Oriental Health Insurance

With the values that says "An Indian Brand, Owned by Indians, Operated by Indians", Oriental Health Insurance started its operations in 1947...Read More

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2 Lakh+ Happy Customers

Oriental Health Insurance
Network hospital

Network hospitals

4000+

Incurred Claim Ratio

Incurred claim ratio

95.49%

Sum Insured

Sum insured

Up to2 Crores

No of Plans

No. of Plans

5

Solvency Ratio

Solvency Ratio

0.6

Pan India Presence

Pan India Presence

1,000+

Customized Health Insurance Plan for you.

Get upto 15% Online Discount*

Select Members You Want To Insure

Age of Eldest Member

PolicyX Exclusive Benefits

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With expert guidance from advisors

Happy Customers

2 lakh + Happy Customers

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Free Comparison

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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 till 1973. In 2003, the holding of Oriental Insurance was handed over to the central government of India, and from then onwards, it started working as a public sector insurance company.

Oriental health insurance policies promise to offer financial assistance against medical emergencies, including hospitalization costs, health checkups, critical illness, etc. Apart from health insurance, the company deals in other types of insurance products including travel, motor, home, personal accident, and many more.

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

4000+

1

Network
Hospitals

3,220,573

2

Claims
Settled

95.49%

3

Claims Settlement
Ratio

UP TO 2 Cr

4

Sum
Insured

24X7

5

Customer
Support

What are some of the
Features
that set them apart?

  • 1

    Customer-friendly approach for a versatile health insurance experience

  • 2

    A comprehensive wellness system to promote a healthy lifestyle

  • 3

    76+ years in service of the nation

  • 4

    24/7 Customer service available

  • 5

    3 Overseas operations

Oriental Health Insurance Detailed Review

Oriental Health Insurance

Best Selling Oriental Health Insurance Plans

Let's take a look at the list of health insurance plans that offer comprehensive protection to you and your family

  1. Group Health Insurance

    Oriental Health Insurance Plans Eligibility Approximate Annual Premiums
    Oriental Bank Saathi Policy Entry Age - 18 to 70 Years
    Sum Insured - Up to 25 L
    Rs. 6,530

  2. Accident Health Insurance

    Oriental Health Insurance Plans Eligibility Approximate Annual Premiums
    Oriental Personal Accident Policy Entry Age - N/A
    Sum Insured - Up to N/A
    Rs. N/A

  3. Individual and Family Health Insurance

    Oriental Health Insurance Plans Eligibility Approximate Annual Premiums
    Oriental Happy Family Floater Policy Entry Age - 18 to 65 Years
    Sum Insured - Up to 50 L
    Rs. 2,115

    PNB Oriental Royal Mediclaim Insurance Policy Entry Age - 18 to 79 Years
    Sum Insured - Up to 10 L
    Rs. 8393

  4. Individual

    Oriental Health Insurance Plans Eligibility Approximate Annual Premiums
    Individual Mediclaim Policy Entry Age - 18 to 65 Years
    Sum Insured - Up to 50 L
    Rs. 2,933

Key Features Of Oriental Health Insurance

Let us take a look at some unique features of top-selling Oriental Health Insurance policies:

For Group Health Insurance

Oriental Bank Saathi Policy

Oriental Insurance Bank Saathi Policy is a group policy designed to provide indemnity to insured individuals and their family members. It is a group health insurance policy that covers various medical care expenses.

Why Do We Recommend This?
  • Two plan variants
  • Medical Second Opinion
  • Tax Benefits

For Accident Health Insurance

Oriental Personal Accident Policy

Oriental Insurance’s personal accident policy offers compensation against such critical conditions caused by an accident, violence, or external factors.

Why Do We Recommend This?
  • Covers accidental death
  • Injury 
  • Permanent total disability

For Individual and Family Health Insurance

Oriental Happy Family Floater Policy

The Oriental Happy Family Floater Policy is a versatile health plan with silver, gold, diamond, and platinum plan variants. The plan offers a high sum insured up to INR 50 Lakhs and a plethora of features.

Why Do We Recommend This?
  • Domiciliary hospitalization
  • Day Care procedures
  • Accidental Death Benefit

For Individual

Individual Mediclaim Policy

designed to take care of all your medical expenses related to the Hospitalization/Domiciliary hospitalization of the policyholder in the following conditions

Why Do We Recommend This?
  • Sudden illnesses
  • Accidents
  • Surgery to treat any disease that arises during the policy period

Explore other Oriental Health Insurance

To cater to the different medical needs of an individual & their family, Oriental Health Insurance offers several Health Plans ranging from senior citizen plans to specialized plans for autistic children, to health insurance for cardiac patients, and many more. Take a look below to Oriental Health Insurance plans explore more:

Group Health Insurance

Oriental Health Insurance Bank Saathi Policy, a group policy by Oriental Insurance Company, is designed to provide indemnity to insured individuals an...

