Oriental Insurance Health Insurance Plans

Company Overview

Incorporated on 12^th September 1947, Oriental Insurance Company is a subsidiary of Oriental Government Security Life Assurance Company Ltd. The company specializes in providing cover for mega projects such as power plants, steel, chemical and petrochemical plants. It is also providing various insurance covers to urban and rural population of India. Oriental Insurance Company has attained the wide presence throughout India with 30 Regional Offices, over 1800 operating Offices and has employee strength of around 13,500 employees. In year 2018-19, the company has registered the gross premium of Rs 11,248 crores.

The Claim Settlement Ratio of the company for the year 2018-19 is 106.10%.

Key Points of Oriental Health Insurance

Policy Renewability	Lifetime
Health Cover	Individual & Family Floater
Cashless Hospitalization	Network Hospitals
Claims Ratio	106.10%
Maternity Cover	Yes

Snapshot Of Oriental Health Insurance Plans

Plan Name	Plan Type	Min/Max Age	Min/Max SI	Availability	Plan Tenure
Individual mediclaim policy	Individual	Adult: 18 years– 65 years Child:	Min SI: 1 Lakh Max SI: 10 Lakh	Online	Min: 1 year Max:
Happy family floater policy	Family Floater	Adult: 18 years– 65 years Child: 91 days – 25	Min SI: 1 Lakh Max SI: 20 Lakh	Online	Min: 1 year Max:
PNB Oriental Royal Mediclaim Insurance Policy	Individual/Family Floater	Adult: 18 years– 79 years Child: 3 months – 23 years	Min SI: Visit nearest branch for more details Max SI:	Offline	Min: 1 year Max:
Oriental Bank Mediclaim Policy	Individual/Family Floater	Adult: 18 years– 79 years Child: 3 months – 26 years	Min SI: Visit nearest branch for more details Max SI:	Offline	Min: 1 year Max:
Oriental happy cash	Individual	Adult: 18 years– 75 years Child:	Min SI: 500 Max SI: 3000	Offline	Min: 1 year Max:
Jan Arogya Bima policy	Individual/Family Floater	Adult: 18 years– 70 years Child: 3 months – 18 years	Min SI: Rs 5000 per annum Max SI:	Offline	Min: 1 year Max:

Reasons for buying Oriental Health Insurance Plans

Taking care of your loved ones is the utmost priority for all of us. But in this era of aggravating medical cost, it is imperative to have a health insurance plan for yourself and your family. Health insurance plan provides the financial protection to you in case of hospitalization and treatment expense. Oriental Insurance Company offers multiple health insurance plans to choose from their health insurance portfolio.

Main USP’s of Oriental Health Insurance Plans are:

Enjoy cashless treatment in the network hospitals
No medical examination up to 55 years of age
Complete health cover
Avail daily hospital cash allowance
High sum insured available
Enjoy premium discount
Take advantage of quick claim settlement
Lifelong renewability available
Portability option available

Key Benefits of Oriental Health Insurance Plans

In-patient hospitalization expenses such as room rent, boarding/nursing, ICU charges, operation theater charges, medical practitioner’s fee, medicines, etc. are covered
Pre hospitalization expenses incurred prior hospitalization are covered for 30 days
Post hospitalization expenses incurred after hospitalization are covered for 60 days
Daily Hospital cash benefit is payable to meet non-medical expenses
Domiciliary treatment expenses are covered, up to the limit specified
Day care treatment or procedures are covered, as listed under the policy chosen
Organ donor expenses are covered up to an amount as specified
Maternity Cover and New born baby cover are available
Convalescence Benefit is paid, as specified under the policy chosen
Tax benefits are applicable for the premiums paid under section 80D of the Income Tax Act, 1961

