Oriental Health Insurance

About Oriental Health Insurance

The Oriental Insurance Company was formed in 1947 and was a subsidiary of Life Insurance Corporation of India until 1973. In 2003, its holding was transferred to the Central Government of India, and it began operating as a public sector insurance company.

Oriental Health Insurance policies offer financial assistance for medical emergencies, including hospitalization costs, health check-ups, and critical illnesses. Besides health insurance, the company also provides other insurance products such as travel, motor, home, and personal accident insurance.

Oriental Health Insurance has been recognized as the "Best General Insurance - Public" in the CNBC TV18 Best Bank and Financial Institution Award. With a comprehensive range of plans, the company offers a much-needed financial cushion during medical emergencies, covering a wide range of medical expenditures incurred due to illness, sickness, disease, or accident to the insured.

Key Company Figures 

Key Highlights

• 979+ Network Hospitals
• 3,220,573 Claims Settled
• 93.32% Claims Settlement Ratio
• Sum Insured: Up to ₹2 Crore
• 24x7 Customer Support

Features of Oriental Health Insurance

• Customer-friendly approach for a versatile health insurance experience
• A comprehensive wellness system to promote a healthy lifestyle
• Over 79 years of service to the nation
• 24/7 Customer service available
• Operations in 3 overseas locations

Why Choose Oriental Health Insurance?

• Versatile and affordable health insurance plans for every need
• 24/7 customer support for easy claim settlement
• Over 4000 network hospitals all over India
• Offers comprehensive coverage at affordable premiums
• Tax benefits under Section 80D of the Income Tax Act

 Pros and Cons Of Oriental Health Insurance

What is Covered by Oriental Health Insurance?

Pre and Post-Hospitalization Expenses

Oriental Health Insurance understands the impact of rising medical expenses; thus, they have made sure that their insurance products contain pre and post-hospitalization expenses related to in-patient hospitalization.

AYUSH Treatments

Most Oriental Health Insurance plans have in-built alternative treatment covers that you can utilize to your benefit. AYUSH treatments include Ayurveda, Unani, Siddha, and Homeopathy treatments.

Hospitalization Expenses

Oriental health insurance plans cover your hospital expenses like room rent, ICU charges, surgery expenses, doctor consultations, and other such expenses.

Day Care Treatments

Multiple procedures do not require 24-hour hospitalization. With this in mind, a majority of Oriental health insurance plans are designed to cover daycare procedures for policyholders.

Domiciliary Hospitalization

On a doctor’s recommendation, a policyholder can avail of medical care in the comfort of their home. Oriental health insurance plans cover domiciliary hospitalization up to specified sub-limits.

What is Not Covered by Oriental Health Insurance?

Self-Inflicted Injuries

Oriental health policies will not cover injuries or hospitalization caused by self-harm.

Cosmetic Procedures

Oriental Health Insurance plans do not cover any kind of cosmetic surgeries or treatments.

Adventure Sports

Oriental Health Insurance plans will not cover you for hospitalizations or accidents caused due to adventure sports.

Obesity or Weight Control Treatments

Bariatric surgery is covered when medically necessary (for example BMI of 40 or more, or 35 or more with conditions like diabetes), as per IRDAI rules. Cosmetic weight-loss treatment is not covered.

Involvement in Illegal Activities

Oriental health insurance company plans do not cover individuals or families for hospitalization or injuries caused due to unlawful activities.

What Are The Different Waiting Periods in Oriental Health Insurance Plans?

The various waiting periods associated with Oriental Health plans are:

Initial Waiting Period

Begins from the date of purchase and lasts for up to 30 days for most Oriental Health Insurance plans.

Pre-Existing Disease Waiting Period

Oriental Health Insurance plans require you to serve specific waiting periods in case you are diagnosed with pre-existing diseases (PEDs) such as hypertension, diabetes, or any other.

Survival Period

Like waiting periods, Oriental health insurance plans with critical illness coverage have a survival period. During this period, policyholders diagnosed with any listed critical illness must outlive the survival period to enjoy coverage benefits.

How to Buy Oriental Health Insurance Plans?

If you are looking forward to purchasing Oriental Health insurance online, follow these simple steps:

1. Step 1: Visit the PolicyX health insurance page, and enter your details such as name, age, number of members to be covered, and city.
2. Step 2: Click on 'Get Free Quotes' and compare Oriental Health Insurance Plans as per your needs.
3. Step 3: Select and pay premiums online for the Oriental health insurance plan of your choice.
4. Step 4: Our team of insurance experts at PolicyX will provide you with all the assistance required regarding claims and other queries post-purchase of your Oriental Health Insurance plan.

Documents Required for Oriental Health Policy Claim Settlement

Submit the following documents when filing for Oriental health claims:

• Duly completed and signed claim form, in original
• Valid photo-ID proof
• Medical practitioner's referral letter and prescription
• Original bills, receipts, and discharge cards from the hospital/medical practitioner
• Original bills from pharmacy/chemists
• Original pathological/diagnostic tests reports/radiology reports and payment receipts
• Indoor case papers
• First Information Report (FIR), final police report, if applicable
• Post-mortem report, if conducted
• Any other document as required by the company to assess the claim

Oriental vs Large Private Health Insurers 

Oriental Health Plans Compared 

Public sector insurers compared on the basis of CSR

Oriental has the second-lowest claim settlement ratio among the four public sector insurers, and its incurred claim ratio is above 100%. 

Oriental Health Insurance Plan Claim Process Steps

You can file for cashless as well as reimbursement claims for your Oriental Health Insurance Plans by following these easy steps:

1. Step 1: Visit the website of Oriental Health Insurance and select the "Claim" option. Then click on "Services".
2. Step 2: Now select "Claim registration" and log in with your mobile number.
3. Step 3: Select the "claim type", whether you want to opt for a cashless claim or reimbursement. Click on "authorize" and you will receive an OTP on the verified number.
4. Step 4: Get verified with the OTP and fill in the required hospital admission information. Select the hospital, and fill in the hospital details in case of a non-network hospital.
5. Step 5: Upload the required documents and click on the "review" button.
6. Step 6: After clicking on the review button, you need to submit the intimation for the company to review. You will receive a claim intimation number which you need to note down for future purposes.

Oriental Health Insurance Renewal Process

Follow these steps for Oriental Health Insurance policy renewal:

1. Step 1: Visit the official website of Oriental Health Insurance Company.
2. Step 2: Click on the 'Quick Renewal' tab.
3. Step 3: Mention your 'Policy Number' and 'Date Of Birth'.

Connect with our insurance experts for Oriental health insurance policy renewal at 1800-4200-269.