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Oriental Health Insurance for Family

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

Oriental Insurance : Health Insurance for Family

Oriental Insurance values each of its customers, be it a kid or an adult. To provide supreme coverage to an entire family at once, the insurer has Happy Family Floater Policy to offer. An ideal family floater health insurance choice, Happy Family Floater Policy comes in form of three variants, namely Silver, Gold, and Diamond, which differ in their features and benefits. Helping families receive the best possible medical treatment at an affordable premium amount, the policy covers a series of expenses to help a family value its health without being concerned about medical expenses.

Key Features

  • Term of the policy - 1 year
  • Sum insured options - Rs. 2 Lakh to Rs. 20 Lakh
  • Lifelong renewal of policy
  • Cover for 11 critical illnesses on benefit basis
  • Restoration of SI under 2 options - 50% & 100%
  • Option of TPA (cashless facility in network hospitals) and non TPA services
  • 5.5% discount in premium if TPA services not opted for (no discount on PA premium)
  • Tax benefits under Section 80D of the Income Tax Act

Scope of Coverage

  • Hospital admission - Minimum 24 hours
  • 30 days pre & 60 days post-hospitalisation expenses
  • Maternity expenses cover up to 2.5% of sum insured (Diamond Plan)
  • Newborn baby cover up to 2.5% of sum insured (Diamond Plan)
  • Donor expenses when insured individual is the recipient
  • Organ donor benefit when insured individual is the donor
  • Daily Hospital Cash Allowance benefit of 0.1% of sum insured per day
  • Ambulance charges - Rs. 1,000 to Rs. 3,000 per illness, limited to Rs. 3,000 - Rs. 8,000 per policy period

Eligibility

While the minimum entry age for Happy Family Floater Policy is 91 days, the maximum entry age for the policy is 65 years. However, note that the maximum entry age can be extended to 70 years, subject to conditions.

Exclusions

  • Pregnancy (except covered in Diamond Plan), infertility
  • External congenital/genetic conditions
  • Any hospital admission primarily for investigation/diagnostic purpose
  • Sex change surgery or circumcision
  • Cosmetic surgery & plastic surgery

Is Happy Family Floater Policy the perfect match according to your family floater health insurance needs? Call InsuranceDekho experts at 1800 1205 698 to know more in detail.

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Disclaimer : Actual Coverage might vary basis your location, age and number of members
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Oriental Health Insurance Contact Details

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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.

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FAQ About Oriental Health Insurance

  • Does Oriental Insurance Company have a family floater health insurance policy?

    Yes. Oriental Insurance Company provides a health insurance policy, especially for families. The name of the policy is “Happy Family Floater.” The best feature of the policy is that it covers critical illnesses too.

  • Who all are covered under the family floater policy of Oriental Insurance Company?

    The family floater plan of Oriental Insurance Company covers legally wedded spouse, children (i.e. natural or legally adopted) between the age of 91 days to 18 years, dependent children up to 25 years (girl until she gets married, divorced  and widowed daughter), parents, and parents-in-law.

  • Does the family floater plan offered by the Oriental Insurance Company possess any variants?

    Yes, family floater plan of Oriental Insurance Firm, which is known as Happy Family Floater Policy owns 3 variants such as Silver, Gold and Diamond. 

  • What are the sum insured amount of different variants offered under the family floater plan?

    Here are the sum insured amount of different variants under the family floater policy offered by Oriental Insurance:

    • Silver - Rs. 1 lakh, Rs. 2 lakh, Rs. 3 lakh, Rs. 4 lakh, and Rs. 5 lakh
    • Gold - Rs. 6 lakh, Rs. 7 lakh, Rs. 8 lakh, Rs. 9 lakh, and Rs. 10 lakh
    • Diamond - Rs. 12 lakh, Rs. 15 lakh, Rs. 18 lakh, and Rs. 20 lakh