Oriental Mediclaim Insurance: Plans, Benefits & FAQs | PolicyX
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Benefits of Oriental Mediclaim Insurance

In an era where healthcare costs are continually on the rise, having a robust health insurance plan is no longer a luxury but a necessity. Oriental Health…

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Written by Simran Kaur Vij
Published: 8 Jul 2025
Updated: 22 Jun 2026
3 min read
Expert Verified
IRDAI Licensed

Securing Your Health: Oriental Mediclaim Insurance

In an era where healthcare costs are continually on the rise, having a robust health insurance plan is no longer a luxury but a necessity. Oriental Health Insurance, one of the oldest health insurance providers in India, offers a vast product portfolio. Among various providers, Oriental Insurance stands out as a well-established name, offering comprehensive mediclaim policies designed to provide financial security during medical emergencies. Let's delve into the multiple benefits of opting for Oriental Mediclaim Insurance.

Oriental Health Plans

Here are the various Oriental Health Plans:

Oriental Health PlansSum InsuredEligibility
Oriental Mediclaim Insurance1 to 10 L18 to 65 Years
Oriental Happy Family Floater1 to 50 L91 Days to 65 Years
Oriental Arogya Sanjeevani1 to 20 L18 to 65 Years
Oriental Youth Eco Care3 L to 1 Crore18 to 45 Years
Oriental Health Of Privileged Elders1 L to 5 L18 Years to NA

Oriental Health Insurance Mediclaim Inclusions

Key inclusions of Oriental Mediclaim are:

  • In-patient Hospitalisation
  • Pre and Post-hospitalisation Expenses
  • Daycare Procedures
  • Domiciliary Hospitalisation
  • Organ Donor Expenses
  • Ambulance Charges
  • AYUSH Treatments
  • Daily Hospital Cash Allowance

Oriental Health Insurance Mediclaim Exclusions

Key exclusions of Oriental Mediclaim are:

  • Injuries and accidents caused due to illegal activities
  • Cosmetic surgeries
  • Obesity treatments
  • Injuries and accidents due to intoxication
  • Nuclear attack, war, etc
  • Self-harm

Oriental Mediclaim Insurance Benefits

Beyond comprehensive coverage, Oriental Mediclaim policies offer several appealing features:

  • Lifelong Renewability:

    This significant advantage ensures your policy can be renewed throughout your lifetime, providing continuous coverage as you age and medical needs potentially increase.
  • Cashless Hospitalisation:

    Oriental Insurance has a wide network of 4,500+ empanelled hospitals across India. This cashless facility allows you to receive treatment without immediate out-of-pocket payments, as the insurer directly settles bills with the hospital, offering immense convenience during stressful times.
  • Portability Option:

    If you are insured with another company, Oriental Mediclaim policies offer portability, allowing you to switch to their plan without losing accumulated waiting period benefits.
  • Family Discount:

    For individuals opting to cover multiple family members under a single policy (e.g., a family floater plan), Oriental Insurance often provides attractive family discounts on the total premium.
  • Tax Benefits:

    Premiums paid for Oriental Mediclaim policies are eligible for tax deductions under Section 80D of the Income Tax Act, 1961, offering a financial incentive.
  • Voluntary Co-payment Option:

    For higher sum insured plans, policyholders may opt for a voluntary co-payment, agreeing to bear a small percentage of the claim amount in exchange for a premium discount.
  • Swift Claim Settlement Process:

    Oriental Insurance is known for its structured and efficient claim settlement process, offering both cashless and reimbursement options. Their claim settlement ratio is a positive indicator of their reliability.

How to Calculate Oriental Health Insurance Mediclaim Premiums?

To calculate premiums for Oriental Health Insurance mediclaim, follow these steps:

  • Visit PolicyX.com.
  • Enter your age, name, and the number of family members to be covered.
  • Select your required sum insured.
  • Select your city of residence.
  • Select add-ons as per your requirements.
  • Click 'Calculate Premiums'.

How to Buy Oriental Mediclaim Insurance?

To buy Oriental Mediclaim Insurance, follow these steps:

  • Visit PolicyX.com.
  • Enter necessary details such as name, city, number of members, and sum insured.
  • Click 'Compare Prices'.
  • Buy a suitable Oriental Mediclaim Insurance plan.

Waiting Periods of Oriental Mediclaim Insurance

Oriental Mediclaim plans include various waiting periods:

  • Initial waiting period: 30 days
  • Specific waiting periods for certain diseases: 1-2 years
  • Pre-existing diseases: 4 years

Conclusion

Oriental Mediclaim Insurance provides a robust safety net against unforeseen medical expenditures. With comprehensive coverage, convenient cashless facilities, lifelong renewability, and other benefits, it empowers individuals, families, and senior citizens to prioritize their health without financial stress.

Before making a decision, it is advisable to thoroughly understand the policy terms and conditions, compare different plans, and choose one that best aligns with your specific healthcare needs and financial goals.

For any insurance-related queries, advice, or assistance, feel free to schedule an appointment with our Insurance Experts.

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Benefits of Oriental Mediclaim Insurance: FAQs

Oriental mediclaim benefits include telemedicine expenses, inpatient hospitalisation, ambulance charges, mental illnesses, domiciliary hospitalisation, and AYUSH treatment.
The claim settlement ratio of Oriental Health Insurance for FY 2023-24 is 65.08%.
Download the claim form from Oriental Insurance Company’s website, fill it accurately with details of the treatment and expenses, and submit it along with the required documents.

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