Oriental Happy Family Floater Health Insurance
Claim Settlement | Dedicated Team |
Claim Settlement Ratio | 93.96% |
COVID-19 Cover | Yes |
Network Hospitals | 4,300+ |
Policies Sold | 12,50,812 |
Renewability | Lifelong |
About Oriental Happy Family Floater Health Insurance
Happy Family Floater Policy offered by Oriental Insurance is an indemnity-based medical insurance policy that comes in three variants namely Silver, Gold, and Diamond Policy. The sum insured options under the Silver variant are up to Rs. 5 Lakh, under the Gold variant are up to Rs. 10 Lakh and the Diamond variant are up to Rs. 20 Lakh. The policy covers people who are aged at least 91 days and up to 65 years. However, if you choose a compulsory co-payment of 20% for every claim, then people aged between 65 years and 70 years can also be covered under the Silver or Gold Plan, but not Diamond Policy. For insured people, the co-payment will apply at the time of health insurance renewals also.
The policy covers the insured for several medical expenses such as organ donor expenses, room rent, nursing, and boarding expenses, ambulance expenses, daily hospital cash allowance, newborn baby cover, medical second opinion, maternity expenses, pre-hospitalisation and post-hospitalisation expenses, etc. It comes with a compulsory co-payment of 10% in the Silver variant. This means that in case of a claim, you will be required to pay 10% of the total expenses whereas the health insurance company will pay the remaining 90%. The policy comes with several add-on benefits which you can choose as per your requirement and budget.
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Key Inclusions and Exclusions of the Plan
What's Included
- Room rent, nursing, and boarding expenses
- Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialists Fees
- Anaesthesia, blood, oxygen, operation theatre charges
- Surgical appliances, diagnostic material, medicines and drugs, and x-ray,
- Dialysis, radiotherapy, cost of a pacemaker, chemotherapy, artificial limbs and related expenses
What's Not Included
- Intentional self-Injury, suicide or attempted suicide
- Treatments required due to venereal disease(s) or insanity
- War, invasion, acts of foreign enemy, hostilities
- Treatments taken for the purpose of investigation and evaluation
- Expenses arising due to hospitalisation due to rest cure, rehabilitation and respite care
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Add-ons to Enhance Benefits
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Personal Accident Cover (World-Wide)
This add-on cover is provided to the insured if at any time during the policy term is he/she sustains bodily injury due to sudden or unforeseen and involuntary events caused due to visible, external, and violent means at any place across the globe. If the injury leads to the death or disability of the insured within 12 months, then the company will be liable to pay the covered amount to the insured or the nominee. If the nominee is not present, then the legal heir will receive the benefit subject to terms and conditions.
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Life Hardship Survival Benefit
With this add-on cover, the insured gets a survival benefit if during the policy period he/she gets diagnosed with any of the 11 critical illnesses as specified in the policy document. But note that this benefit will not be offered if the insured was already suffering from the illness before policy purchase.
Oriental Happy Family Floater Policy Expert Review
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Major Attractions
True to its promises, Happy Family Floater Policy offers supreme coverage so that a family is able to handle its medical expenses without any interruption in between a medical treatment. Covering the significant inpatient hospitalisation expenses, Happy Family Floater Policy also takes care of Ayurvedic, Siddha, Unani and Homeopathic treatment expenses. Besides offering extension of policy covering SAARC countries and optional covers of Restoration of Sum Insured, Personal Accident, Life Hardship Survival benefit, the policy also covers you for -
- 30 days pre-hospitalisation & 60 days post-hospitalisation expenses
- Cover for specified/listed daycare procedures
- Coverage for domiciliary hospitalisation
- Cover for 11 critical illnesses on Benefit Basis
- Daily Hospital Cash Allowance Benefit - 0.1% of SI per day (Gold and Diamond Plan)
- Attendant Allowance - Rs. 500 & Rs. 1000 per day of hospitalisation (Gold & Diamond Plan)
- Maternity and newborn baby cover (Diamond Plan)
- Organ Donor Benefit - After a waiting period of 12 months
- Medical Second Opinion for 11 specified major illnesses - Globally
- Extension of Maximum Entry Age - Silver & Gold Plan
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What’s More?
Needless to say, Oriental Insurance through its Happy Family Floater Policy makes sure that no family has to deal with any kind of inconvenience in terms of finance. To make the insurance experience even better, the policy comes with additional beneficial features that includes -
- Lifelong renewal of policy
- Option of TPA & non-TPA services
- Pre-existing disease coverage after four consecutive policy periods
- Free look period - 15 days
- Grace period - 30 days
- Easy policy portability
- Tax benefits under Section 80D
- Discount of 5.5% on premium if services of TPA are not opted
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Conclusion
At last, it can be concluded that Happy Family Floater Policy is a boon for every family that longs for financial security, especially at a time when they can't afford instability in terms of finance. If you too want financial protection of first rate, go for this policy without giving any second thoughts.
It is advisable to choose the online mode for policy purchase so as to enable quick issuance. Moreover, to add more value to the experience, you can choose the platform of InsuranceDekho to buy the policy and benefit from policy transparency, claim settlement support, policy portability, and other advantages.
Claim Process at Oriental Health Insurance
FAQs on Happy Family Floater Policy Health Insurance Plan
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What is the maximum entry age under this policy?
The maximum entry age under the policy is 65 years for all members; however, this can be extended to 70 years subject to conditions.
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What is the entry age for children under the policy?
Generally, dependent children between the age of 91 days to 18 years are covered under the policy. However, the financially dependent male child can be covered up to 25 years of age. A female child can be covered until she gets married.
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Is pre-acceptance medical check-up required to obtain this policy?
A pre-acceptance medical check-up is required for persons aged 60 years and above under Silver and Gold variants. However, under Diamond variant, the persons aged 55 years and above are required to undergo a pre-acceptance medical check-up.
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What is the term and renewability option available under the policy?
Term of the Policy is one year and is renewable lifelong.