About the Oriental Insurance Company Limited

The Oriental Insurance Company Ltd began as a public venture in 1947 - the year of India’s independence - and continues being a beacon in the insurance industry today! With 29 regional offices and more than 1,800 operating offices, they have remained one of the leading providers of health insurance in India since their inception. Their plans offer complete coverage with family floater options as well as plans explicitly catered for senior citizens.

The 4300+ network hospitals on the Oriental Insurance Company Ltd. hospital list offer cashless services across the country, ensuring that their reach is vast and their insurance services are well-provided. With such a long list and convenient services, they maintain their 94.28% claim settlement ratio and ensure that their policyholders get the best possible coverage. Insurance is meant to provide financial security in times of medical stress. With the Oriental Insurance online renewal options and easy, straightforward claim processes, they give their policyholders a stress-free insurance experience!

When buying an Oriental Insurance Mediclaim Policy, you can choose from:

  • The Oriental Insurance Happy Family Floater Plan
  • Oriental Individual Mediclaim Policy Health Insurance
  • Oriental Happy Cash Health Insurance
  • Oriental HOPE (Health of Privileged Elders) Health Insurance
  • Pravasi Bhartiya Bima Yojana Policy

Let’s take a closer look at each Oriental Insurance Company Limited mediclaim policy.

Oriental Insurance Happy Family Floater Plan

  • Entry Age: 18-65 years (can be extended to 70 years maximum)
  • Policy Term: 1 year
  • Sum Assured: Rs.2-20 lakhs
  • Pre and Post-Hospitalisation: 30 and 60 days, respectively.

Other benefits:

  • Hospital Cash Allowance: Rs.600-1000 (Gold); Rs.1200-2000 (Diamond)
  • Restoration of Sum Insured: Can restore up to 100% of the SI in a policy term
  • Ambulance Coverage: Rs.1000/illness, and Rs.3000/policy period (Silver); Rs.2000/illness, and Rs. 6000/policy period (Gold); Rs. 3000/illness, and Rs. 8000/policy period (Diamond)
  • Personal Accident Coverage Add-On: Rs.1-20 lakhs (depending on the plan chosen)

Oriental Individual Mediclaim Policy Health Insurance

  • Entry Age: 3 months - 65 years
  • Policy Term: 1 year
  • Sum Assured: Rs.1-10 lakhs
  • Pre and Post-Hospitalisation: 30 and 60 days, respectively.

Other benefits:

  • Hospital Cash Allowance: 0.1% of the sum insured per day
  • Ambulance Coverage: Rs.2000 OR 1% of the sum insured whichever is less (Maximum: Rs.4000)
  • Family Discount: 10% if you choose the Oriental Insurance family floater option

Oriental Happy Cash Health Insurance

  • Entry Age: 18-65 years
  • Hospitalisation Period: 24 hours or more
  • Sum Assured: Rs.50 lakhs - 1 crore
  • Pre and Post-Hospitalisation: 30 and 60 days, respectively.

Other benefits:

  • Convalescence Benefit: Lump-sum payment for hospitalisation exceeding the number of days as laid out by the policy
  • Daily Cash Benefit: Up to Rs.3000/day
  • Free-Look Period: 15 days

Oriental HOPE (Health of Privileged Elders) Health Insurance

  • Entry Age: 60 years and above
  • Policy Term: 1 year
  • Sum Insured: Rs.1-5 lakhs
  • Pre and Post-Hospitalisation: 30 and 60 days, respectively

Other benefits:

  • Room Rent Coverage: 1% of the sum insured
  • ICU charges: 2% of the sum insured
  • Since this Oriental Insurance Mediclaim Policy is for senior citizens, it includes a compulsory co-payment of 20%

Pravasi Bhartiya Bima Yojana Policy

  • Entry Age: 18 - 65 years
  • Policy Term: 1 year
  • Sum Insured: Rs.50 lakhs - 1 crore
  • No. of Members Covered: Up to 6 members

Other benefits:

  • Death Benefit: Required cover + Rs.10 lakhs
  • Maternity Coverage: Rs.35,000 (normal delivery) and Rs.50,000 (C-section) for conception abroad
  • This plan covers citizens of India who have emigrated to a different country.
  • Hospitalisation cover offered on a family floater basis with Rs.50,000 paid by the insurer in case of the death or disability of a family member.

The Benefits in the Oriental Insurance Policy Details

While you have several insurance options today, it is worth noting that the oldest like Oriental Insurance Limited has survived for a reason. They often have more straightforward policy documents and are more upfront about their provisions. This places them at the forefront of companies dominating the insurance industry today. However, this is only one benefit. Oriental Life Insurance Company has many more.

