Oriental Health Insurance Review – Forbes Advisor INDIA

Happy Family Floater Policy

The Happy Family Floater policy aims to provide the most extensive and comprehensive coverage to the individuals and families. This policy comes in four variants: Silver, Gold, Diamond and Platinum, with the sum insured amount ranging from INR 1 lakh to INR 50 lakh.

Key Features:

1. Silver Plan: INR 1 lakh- INR 5 lakh
2. Gold Plan: INR 6 lakh- INR 10 lakh
3. Diamond Plan: INR 12 lakh – INR 20 lakh
4. Platinum Plan: INR 25 lakh- INR 50 lakh (Newly Introduced)

• The insured has the option to cover their entire family including self, spouse, children, parents and parents-in-law and also unmarried dependent siblings.
• Room rent limit is up to 1% and ICU is up to 2% of the sum insured on a per day basis.
• Coverage for pre-and post-hospitalization costs up to 30 and 60 days respectively.
• Coverage for modern treatment costs such as robotic surgery, deep brain stimulation.
• Coverage of maternity and newborn costs is up to 2.5% of the sum insured under Diamond and Platinum Plans.
• The insured can avail hospital daily cash up to 0.1% of the sum insured available under Gold, Diamond and platinum plans.
• Benefit of second medical opinion is covered as per specified limits and tele consultation is covered up to INR 2,000 per family.
• The high range platinum plan provides extra coverage of air ambulance, accidental cover, critical illness cover and OPD benefit for dental and ophthalmic treatment.

Oriental Health Insurance Mediclaim Insurance Policy

The Mediclaim Insurance Policy offers wide coverage of major and minor hospitalization expenses, pre and post hospitalization costs, ambulance charges and domiciliary treatment costs.

Key Features:

• The sum insured ranges from INR1 lakh to INR 10 lakh.
• Room rent and nursing expenses are covered up to 1% of the sum insured amount on a per day basis.
• ICU expenses are covered up to 2% of the sum insured amount on a per day basis.
• Fees charged by surgeon, anesthetist, medical practitioner, consultants are covered.
• Ambulance charges are covered up to INR 2,000 or 1% of the sum insured, whichever is less.
• Coverage for pre-and post-hospitalization costs up to 30 and 60 days respectively.
• Coverage for modern treatment costs such as robotic surgery, deep brain stimulation.
• The insured can avail hospital daily cash up to 0.1% of the sum insured amount.
• Coverage for domiciliary treatment costs is up to INR 50,000 or 20% of the sum insured amount.
• Coverage for the vaccination of animal bite is up to INR 5,000.
• Benefit of second medical opinion is covered as per specified limits and tele consultation is covered up to INR 2,000 per family.
• Coverage of HIV and AIDS treatment costs.
• Coverage for medical costs related to any mental illness issue.
• Voluntary co-payment of 10% or 20% is applicable on each and every claim.
• Optional cover of personal accident policy up to INR 10 lakh.
• The insured can avail family discount of 10% if more than one person is included under the same policy.
• No need for pre health screening of people below 55 years.

Oriental Happy Cash-Nischint Rahein Plan

This Happy Cash Policy by the Oriental Health Insurance provides daily hospital cash allowance to the insured if the hospitalization is beyond 24 hours. This plan pays you a fixed amount as allowance at the time of hospitalization and the hospital daily cash is paid irrespective of the actual bill amount. This plan only covers the expenses related to hospitalization such as conveyance, lodging.

Key Features:

• The insured has the option to choose the daily cash allowance, ranging from INR 500, INR 1,000, INR 2,000 to INR 3,000.
• The insured is allowed to avail daily cash benefit allowance for the maximum hospitalization period of 30 or 60 days.
• A fixed lump sum amount is paid, in addition to the daily cash benefit, if the hospitalization is beyond 30 or 60 days.
• Family discount of 5% and 7.5% on covering two members and more than two members respectively.
• Loyalty discount of 10% if the insured is already holding any of the company’s health policies.
• Additional 25% discount to female policyholders.
• Coverage for AYUSH treatment.
• The insured has the option to choose either for no deductible or a deductible of one day.

