The Oriental Insurance Company 
Claim Settlement Ratio 89%
Claim Settlement Facility 100%
Network Hospitals 4,300
Renewability 100%
COVID-19 Cover Yes
Incurred Claim Ratio 85.39%
The Oriental health insurance is offered in three plans which are discussed below
The individual mediclaim insurance policy from The Oriental insurance is available for a policy term of 1 year and covers the proposer of any age between 18 years to 65 years. The proposer can also cover his/her family under the same policy and avail a family discount of up to 10% if more than one person is covered under the policy. The minimum sum insured is Rs.1 Lakh and the maximum sum insured is Rs.50 Lakhs.
The Oriental health insurance happy family floater policy can include any of the family members under the same policy with a floater sum insured under the policy. The family members may include legally wedded spouse, dependent children up to the age of 25 years, parents or parents-in-law, unmarried siblings if financially dependent on the proposer. The minimum sum insured is Rs.1 Lakh and the maximum sum insured is Rs.50 Lakhs. A discount of 10% would be provided on the premium payable if the policy is purchased online without the involvement of an agent directly on the website of the company.
The policy can be availed as an independent policy without the need to have any health insurance policy. Any person between the age of 18 to 65 years may buy the policy in respect of self and eligible family members. The minimum sum insured under the policy is Rs.3 lakhs and the maximum sum insured is Rs.30 Lakhs whereas the minimum and maximum deductibles under the policy are Rs.3 Lakhs and Rs.20 Lakhs. The premium chart for this policy is attached here.
A standard health insurance policy that should be offered by all the general insurance companies in India as per the directive from the regulator. The minimum sum insured under the policy is Rs.1 lakh and the maximum sum insured is Rs. 20 Lakhs. The plan can be taken on an individual as well as family floater basis with no capping on the number of dependents. A cumulative bonus of 5% would be given for every claim free year as an increase in the percentage of sum insured up to a maximum of 50% of the sum insured, provided the policy is renewed without a break.
The policy covers the insured members in case of Dengue fever in case the insured customer is diagnosed with Dengue fever during the policy period. The policy is available in 2 sum insured options Rs.10k and rs.20k on an individual basis. There is a waiting period of 30 days from the first policy commencement date. In case of diagnosis with dengue fever, the entire sum insured would be paid to the insured customer.
The policy provides a fixed lump sum benefit to the insured customer if the insured is diagnosed with any of the 22 critical illnesses specified in the policy document. The minimum sum insured is Rs. 2 lakhs and the maximum sum insured is Rs.20 lakhs. The policy can be taken on an individual as well as family basis with family members such as spouse, parents or parents-in-law, dependent children, unmarried dependent siblings. The minimum entry age is 18 years and the maximum entry age 65 years. The policy can be taken for one year or three years. The policy has a waiting period of 90 days with a survival perio do 30 days.
The policy covers the medical costs incurred for the treatment of cancer. The minimum sum insured is Rs.5 lakhs and maximum sum insured is Rs.50 lakhs with sum insured enhanced option available after every 3 claim free years. There is no pre-policy medical checkup for this policy. The policy has a waiting period of 75 days with no specific survival period.