  • With a robust online presence and an easy-to-navigate website, the Oriental Insurance policy renewal process is simplified a great deal.
  • Cashless hospitalisation across the 4300+ network hospitals under the Oriental General Insurance Company Ltd. makes the claim process much easier. Through Third-Party Administrators (TPAs), they provide quick and easy claim settlement across the country.
  • Every policy offers a free health checkup at the end of 3 consecutive, claim-free years under Oriental Health Insurance.
  • Under an Oriental Insurance mediclaim policy, family floater and group-based coverage offer several discounts while also ensuring that there is more than the adequate cover provided for hospitalisation and associated medical costs.
  • Read any of the Oriental Insurance Company Limited’s mediclaim policy details to see that there is no need for a health checkup before buying the policy as long as you are under 55 years of age. This, combined with the free health checkup every 3 years, ensures that Oriental continues being one of India's leading providers.
  • Their plans are immensely customer-friendly and affordable. Additionally, you can buy your Oriental Insurance mediclaim policy online, making them very convenient.
  • During the renewal of your Oriental Insurance mediclaim policy, you will pay a premium amount. This amount is deductible under Section 80(D) of the Income Tax Act.

How to Buy the Oriental Insurance

As the cost of medicine continues increasing every year, cheaper premiums are on everyone's minds and buying more affordable policies becomes integral. After all, what is the point of the financial security afforded by an insurance policy if the policy itself drains your wallet, right? Luckily, the Oriental Insurance Company Ltd.’s sheer range of policy options ensures that you stay protected. However, for extra measure, you can also calculate the particulars of your premium by entering the following data:

  • Age: The older you are, the greater at risk you are. Therefore, the higher your premium.
  • Coverage details: For plans with increased coverage or plans with riders, the premium is also higher.
  • Medical history: If you have a history of diabetes or other possible genetic illnesses, your premium will be higher.
  • Policy term: Choosing longer policy terms can give you premium discounts.
  • Sum insured of the plan: The higher your sum insured, the higher your premium.
  • The kind of policy to purchase: Family floater and group policies typically have premium discounts as incentives.

With this information in place, you can calculate your premium. This makes the procedure for Oriental Insurance mediclaim policy renewal online much easier and more straightforward.

The Oriental Company Limited Claim Process

With a claim settlement ratio of 94.28%, the Oriental Insurance Company mediclaim policy is in high demand. Through TPAs, they maintain both cashless and reimbursement claim processes.

Cashless Claims:

  • Ensure your hospital is on the Oriental Insurance hospital list.
  • Intimate Oriental Insurance as soon as possible after admission.
  • Carry your cashless card and show that with ID proof at the hospital’s insurance desk.
  • Collect the pre-authorisation form, fill it, and submit it to the hospital.
  • The hospital will then send the form to Oriental Insurance Company Ltd., and your claim will be processed.
  • After checking the coverage, the TPA will either approve or reject your claim.
  • Upon approval, the hospital will deal directly with Oriental Insurance.

Reimbursement Claims:

  • Intimate Oriental Insurance as soon as possible after admission.
  • Get the reimbursement form either online or from the insurer and fill it in, providing all the required details.
  • Submit the form with any necessary documents, as put forth by Oriental Health Insurance.
  • Send only original copies to your TPA.
  • After the TPA investigates your claim, they will either approve or reject it.
  • Upon approval, the payment is then sent to you, the policyholder.

Cover360 is here to clarify any confusion you may have about the claim process. Whether you have an Oriental Insurance mediclaim policy for your family or yourself, we help you make your insurance experience as hassle-free as possible! If you are confused about the documents you need for a successful claim, we are here to help!

The Oriental Insurance Policy Renewal Process

  • Visit cover360.in and go to our renewal page
  • Enter the details asked
  • You will be taken to the Oriental Insurance website to complete the renewal process
  • Alternatively, you can directly renew your Oriental Insurance mediclaim policy online.
  • On the website, go to the “Renew Online” tab.
  • Enter your policy number and click on “Renew Now”.
  • Specify the required policy details as well as personal information.
  • The premium value will appear on the screen, and you can finish your payment by your preferred mode.

Contact us for any questions you may have regarding any aspect of your Oriental Health Insurance. When choosing between multiple plans, figuring out which would best suit your needs can be difficult. We help you do this with our expert insurance consultants who know the industry inside out. Reach out to us and begin your stress-free, financially-secure insurance journey today!