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Oriental Individual Mediclaim Health Insurance Wordings

23 reviews Rate This
Highlights
Claim SettlementDedicated Team
Claim Settlement Ratio93.96%
COVID-19 CoverYes
Network Hospitals4,300+
Policies Sold12,50,812
RenewabilityLifelong

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Disclaimer : Actual Premium might vary basis your location, age and number of members

Oriental Individual Mediclaim Policy Brochure

  • 429.03 KB
  • PDF Document
  • Jul 18, 2019

Oriental Health Insurance Plan List

  • Critical Illness (1)
  • Family (2)
  • Kids (1)
  • Maternity (1)
  • Woman (1)
  • Individual (3)
  • Parents (1)
  • Senior Citizen (1)
Name of PlanSum Insured
Arogya Sanjeevani PolicyMin: 3 months; Max: 65 years1 Lakh - 5 Lakh Check Premium
Happy Family Floater PolicyMin: 91 Days; Max: 70 Years1 Lakh Check Premium
PNB Oriental Royal Mediclaim 2017Min: 91 days; Max: 79 years1 Lakh - 10 Lakh Check Premium
Jan Arogya Bima PolicyMin: 5 years; Max: 70 years5000 Check Premium
Corona Rakshak PolicyMin: 18 Years; Max: 65 Years50,000 - 2.5 lakh Check Premium
Corona Kavach PolicyMin: 1 day; Max: 65 years50,000 - 5 lakh Check Premium
Happy Cash Min: 3 Months; Max: No Limit 500/day Check Premium
HOPE (Health of Privileged Elders)Min: 60 Years; Max: No Limit1 Lakh Check Premium
Individual Mediclaim PolicyMin: 18 Years; Max: 70 Years1 Lakh Check Premium
OBC Oriental Mediclaim Policy 2017Min: 91 days; Max: 79 years1 Lakh - 10 Lakh Check Premium

Oriental Health Insurance Top Up List

  • Family (1)
  • Maternity (1)
  • Top-up (1)
Name of PlanSum Insured
Super Health Top-upMin: 91 Days; Max: 70 Years3 Lakh Check Premium

FAQs on Individual Mediclaim Policy Health Insurance Plan

  • What is the entry age under the policy?

    The entry age under the policy is between 18 to 65 years. However, the maximum entry age can be extended up to 70 years upon payment of additional premium.

  • Are there newborn and maternity benefits available under the plan?

    No. The policy does not provide cover for maternity and newborn treatment expenses. 

  • Are there any renewal benefits available?

    There is health check-up benefit of up to 0.75% of average SI, subject to maximum Rs. 3000 for every block of three claim-free policy years.

  • What is the cost-sharing option available under the plan?

    There is a voluntary co-payment option of 10% and 20% with the corresponding discount on the premium of 10% and 20% respectively on SI of Rs. 2 Lakh and above.

  • Are there any limit for room, boarding and nursing expenses cover?

    The room, boarding and nursing expenses are covered not exceeding 1% of the Sum Insured per day.

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Claim Process at Oriental Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate as soon as it occurs prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate as soon as it occurs prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

Oriental Health Insurance Contact Details

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