Network hospitals
3500+
Incurred claim ratio
130.09%
Sum insured
Up to 50 Lakh
No. of Plans
13
Solvency Ratio
0.6
Pan India Presence
1800+
Network hospitals
3500+
Incurred claim ratio
130.09%
Sum insured
Up to 50 Lakh
No. of Plans
13
Solvency Ratio
0.6
Pan India Presence
1800+
Oriental Family Floater Policy offers versatile coverage options to their policyholders. With 4 different plan options, namely, silver, gold, diamond, and platinum, Happy Family Floater Policy offers high-sum insured options ranging from INR 1 to 50 Lakhs. Happy Family Floater Policy offers multiple optional covers for enhanced protection for policyholders like geographical protection in SAARC countries wherein the insured individual can be insured when traveling abroad to any of the SAARC (South Asian Association for Regional Cooperation) countries -Afghanistan, Bangladesh, Bhutan, Maldives, Nepal, Pakistan, Sri Lanka. Other than this policyholders can also avail features like hospitalization cover, automatic restoration, worldwide personal accident cover, and more.
Oriental Health Insurance
Child Entry Age
Minimum Child: 91 Days to 25 Years
Adult Entry Age
Maximum: 65 Years
Plan Type
Individual/ Family Floater
Policy Term
1 Year
Initial Waiting Period
30 Days*
Sum Insured
2 L | 3 L | 5 L | 8 L | 10 L | 12 L | 15 L
*Initial Waiting Period is the time period between the issuance of the policy and the time it starts actively. During this period, a policyholder has to wait to avail of the benefits offered under a health insurance plan.
With comprehensive coverage options, Oriental Happy Family Floater Policy lets you customize your health insurance plan as per your requirements:
SI Options : Silver Plan
In-patient & Out-patient coverage
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered up to 30 days
Post-Hospitalization
Covered up to 60 days
Domiciliary Hospitalization
Covered up to 10% of SI
Daycare Treatment
Covered
OPD Charges
Not Covered
Coverage Terms
COVID-19 Treatment
Covered
Cataract
Not Covered
No Claim Bonus
Not Applicable
Automatic Restoration
Applicable
Daily Hospital Cash
Not Available
Organ Donor
Covered up to SI
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
Alternative Treatments
AYUSH Treatment
Covered up to SI
IVF Treatment
Not Covered
Modern Treatment
Covered
Emergency Coverage
Ambulance
Up to Rs.1,000
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Covered
Wellness Programmes
E-Consultation
Not Covered
Health Check-Up
Not Available
Second Medical Opinion
Up to Rs.5,000
Vaccination
Not Available
Limitations
Co-payment
Applicable, 10% of each & every claim
Sub-limits
Not Available
In-patient & Out-patient coverage
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered up to 30 days
Post-Hospitalization
Covered up to 60 days
Domiciliary Hospitalization
Covered up to INR 50,000
Daycare Treatment
Covered
OPD Charges
Not Covered
Coverage Terms
COVID-19 Treatment
Covered
Cataract
Not Covered
No Claim Bonus
Not Applicable
Automatic Restoration
Applicable
Daily Hospital Cash
Covered up to 1.5% of SI
Organ Donor
Covered up to SI
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
Alternative Treatments
AYUSH Treatment
Covered up to SI
IVF Treatment
Not Covered
Modern Treatment
Covered
Emergency Coverage
Ambulance
Up to Rs. 2,000
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Covered
Wellness Programmes
E-Consultation
Not Covered
Health Check-Up
Not Available
Second Medical Opinion
Up to Rs. 10,000
Vaccination
Not Available
Limitations
Co-payment
Not Applicable
Sub-limits
Not Available
In-patient & Out-patient coverage
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered up to 30 days
Post-Hospitalization
Covered up to 60 days
Domiciliary Hospitalization
Covered up to INR 50,000
Daycare Treatment
Covered
OPD Charges
Not Covered
Coverage Terms
COVID-19 Treatment
Covered
Cataract
Not Covered
No Claim Bonus
Not Applicable
Automatic Restoration
Applicable
Daily Hospital Cash
Covered up to 1.5% of SI
Organ Donor
Covered up to SI
Maternity Cover
Covered up to 2.5% of SI
New Born Baby Cover
Covered up to 2.5% of SI
Alternative Treatments
AYUSH Treatment
Covered up to SI
IVF Treatment
Not Covered
Modern Treatment
Covered
Emergency Coverage
Ambulance
Up to Rs. 3,000
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Covered
Wellness Programmes
E-Consultation
Not Covered
Health Check-Up
Not Available
Second Medical Opinion
Up to Rs. 15,000
Vaccination
Not Available
Limitations
Co-payment
Not Applicable
Sub-limits
Not Available
In-patient & Out-patient coverage
Room Rent
Covered
ICU Charges
Covered
Pre-Hospitalization
Covered up to 30 days
Post-Hospitalization
Covered up to 60 days
Domiciliary Hospitalization
Covered up to INR 50,000
Daycare Treatment
Covered
OPD Charges
