this bancassurance product after comparing the features of the products on an insurance comparison site.

Did you know? In 2024, medical inflation in India was averagely 8.5 percent which placed it as one of the three leading markets in Asia in terms of increasing healthcare costs.

Claiming? How? Step by Step

  1. Inform Insurer: Before hospitalization (or immediately in case of an emergency) inform the insurer or TPA.
  2. Current e-card: Display your e-card at the hospital insurance desk and make preauthorization.
  3. Cashless Hospital Processes: TPA checks the records and approves.
  4. Pay deductible or non-covered costs (optional/extra): Non-covered Costs or Deductible Costs.
  5. Track Status: You receive SMS and emails to know the status of claims.
  6. Give original bills and discharge summary to the insurer after the treatment (not cashless). The majority of claims are resolved in 15-21 working days provided that documentation is in order.

Key Tips:

  • It is always important to have copies of all the hospital bills and diagnostics
  • Check the policy conditions of sub-limits and caps on room rents
  • In the case of scheduled procedures, seek pre-auth 48 hours beforehand

In short or TL;DR or summary

The Oriental Health Insurance OBC Royal Mediclaim Policy is a bank-customer oriented health insurance policy with features that suit the Indian family in 2025. With cashless treatment, coverage against critical illness and hospitalization, tax benefits and good premiums, it offers security and convenience to the customers of OBCPNB. Compare online to get best value by evaluating sum insured, premium and eligibility and compare on online platforms before buying.

FAQs: People Also Ask

Q: Is it possible to apply to this policy by non-OBC PNB citizens?
A: No, this is a special plan to the customers of OBCPNB and their families. Standalone mediclaim policies can be considered by non-account holders.

Q: What is the major difference between OBC Royal Mediclaim and a retail health insurance scheme?
A: Royal Mediclaim is a bank tie-up scheme, which is usually cheaper, with limited sum insured and eligibility, whereas retail scheme provides broader cover and is open to all.

Q: Do pre-existing diseases have coverage on the first day?
A: No, in this plan there is a waiting period (typically 2-4 years) on pre-existing diseases.

Q: Do maternity costs include?
A: There are some plan options that have limited maternity benefits as an add on. Read your policy conditions.

Q: Where do I compare OBC Royal Mediclaim with other health insurance plans?
A: Go to trusted online marketplaces where you can compare features, premiums and coverages of many insurance providers in one place and make an informed choice.

Q: Does OBC Royal Mediclaim Policy cover COVID-19 treatment in 2025?
A: Yes, hospitalization because of COVID-19 is covered as per IRDAI guidelines, on terms and conditions of hospitalization coverage.

Sources:

  • Oriental Insurance Website
  • PNB Official Website -Bancassurance, Inflation Report

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Written by Prem Anand, a content writer with over 10+ years of experience in the Banking, Financial Services, and Insurance sectors.

Who is the Author?

Prem Anand is a seasoned content writer with over 10+ years of experience in the Banking, Financial Services, and Insurance sectors. He has a strong command of industry-specific language and compliance regulations. He specializes in writing insightful blog posts, detailed articles, and content that educates and engages the Indian audience.

How is the Content Written?

The content is prepared by thoroughly researching multiple trustworthy sources such as official websites, financial portals, customer reviews, policy documents and IRDAI guidelines. The goal is to bring accurate and reader-friendly insights.

Why Should You Trust This Content?

This content is created to help readers make informed decisions. It aims to simplify complex insurance and finance topics so that you can understand your options clearly and take the right steps with confidence. Every article is written keeping transparency, clarity, and trust in mind.

🏅 This content follows Google's People-First Content Guidelines

Based on Google's Helpful Content System, this article emphasizes user value, transparency, and accuracy. It incorporates principles of E-E-A-T (Experience, Expertise, Authoritativeness, Trustworthiness).

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