Oriental Health Insurance Company Ltd: All You Need to Know

Oriental Health Insurance Company distinguishes itself as one of the oldest insurance companies in India. This is true as Oriental Health Insurance Company was founded in 1947; soon after India’s independence. It is in actuality a subsidiary of the Oriental Government Security Life Assurance Company Ltd and was founded as an extension of this company’s service plans in the arena of health insurance, motor insurance, travel insurance and more.

Oriental Health Insurance Company is well-known for its various Oriental health insurance packages with an emphasis on providing medical expenditure cover for whole families, professionals, Indian students studying abroad, Indians working abroad and Indians holidaying abroad. It is easy to see how Oriental Health Insurance Company’s Oriental health insurance policy covers the need for financial relief in times of illness and disease in a wide range of scenarios.  Oriental Health Insurance Company has multiple Oriental health insurance policy schemes with an emphasis on providing health insurance for all groups of people in all circumstances. Some of their most popular health insurance policy schemes are as listed below.

Group Mediclaim

Group Mediclaim by Oriental Health Insurance Company Ltd is one this insurance company’s most comprehensive and inclusive family health coverage plans. This plan saves on both time and money while simultaneously insuring all members of a family unit against disease, ailments and injuries. Features and benefits of this plan are as follows.

  • Available for groups/institutions/ corporations and association bodies; the Group Mediclaim plan offered by Oriental Health Insurance company covers established groups that are comprised of more than 50 members or 50 families.

 

  • The plan is tailored to reimburse medical expenditures such as surgical appliances costs, hospitalization, blood, anesthesia, chemotherapy, dialysis, radiotherapy, diagnostic testing, x-rays, pacemakers and artificial limbs as well as other charges.

 

  • Covers expenses 30 days prior to hospitalization including in-patient treatment costs incurred

 

  • With 10 percent extra on premiums; this plan covers maternity medical expenses

 

  • Includes a low claim ratio bonus

Individual Mediclaim Policy

As the name suggest; this health cover policy is for a single individual and is one of few such schemes offered by Indian health insurance companies. This Oriental health insurance scheme effectively covers most costs incurred when an individual is ill or injured. The attributes and benefits of this plan are as follows…

  • Scheme available to any individual within the age range of 18 to 80 years old.

 

  • Covers almost all hospitalization charges including boarding charges, fees incurred by doctors and surgeons and ambulatory services.

 

  • Covers home treatment for illness and ailments in cases wherein there is no alternative

 

  • Covers hospital charges for a minimum of 24 hours.

 

  • Pre and post-hospitalization charges are covered with conditions applied.

 

  • Offers cashless claims facilities

 

  • Covers pre existing ailments with certain exclusions

 

Overseas Mediclaim policy

This plan by Oriental Health Insurance Company covers most medical expenditures when sickness, ailments or injuries present themselves while on an overseas trip. The features and benefits of this plan are as follows.

  • Covers hospitalization, medical expenses, ambulatory services and doctor’s services during the course of an overseas trip

 

  • Covers loss of baggage with conditions applied

 

  • Covers loss of passport with conditions applied

 

Health of Privileged Elders

Special health insurance covers for Indian citizens above 60 years of age.

Happy Family Floater Health Insurance Policy

This insurance plan by Oriental Health Insurance Company covers the health insurance needs of family unit. The features and benefits of this plan are as follows…

  • Covers almost all hospitalization charges including boarding charges, fees incurred by doctors and surgeons and ambulatory services.

 

  • Covers home treatment for illness and ailments in cases wherein there is no alternative

 

  • Covers hospital charges for a minimum of 24 hours.

 

  • Pre and post-hospitalization charges are covered with conditions applied.

 

  • Offers cashless claims facilities

 

  • Covers pre-existing ailments with certain exclusions

 

  • The plan works worldwide which makes it integral for family vacation or when family members are travelling abroad.

 

Oriental Health Insurance Company has its own policies regarding the claims process. Read further to know more.

 

Oriental Health Insurance Company Claim Process

  • Intimate Oriental Health Insurance Company of your claim by calling the company on its toll free number.
  • Have all relevant documents handy; documents such as your Oriental Health Insurance Company Health Card and identification documents
  • Contact directly instead of email for quick claim support

Oriental Health Insurance Company Cashless Claim T&C

If you are in the process of making cashless claims at any one of the hospitals in the Oriental Health Insurance Company Hospital Network; keep these points in mind

  • Approval of claim is followed up by the payment of bills directly by the Oriental Health Insurance Company
  • Important documents to be provided at time of making a cashless claim are as follows…
  • Policy Number and Policy Holder’s and Insured’s Name
  • Contact details of policy holder
  • Claimant’s name
  • Hospital Information
  • Details in regards to ailment or accident

Additionally, Oriental Health Insurance Company has its own reimbursement process when you are making claims. The objective here is to make all payments by yourself and provide the necessary documents and information for Oriental Health Insurance Company to reimburse you. Oriental Health Insurance Company has an excellent reputation and a great claim settlement ratio. It is after all one of India’s oldest health insurance companies.

In conclusion, any questions regarding SI for any of the plans listed above are best directed to consultants from Oriental Health Insurance Company. This is a generalized overview of what this established insurance firm has to offer. As always any of the plans listed above are subject to change on the discretion of Oriental Health Insurance Company. Refer to the Oriental Health Insurance Company for the Oriental health insurance premium calculator application that can help you tabulate the premiums to be paid on any of the plans listed above.