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Oriental OBC Oriental Mediclaim Health Insurance

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Oriental Health Insurance
OBC Oriental Mediclaim Policy 2017
Claim SettlementDedicated Team
Claim Settlement Ratio93.96%
COVID-19 CoverYes
Network Hospitals4,300+
Policies Sold12,50,812
RenewabilityLifelong

About Oriental OBC Oriental Mediclaim Health Insurance

OBC Oriental Mediclaim Policy 2017 is a medical insurance plan available for both individuals as well as family members. The policy comes in three variants, viz., One Account-One Policy, Multiple Accounts-One Policy and One Person One Policy. The variants, however, differ in terms of overall account and policy management. With this, the policyholders get the benefit of increasing the sum assured by including more members limiting 5 members under its coverage.

OBC Oriental Mediclaim Policy 2017 comes with different sum insured options ranging between Rs. 1 Lakh and Rs. 10 Lakh and can be purchased for 1 year. Some of the coverage features of the policy include in-patient hospitalisation expenses, pre-hospitalisation and post-hospitalisation expenses, daycare expenses, domiciliary hospitalisation expenses, alternative treatment or AYUSH, and so on. The policy offers the insured several other benefits as well such as lifelong renewability benefit, free look period, portability benefit, migration benefit, etc. Also, you can avail tax benefits on the premium paid for OBC Oriental Mediclaim Policy 2017, under Section 80D of the Income Tax Act, 1961.

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Key Inclusions and Exclusions of the Plan

What's Included

  • In-patient hospitalisation expenses for at least 24 hours of admission
  • Daycare procedures that require hospitalisation of less than 24 hours
  • Ambulance expenses for up to Rs. 1,000 per hospitalisation and in aggregate in a policy period
  • Cover for organ donor expenses is covered under the plan
  • Telemedicine expenses
  • Modern treatments and advanced surgeries

What's Not Included

  • Change of gender treatments, plastic surgery and cosmetic surgery
  • Treatment necessitated due to participation in adventure sports
  • Insured committing any breach of law due to criminal intent
  • Dietary supplements that can be bought without prescription
  • Expenses arising due to OPD treatments
  • Unproven treatments

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.

FAQs on OBC Oriental Mediclaim Policy 2017 Health Insurance Plan

  • What is the waiting period for OBC Oriental Mediclaim Policy 2017?

    The waiting period for pre-existing diseases in OBC Oriental Mediclaim Policy 2017 is 36 months, whereas for specific diseases, it is 12 months, 24 months, and 36 months respectively. 

  • What is the payout basis for OBC Oriental Mediclaim Policy 2017?

    OBC Oriental Mediclaim Policy offers cashless as well as reimbursement claims for treatments covered under the policy. 

  • What are the insured’s obligations for OBC Oriental Mediclaim Policy 2017?

    The insured is required to disclose all pre-existing diseases or conditions before purchasing the policy. If they fail to do so, the insurance company may not pay them the required amount for the claim. The insured should give notice of admission to the hospital or nursing home, in case of both planned or emergency hospitalisation.  

  • What are the insured’s rights for this policy?

    The insured’s rights for OBC Oriental Mediclaim Policy 2017 include free look period for 15 days, implied renewability except certain specific grounds, migration and portability benefits, increase in sum insured during the policy term, turnaround time for issue of pre-authorization and settlement of reimbursement.  

  • What is the entry age for OBC Oriental Mediclaim Policy 2017?

    The minimum and maximum entry age for OBC Oriental Mediclaim Policy 2017 is 18 years and 79 years. Kindly note that the age will be completed as on the date of commencement of the policy. 

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