Covered up to Rs. 5,000
Coverage Terms
COVID-19 Treatment
Covered
Cataract
Not Covered
No Claim Bonus
Not Applicable
Automatic Restoration
Applicable
Daily Hospital Cash
Covered up to 1.5% of SI
Organ Donor
Covered up to SI
Maternity Cover
Covered up to 2.5% of SI
New Born Baby Cover
Covered up to 2.5% of SI
Alternative Treatments
AYUSH Treatment
Covered up to SI
IVF Treatment
Not Covered
Modern Treatment
Covered
Emergency Coverage
Ambulance
Up to Rs. 5,000
Air Ambulance
Covered up to 5% of SI
Compassionate Travel
Not Covered
Global Coverage
Covered
Wellness Programmes
E-Consultation
Not Covered
Health Check-Up
Not Available
Second Medical Opinion
Up to Rs. 25,000
Vaccination
Not Available
Limitations
Co-payment
Not Applicable
Sub-limits
Not Available
The room rent limit is the maximum amount of bed charge that you can claim if you are hospitalized.Common Room categories covered under room rent are:
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy Plan, the room rent is covered up to 1% of S.I in all variants.
It is a special department in the hospitals where patients with serious medical conditions are treated.
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy Plan, ICU charges are covered up to 2% of S.I under all variants.
Medical expenses incurred before the hospitalization of the policyholder.
Coverage status under Oriental Happy Family Floater Policy?
Under the Oriental Happy Family Floater Policy Plan medical expenses incurred during pre-hospitalization are covered for up to 30 days.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy Plan, medical expenses incurred during pre-hospitalization are covered for up to 60 days.
Home hospitalization arrangements for the insured person due to the unavailability of medical amenities in hospitals. The treatment should last equal to or more than 72 hrs to get financial coverage.
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy, domiciliary hospitalization is covered:
Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.
Coverage status under Oriental Happy Family Floater Policy?
Oriental Happy Family Floater Policy covers daycare procedures.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization.
Coverage status under Oriental Happy Family Floater Policy?
Oriental Happy Family Floater Policy covers OPD charges only under the Platinum plan variant for a maximum of Rs. 5,000/- on a reimbursement basis in a block of every three years.
COVID-19 treatment includes the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. approved Centre.
Coverage status under Oriental Happy Family Floater Policy?
Covid Covered
A common eye condition in which your vision gets blurred.
Coverage status under Oriental Happy Family Floater Policy?
Oriental Happy Family Floater Policy Plan does not cover Cataract Treatment.
For every claim-free year, insurance companies reward policyholders with an increase in the Sum Insured amount as a no-claim bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a percentage that varies from plan to plan.
Coverage status under Oriental Happy Family Floater Policy?
The cumulative Bonus is unavailable under Oriental Happy Family Floater Policy.
Automatic restoration is a benefit in which an insurance company restores the sum insured amount completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from plan to plan.
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy automatic restoration is available under silver and gold plan variants up to 100% of S.I.
It is a cash amount that you receive each day during the time of hospitalization.
Coverage status under Oriental Happy Family Floater Policy?
The daily hospital cash is available under all Oriental Happy Family Floater Policy plan variants except for the silver plan variant at the rate of 0.1% per day maximum of up to 1.5 % of the Sum Insured.
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body.
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy, organ donor expenses are covered up to SI.
It refers to the cover that includes expenses for normal and c-section procedure deliveries.
Coverage status under Oriental Happy Family Floater Policy?
Under the Oriental Happy Family Floater Policy Plan Diamond and Platinum variant, maternity expenses are covered up to 2.5% of S.I.
It takes care of the medical expenses that arise due to the hospitalization of the newborn baby in case of unforeseen circumstances. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy Plan under the Diamond and Platinum plan variants, the newborn baby cover is available up to 2.5% of S.I.
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
Coverage status under Oriental Happy Family Floater Policy?
Covered Under Oriental Happy Family Floater Policy up to SI.
