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Oriental Critical Illness Health Insurance Wordings

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

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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 Critical Illness Policy Health Insurance Plan

  • What are the critical illnesses covered under Plan A in Critical Illness Policy?

    Plan A covers you for the following critical illnesses:

    • Cancer of specified severity
    • Myocardial infarction (first heart attack)
    • Stroke resulting in permanent symptoms 
    • Motor neurone disease with permanent symptoms 
    • Major organs/ bone marrow transplant
    • Open chest CABG 
    • Coma of specified severity 
    • Kidney failure requiring regular dialysis 
    • Open heart replacement or repair of heart valves 
    • Permanent paralysis of limbs 
    • Multiple sclerosis with persisting symptoms
  • What are the critical illnesses covered under Plan A in Critical Illness Policy?

    Apart from the ones mentioned in Plan A, Plan B covers you for the following additional critical illnesses:

    • Angioplasty 
    • Benign brain tumour 
    • Blindness 
    • End stage liver failure 
    • Loss of speech 
    • Deafness 
    • End stage lung failure 
    • Major head trauma 
    • Primary (idiopathic) pulmonary hypertension 
    • Loss of limbs 
    • Major head trauma 
    • Primary (idiopathic) pulmonary hypertension 
    • Third degree burns 
  • What is the survival period in Critical Illness Policy offered by The Oriental Insurance Company Limited?

    A claim under the policy will only be admissible if the insured person survives the survival period of 30 days, after a critical illness has been diagnosed or the procedure is being carried out.  

  • Can I enhance the sum insured of my Critical Illness Policy?

    Yes. You can enhance your sum insured to immediately next sum insured slab after every 2 claim-free years, at the time of renewal. 

  • What is the waiting period under Critical Illness Policy?

    Critical Illness Policy comes with a waiting period of 90 days, calculated from the date of commencement of the policy. Only after this, the claims will be accepted. 

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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