Oriental Super Health Top-Up Plan

The Super Health Policy is a top-up plan which can be taken along with your regular health policy. This top-up plan comes in both the options of family floater and individual basis. The policy covers pre and post hospitalization expenses, more than 100-day care surgeries, hospital cash, ambulance charges, HIV/AIDS treatment cost, etc.

Key Features:

• The sum insured ranges from INR 3 lakh to INR 30 lakh.
• The deductible ranges from INR 3 lakh to INR 20 lakh.
• Coverage for pre-and post-hospitalization costs up to 30 and 60 days respectively.
• Coverage for modern treatment costs such as robotic surgery, deep brain stimulation.
• Maternity coverage and newborn coverage is up to 10% and 5% of the sum insured.
• Coverage for HIV/AIDS and mental illness treatment costs.

Oriental Pravasi Bhartiya Bima Yojna

The Pravasi Bhartiya Bima Yojna Policy is specially designed for the emigrants of India, who are working overseas for various professions or those who intend to emigrate. This policy is available for a minimum of two years and maximum of three years tenure.

Key Features:

• Personal accident coverage up to INR 10 lakh.
• Coverage for hospitalization expenses on floater basis if the family is situated in India is up to INR 50,000.
• Maternity coverage to insured women (emigrant) for normal delivery up to INR 35,000 and for caesarian operation INR 50,000.
• Tele consultation coverage up to INR 2,000.
• Coverage for room and ICU charges.
• Coverage for HIV/AIDS and mental illness treatment costs.
• Coverage for pre-and post-hospitalization costs up to 30 and 60 days respectively.
• Coverage for AYUSH treatment with no sub-limits.
• Coverage for the cost of transporting the dead body of the insured.
• Coverage for legal expenses related to employment of insured emigrants.

Oriental Health of Privileged Elders

The Privileged Elders Policy is exclusively designed for elderly citizens aged 60 years and above. The policy covers hospitalization charges, AYUSH treatment costs, pre and post hospital expenses, tele consultation charges along with the coverage for specified critical diseases only. The policy is available for the sum insured ranging from INR 1 lakh up to INR 5 lakh.

Key Features:

• Coverage for elders aged 60 years and above.
• Room rent and ICU charges are covered up to 1% and 2% respectively.
• Compulsory co-payment of 20% on each and every claim.
• Discount in premium for opting voluntary co-payment.
• Coverage for specified major and minor critical illnesses such as knee replacement, cancer, heart related issues up to 70% of the sum insured.
• Coverage for ambulance charges are up to INR 1,000.
• Coverage for domiciliary treatment costs.
• Coverage of modern treatments such as robotic surgeries are up to INR 1 lakh.
• In case of accidental injury, the coverage is of 100% of the sum insured.

Oriental Aarogya Sanjeevani Policy

The Aarogya Sanjeevani Policy is a standard and low-cost product covering basic health insurance needs. The coverage for this policy starts from INR 1 lakh and goes up to INR 20 lakh. The insured has the option to purchase the policy as family floater and on an individual basis with no limitation on adding dependent members. People up to 65 years of age can buy this policy.

Key Features:

• The sum insured ranges from INR 1 lakh up to INR 20 lakh.
• Plans available in both the options of individual and family floater.
• Room rent and ICU charges are covered up to 2% and 5% of the sum insured with maximum up to INR 20,000 and INR 40,000 respectively.
• Option to enhance the sum insured coverage by 5% with maximum up to 50% limit in each claim-free year under cumulative bonus benefit.
• The insured can add a newly wedded spouse and new born child in mid-term of the policy tenure.
• Coverage for modern treatment costs such as robotic surgery, deep brain stimulation up to 50% of the sum insured.
• Coverage for ambulance charges up to INR 2,000.
• Coverage for all the day care procedures.
• Coverage for pre-and post-hospitalization costs up to 30 and 60 days respectively.
• Coverage for AYUSH treatment with no sub-limits.

Oriental Dengue Kavach

The Dengue Kavach Policy provides a lump sum payment up to a certain limit of sum insured, if the insured is first diagnosed with dengue fever during a policy tenure.

