Friday, 10 February 2017

Oriental Insurance - Reviews, Premium Details, Renewal

The only certainty in today’s world is uncertainty itself. And as they say, with health and safety, you can never be too cautious. Accidents can happen to anyone and at any time. One can never be too cautious.

Oriental Insurance

Oriental Insurance is as old as modern India itself. The organization was established in 1947. The head office is in New Delhi. It spans across India and a few other countries such as Dubai, Kuwait and Nepal. The insurance policies offered are in the various fields such as:

     Motor Insurance
     Health Insurance
     Shopkeeper Insurance
     Personal Accident Insurance

Oriental Insurance offers a number of different health plans, as specified below.

Individual Mediclaim Insurance Overview

Minimum Entry Age
Medical Check-up above 45 years
Maximum Entry
80 years
Policy Term
1 year
Minimum Sum Assured
50,000 to 5 lacs

Why should you buy Individual Mediclaim Insurance?

The policy offers surgery coverage, and policy renewal can be done indefinitely.


     Cashless hospitalization 
     Surgery to cover diseases suffered while policy tenure
     Sum assured options up to Rs 5 lacs


     In-Patient Hospitalization - medical costs covered for hospitalization beyond 24 hours
     Pre-Hospitalization – all medical cost  incurred 30 days prior to hospitalization
     Post-Hospitalization - all medical cost incurred 90 days post the discharge from the hospital.
     Discount of 10% on premium provided a family member is covered
     Tax benefits


     Residing citizens of India
     Available till 80 years of age


     Sudden Ailments
      Injury due to accident


     Maternity expenses
     Pre-existing ailments

Happy Family Floater Policy

Minimum Entry Age
18 years
Maximum Entry
60 years
Minimum Sum Assured
1 to 10 lacs
Silver or Gold

Why should you buy Happy Family Floater Policy?

The policy offers a reliable cover for individual, better half and children.


Gold Plan

     Proposer: Ranges from Rs.7,140 till Rs.23,640.
     Personal Accident: Ranges from Rs.120 till Rs.600.
     Each member of the family: Ranges from Rs.1,290 till Rs.18,080.

Silver Plan

     Proposer: Ranges from Rs.1,320 to Rs.10,400.
     Personal Accident: Ranges from Rs.60 to Rs.300.
     Each family member: Ranges from Rs.240 to Rs.7,970.


     For entire family
     Sum assured options up to Rs 10 lacs
     Choice between TPA service or non-TPA


     In-Patient Hospitalization - medical expenses covered for hospitalization beyond 24 hours
     Cash allowance on daily basis
     Cashless Hospitalization
     Tax deductions allowed on the payments of premium made in a year


     Coverage from the minimum age of 18 years to a maximum age of 60 years.


     Coverage allowed for person, dependent parents, spouse, a dependent child, parents-in-law, grandchildren


     Mental illness
     Pre-existing ailments

Procedure for claim filing:
1.       Cashless:
Pre-authorization is needed. If everything checks out, a letter of pre-authorization is issued to the person by Oriental Insurance Company

2.       Reimbursement:
The policyholder needs to intimate Oriental India about the injury, the illness, the hospital, etc
Documents Required:
A number of documents need to be submitted to Oriental Insurance. These documents are medical prescriptions, hospital bills, lab reports, doctor’s diagnosis, pharmacy bills, doctor’s medical certification, all original test reports, all the prescription notes, hospital’s registration number, a count of beds in the facility, count of operation theatres in the facility.
Claims Process:

TPA needs to be informed regarding the claim being made within a period of seven days from the date of individual’s hospitalization. The claim document must be filled completely and sent to the Insurance Group along with bills, reports, etc. within a period of one month (i.e. 30 days) from discharge date of the patient. In the event that TPA requests any other documents, they must be submitted as well.
There is a registered address to which the documents need to be sent.
Oriental House, A-25/27,
Road- Asaf Ali Road,
City- New Delhi
Pin- 110002.
Other health insurance policies offered by Oriental India are PNB - Oriental Royal Mediclaim, Janata Personal Accident, Nagrik Suraksha, HOPE - Health of Privileged Elders, etc


Oriental Insurance group is a trustworthy name in the field of insurances. They offer a wide variety of insurance plans to choose from. Their policies cover various segments and not limited to health insurance policies. On the contrary, their motor insurance policies are particularly popular.

No comments:

Post a Comment