Unique Features

  • 2 Plan Variants
  • Newborn Baby Cover
  • Modern Treatment

Oriental Bank Saathi Policy (Pros)

Oriental Bank Saathi Policy
  • Maternity & newborn cover
  • Medical second opinion
  • Mental illness cover

Oriental Bank Saathi Policy (Cons)

Oriental Bank Saathi Policy
  • Illegal activities
  • Alcoholism
  • Adventure sports

Oriental Bank Saathi Policy (Other Benefits)

Oriental Bank Saathi Policy
  • Tax benefits
  • AYUSH treatment
  • Modern treatments

Oriental Bank Saathi Policy (Eligibility Criteria)

Oriental Bank Saathi Policy
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 25 L

Accident Health Insurance

The human body is mortal such that we all can not avoid an accident that could lead us to lose our lives or any part of the body like limbs, or major ...

Unique Features

  • Covers you globally
  • Optional medical cover
  • Accidental loss compensation

Oriental Personal Accident Policy (Pros)

Oriental Personal Accident Policy
  • Accidental death
  • Injury
  • Permanent total disability

Oriental Personal Accident Policy (Cons)

Oriental Personal Accident Policy
  • Obesity
  • Illegal activities
  • Cosmetic Procedures

Oriental Personal Accident Policy (Other Benefits)

Oriental Personal Accident Policy
  • Permanent partial disability
  • Temporary total disability
  • Worldwide accidental cover

Oriental Personal Accident Policy (Eligibility Criteria)

Oriental Personal Accident Policy
  • N/A

Individual and Family Health Insurance

Oriental Family Floater Policy offers versatile coverage options to their policyholders. Oriental Health Insurance designed the plan to align with dif...

Unique Features

  • International Cover
  • Multiple Discount Benefits
  • E-Consultation Available

Oriental Happy Family Floater Policy (Pros)

Oriental Happy Family Floater Policy
  • Domiciliary hospitalization
  • Pre and post-hospitalization
  • Newborn baby expenses

Oriental Happy Family Floater Policy (Cons)

Oriental Happy Family Floater Policy
  • Illegal activities
  • Alcoholism and drug abuse
  • Obesity

Oriental Happy Family Floater Policy (Other Benefits)

Oriental Happy Family Floater Policy
  • Tele consultation
  • Telemedicine
  • Accidental death benefit

Oriental Happy Family Floater Policy (Eligibility Criteria)

Oriental Happy Family Floater Policy
  • Min entry age: 18 Years
  • Max entry age: 65 years
  • Initial waiting period: 30 days
  • Sum Insured: Up to 50 L

Individual and Family Health Insurance

PNB Oriental Royal Mediclaim policy introduced by Oriental Health Insurance provides comprehensive coverage to the account holders of Punjab National ...

Unique Features

  • Individual and Family Floater
  • AYUSH Cover
  • Check the Eligibility Criteria

PNB Oriental Royal Mediclaim Insurance Policy (Pros)

PNB Oriental Royal Mediclaim Insurance Policy
  • Covers family
  • High sum insured
  • Ambulance cover

PNB Oriental Royal Mediclaim Insurance Policy (Cons)

PNB Oriental Royal Mediclaim Insurance Policy
  • Illegal activities
  • Alcoholism and drug abuse
  • Obesity

PNB Oriental Royal Mediclaim Insurance Policy (Other Benefits)

PNB Oriental Royal Mediclaim Insurance Policy
  • Pre and post-hospitalization
  • Multiple variants
  • Daily hospital cash

PNB Oriental Royal Mediclaim Insurance Policy (Eligibility Criteria)

PNB Oriental Royal Mediclaim Insurance Policy
  • Min entry age: 18 Years
  • Max entry age: 79 Years
  • Initial waiting period: 30 Days
  • Sum insured: Up to 10 L

Individual

Oriental Individual Mediclaim by Oriental Health Insurance is an affordable health insurance policy that is designed to take care of all your medical ...

Unique Features

  • AYUSH Benefits Covered
  • Inclusions and Exclusions
  • Lifetime Renewability

Individual Mediclaim Policy (Pros)

Individual Mediclaim Policy
  • Family discount
  • Voluntary co-payment
  • Daily hospital cash

Individual Mediclaim Policy (Cons)

Individual Mediclaim Policy
  • Alcoholism and drug abuse
  • Obesity
  • Cosmetic procedures

Individual Mediclaim Policy (Other Benefits)

Individual Mediclaim Policy
  • Personal accident cover
  • Medical second opinion
  • Multiple SI options

Individual Mediclaim Policy (Eligibility Criteria)

Individual Mediclaim Policy
  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial Waiting Period: 30 Days
  • Sum Insured: Up to 50 L

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Oriental Health Insurance

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Why Choose Oriental Health Insurance?

why-choose
  • Versatile and affordable health insurance plans for every need
  • 24X7 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

What is Covered?

Life 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.

Life Insurance

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.

Life Insurance

Hospitalization Expenses

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

Life Insurance

Day Care Treatments

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

Life Insurance

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?