Key Features:

• The sum insured slab of INR 10,000 and INR 20,000 on individual basis.
• This policy covers self, spouse, two dependent children, parents and parents-in-law.
• No need for medical checkup irrespective of any age.
• Minimum age for adults is 18 years and maximum age 70 years, with lifelong renewability. Initial waiting period is 30 days.
• 5% discount if policy is purchased via online portal.
• Family discount is up to 5% on adding more members in the same policy.

Oriental Critical Illness Policy

The Critical Illness Plan provides protection to the insured against 22 life-threatening diseases such as cancer, kidney failure, heart stroke and many more. The sum insured is available in two slabs, where for the insured up to 50 years, the coverage starts from INR 2 lakh to INR 50 lakh. And, for the insured aged above 50 years, the coverage starts from INR 2 lakh up to INR 20 lakh.

Key Features:

• All the members of the family can be covered under one plan.
• Minimum age to enter into the policy is 18 years and maximum entry age is 65 years.
• The insured can avail the benefit of a second medical opinion.
• No pre health check-up is required till 45 years of age.
• After two claim free years, the insured has an option to enhance the coverage to the next immediate slab.
• 10% discount if policy is purchased via online portal.
• 10% of family discount which can be availed on adding more members in the same policy.

Oriental Corona Kavach Policy

The Corona Kavach Policy covers all the hospitalization costs and home care treatment expenses related to the positive diagnosis of Covid-19. The coverage of this plan ranges from INR 50,000 to INR 5 lakh.

Key Features:

• Coverage for room rent and nursing charges.
• Coverage for ICU charges.
• Coverage for ambulances costs up to INR 2,000.
• Hospital daily cash up to 0.5% of the sum insured amount on a per day basis.
• Coverage for pre-and post-hospitalization costs up to 15 and 30 days respectively.
• No deductibles in this plan.
• Coverage for AYUSH treatment.
• Newborn cover from day one is available.

Oriental Cancer Protect

This Cancer Protect Plan is specially designed to provide protection against all the severity of cancer treatment costs. Anyone between the age of 18 to 65 years can purchase this plan. The insured also has the option of covering all his family members under the same plan.

Key Features:

• Provides protection against cancer and cancer related treatments such as chemotherapy, radiotherapy, organ transplant, onco-surgery, among others.
• The sum insured ranges from INR 5 lakh to INR 50 lakh.
• Coverage for the conventional and modern treatment costs.
• No pre-health screening is required.
• The initial waiting period is 75 days.
• Coverage for pre-and post-hospitalization costs up to 45 and 90 days respectively.
• If the insured is diagnosed with cancer for the first time or is in the fourth stage of cancer, he is entitled to receive 50% of the sum insured amount up to INR 10 lakh, under cancer care benefit.
• Cumulative bonus of 5% for every claim-free year.
• Coverage for Room rent is up to 1% of the sum insured on a per day basis.
• 10% discount, if insured covers two family members under the same plan.
• 10% discount, if insured purchases the policy online.
• Coverage for ambulance charges:

1. INR 3,000: If the sum insured is INR 5 lakh to INR 15 lakh.

2. INR 5000: if the sum insured is INR 20 lakh to INR 50 lakh.

• Coverage for air ambulances is up to 5% of the sum insured.
• Coverage for day care treatments and outpatient expenses such as doctor’s fees, diagnostic test charges.
• Coverage for tele-consultation charges:

1. INR 2,000: If the sum insured is INR 5 lakh to INR 20 lakh.

2. INR 5000: if the sum insured is INR 25 lakh to INR 50 lakh.

Oriental Jan Arogya Policy

The Jan Arogya Policy is a very low-cost plan offering a good range of sum insured at an affordable premium rate aimed at providing basic insurance to underprivileged sections of society.

Key Features:

• Avail benefits of up to INR 5,000 per person.
• Coverage for hospitalization and home-care treatment expenses.
• Coverage for room rent and nursing costs.
• Surgeon, anesthetist, medical practitioner, consultants, specialists’ fees.
• Coverage for pre-and post-hospitalization costs up to 30 and 60 days respectively.