Value Added Benefits under Oriental Health Insurance Plans

Ambulance charges are also covered
Personal Accident cover is available as an add-on cover
Hospitalization expenses incurred under AYUSH are covered
Treatment for animal bite is covered
Avail health check up after every 3 claim free policy years
Accidental dental treatment is covered
Take second opinion for specified critical illnesses
Attendant Allowance is available, depending on the plan chosen
Choose from several optional covers such as Restoration of sum insured, Life hardship survival benefit, Personal Accident benefit, & Geographical extensions to SAARC countries
Enhancement of sum insured at renewal of the policy
Funeral expenses of the insured are reimbursed
Increased daily Cash Benefit is applicable for female policyholders, depending on the plan chosen

(Note: The health plan benefits, features, specifications may differ from one to another)

Oriental Health Insurance Coverage

Oriental Insurance Company offers the comprehensive range of health insurance plans that aim to cater all your healthcare needs. You only need to choose a right health cover that will ensure to meet you & your family’s hospitalization expenses. With an adequate health cover, you don’t need to worry about medical expenses and only put your focus on health recovery.

Oriental Health Insurance Claim

When seeking health insurance claim from Oriental Insurance Company, you can choose either cashless or reimbursement claim.

Cashless Claim: The facility of cashless hospitalization can be opted, in case the insured member is hospitalized with the listed network hospitals of Oriental Insurance. Prior to buying a health insurance policy, you must check that there are network hospitals close to your location so you can approach to any of the hospitals at the time of medical exigencies.

In case of planned hospitalization, you need to get the pre-authorization from the insurance company 48 hours before the hospitalization. For immediate hospitalization, you should get the approval within 24 hours of hospitalization. Upon submission of requisite documents, the insurance company settles the medical bills directly to the hospital.

Reimbursement Claim: In the event of hospitalization with a non-network hospital, Oriental health insurance will reimburse for the medical expenses arising due to a hospitalization. You need to submit the medical bills and other required documents to the insurance company for reimbursement of the health claim.

Documents to be submitted for Claims

The following documents need to be submitted with the Oriental health insurance claim form.

First doctor’s prescription
Hospital bills
Related treatment prescriptions
Diagnostic reports
Discharge from hospital
FIR copy, if any
Patient’s identity card
Copy of health card

Calculate Oriental Health Insurance Premium

With Oriental health insurance plans, you will be covered for hospitalization expenses up to the sum insured chosen. To avail a health cover, the insurance company will ask you to pay the premium as per the plan chosen. Before buying a health plan from Oriental Insurance, you are advised to check the premium with help of health insurance premium calculator. The premium chart from Oriental Insurance Company will also help you to identify the premium amount for the desired health coverage.

Oriental Health Insurance Review

Oriental Insurance Company Ltd, offers health plans taking into consideration the varying healthcare needs of the buyers. You can choose from individual, family floater or group health insurance policy as per your need. Oriental Insurance offers several other benefits such as maternity & new born baby cover, AYUSH, second opinion, etc. depending on the plan opted. You can also choose from several add-ons that will enhance coverage and you can easily meet your healthcare expenses.

Oriental Health Insurance- FAQ’s

How to pay the policy premium?

Oriental health insurance offers two different modes of premium payment:

Online Payment: For making the premium payment via online mode, you have the option to pay through credit card, debit card & net banking.

Cash payment at branch: You need to visit the Oriental Insurance branch and pay the premium amount in cash.

How can I check the status of Oriental insurance policy?

By logging to Oriental Insurance website, you can check the policy status online by entering the required details such as policy number, date of birth or registered mobile number.

What is the policy renewal process of Oriental health insurance?

In order to renew a health policy, you need to visit the website of Oriental Insurance. At the insurer’s website, you can calculate the premium and proceed for the payment. After making the premium payment, the policy is renewed instantly.

What is the process of Oriental insurance to settle health insurance claims?

To get your health claim settled, you need to inform the insurance company by filling the claims form and furnish relevant documents online. After the company has accepted the claim-related documents, your claim is settled within a duration as specified by the insurer.

Is there any tax benefit on Oriental health insurance plans?

The premium amount you pay for covering you & your family under Oriental health insurance plan is considered for tax benefit under section 80D of the Income Tax Act 1961.