Life Insurance

Self Inflicted Injuries

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

Life Insurance

Cosmetic Procedures

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

Life Insurance

Adventure Sports

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

Life Insurance

Obesity or Weight Control Treatments

Oriental Health Insurance plans mostly do not cover treatments related to obesity and weight management such as bariatric surgeries.

Life Insurance

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 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.

Oriental Health Insurance Plans Buying Process

If you are looking forward to purchasing Oriental Health insurance online follow the simple steps below:

Life Insurance
  • Step 1

    Visit the PolicyX health insurance page, and enter your details such as name, age, number of members to be covered, and city.

  • Step 2

    Click on 'Get free quotes' and compare Oriental Health Insurance Plans as per your needs.

  • Step 3

    Select and pay premiums online for the purchased Oriental health insurance plan of your choice.

  • 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.

Life Insurance

Oriental Health Insurance Renewal Process

Follow the steps for Oriental Health Insurance policy renewal

  • Step 1

    Visit the official website of Oriental Health Insurance Company

  • Step 2

    Click on the ‘ Quick Renewal’ tab

  • 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

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:

Life Insurance
  • Step 1

    Visit the website of Oriental Health Insurance, and select the "Claim" option. Then click on the "Services".

  • Step 2

    Now select "Claim registration" and log in with your mobile number.

  • Step 3

    Now select the "claim type", whether you want to opt for a cashless claim or reimbursement. Click on the authorize and you will receive the OTP on the verified number.

  • 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.

  • Step 5

    Upload the documents asked and click on the "review" button.

  • 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.

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, final police report, if applicable
  • Post-mortem report, if conducted
  • Any other document as required by the company to assess the claim
Who Should Invest In A Health Policy?
Health Insurance Queries

More Queries?

If you have any more queries regarding Plans, Renewals, or Claim Procedures, contact our insurance experts at:
1800-4200-269 now!

Oriental Health Insurance: FAQs

1. What is the free look period under Oriental Health Insurance?

The company provides a free-look period of 15 days. During this period, the policyholder is free to cancel the policy if he/she does not agree with any of the clauses under the policy.

2. What are the benefits of having a health card issued by the Oriental Company?

The health card is primarily for cashless hospitalization. The insured person or accompanying member can display the card to the hospital. The hospital will verify with the assigned TPA/company, who will authorize the claim for cashless settlement.

3. Are pre-existing diseases covered under the PNB Oriental Royal Mediclaim Insurance Policy?

Yes, pre-existing diseases are covered after three consecutive policy periods.

4. Are diseases like cataracts, Hernia, Piles, or Sinus covered under the Oriental Individual Mediclaim Policy?

Yes, they are all covered. However, the insured must keep the policy active through timely premium payment and wait one or two years to receive a payout.

5. What expenses are not covered in Oriental health insurance Organ Donor cover?

The cost of the organ and acquisition of the organ is not covered under Oriental Health Insurance.

6. How can I file a claim for my Oriental Health Insurance Policy?

For filing a claim, you need to get in touch with the customer support of Oriental Insurance. They will guide you with the further process.

7. What are the modes of premium payment available under the Oriental Health Insurance Policy?

The premiums for Oriental Insurance Mediclaim Policies can be paid in cash at the branch or via online methods. Online payments can be made using net banking, credit, or debit cards.

8. I want to check the policy status of my Oriental Health Insurance Policy. How can I do that?

Log in to the e-Portal with your registered user ID and password if you are a registered policyholder. You may have all the policy-related details after you’ve logged in.

9. What is the maximum number of claims I can make under the Oriental Mediclaim Policy?

There is no limit on the claims you can make in a policy year. However, keep in mind that the claims made should not exceed the sum insured chosen by you.

10. Will I get any tax exemption for the premiums paid under Oriental Health Insurance Policy?

Yes. as per Section 80D of the Income Tax Act, you are eligible to avail a tax exemption under Oriental Health Insurance policies.

11. Is there any child-specific plan under Oriental Health Insurance?

No, the company does not have any specific health insurance plan for children. However, if you want to cover your child, you can cover them in family floater plans.

12. What will happen to my health insurance if I forget to pay my health insurance premiums?

In case you forget to pay your heath insurance premiums on time, the company will offer a grace period wherein you can pay your outstanding premiums.

13. Is there any maternity-specific health plan under Oriental Health Insurance Company?

No, the company does not offer any maternity specific health plan, however, it offer several plan wherein one can avail the coverage against maternity.

14. Where can I register my grievance under the Oriental Health Insurance company?

The company offers a seperate grievance redrealla team that can be contacted via:Grievance Nodal Officers at Head Office and Regional Offices- Smt. Anita Sharma , Chief Manager, Customer Service Department 4th Floor, Aggarwal House Asaf Ali Road, New Delhi-110002. Email: csd@orientalinsurance.co.in

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Simran saxena

Written By: Simran Saxena

An explorer and a curious person, Simran has worked in the field of insurance for more than 3 years. Travelling and writing are her only passion and hobby. Her main agenda is to transform insurance information into a piece that is easy to understand and seamlessly solves the reader’s query.