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are for:
Coverage status under Oriental Happy Family Floater Policy?
Under the Oriental Happy Family Floater Policy IVF treatment is not covered.
Medical treatments that demand modern technology such as robotic surgeries, stem cell therapy, etc.
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy modern treatments are covered to a maximum of 10% of SI.
An ambulance is used to move the patient from home to the hospital, transfer to another hospital, and take them for different tests outside the hospital.
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy Plan, Ambulance expenses are covered
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy Plan, Air Ambulance is covered only under the platinum plan variant to a maximum of upto 5% of the SI.
Refers to the traveling expenses of a family member of the insured person in case the policyholder gets admitted to a hospital outside his/her residential city.
Coverage status under Oriental Happy Family Floater Policy?
Under the Oriental Happy Family Floater Policy compassionate plan is not covered.
Any kind of medical/health emergency when you are outside of India.
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy Global coverage is available as an optional cover.
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
Coverage status under Oriental Happy Family Floater Policy?
Under the Oriental Happy Family Floater Policy, e-consultation is covered with a sub-limit of a maximum of Rs. 2,000/- per family.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's policies.
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy, a health checkup is not covered.
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
Coverage status under Oriental Happy Family Floater Policy?
Under the Oriental Happy Family Floater Policy second medical opinion is covered
Coverage against the expenses incurred on vaccinations is provided by the insurance companies.
Coverage status under Oriental Happy Family Floater Policy?
Under Oriental Happy Family Floater Policy Plan, vaccination expenses are not covered.
In the co-payment clause, policyholders have to pay a portion of the hospitalization expense on their own and the insurer will pay the rest of the amount.
Status under Oriental Happy Family Floater Policy?
Applicable only under Oriental Happy Family Floater Policy Silver Plan Variant.
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder.
Status under Oriental Happy Family Floater Policy?
Not Applicable under Oriental Happy Family Floater Policy.
Permanent diseases or health conditions that are not included under Oriental Happy Family Floater Policy are:
Hospitalization out of war, riot, strike, and nuclear weapons
Intentional self-injury
Miscarriage, and abortion
Congenital disease
Infertility and in vitro fertilization
Certain diseases and treatments are covered under this plan after a certain time period. Read the details below:
Pre-existing diseases after 48 months
Listed Ailments 24/48 months
To understand how much premium one needs to pay, let us go through the below example wherein we have illustrated the sample premiums.
Sum Insured (in Rs.) | 1 Lakh | 2 Lakhs | 3 Lakhs | 4 Lakhs | 5 Lakhs |
Premium Payable | 2,115 | 3,053 | 3,712 | 4,180 | 4,543 |
Sum Insured (in Rs.) | 6 Lakh | 7 Lakhs | 8 Lakhs | 9 Lakhs | 10 Lakhs |
Premium Payable | 5,257 | 5,847 | 6,427 | 6,864 | 7,255 |
Sum Insured (in Rs.) | 12 Lakh | 15 Lakhs | 18 Lakhs | 20 Lakhs |
Premium Payable | 8,044 | 9,244 | 10,422 | 11,199 |
Sum Insured (in Rs.) | 25 Lakh | 30 Lakhs | 40 Lakhs | 50 Lakhs |
Premium Payable | 13,993 | 14,932 | 15,947 | 16,674 |
Happy Family Floater Policy offers multiple plan benefits and features enhancing the coverage for policyholders.
Tax Benefits
Get tax relief under section 80D
Discounts
Multiple discount options
Optional Covers
Avail Multiple Cover Options
Air Ambulance Cover
Avail Emergency medical care
Amount paid towards the premium of this plan is eligible for tax relief under Section 80D of the Income Tax Act, 1961.
Family discounts available up to 60% when adding 2 or more family members under the same policy. Online discounts available up to 10% on online purchase.
Individuals can avail optional covers that protect policyholders during their international travel. Happy Family Floater Policy can be extended to cover insured lives visiting SAARC (South Asian Association for Regional Cooperation) countries -Afghanistan, Bangladesh, Bhutan, Maldives, Nepal, Pakistan, Sri Lanka at no additional premium charges. Other than this policyholders can also opt for Personal Accident Cover World Wide.
Under Happy Family Floater Plan policyholders can avail Air Ambulance cover, costing maximum up to 5% of the sum insured for medical emergencies such as cardio-vascular diseases, accidents and central nervous system related cases.
Know more about Oriental Health Insurance, its claim process, buying process, and contact details by clicking on the sections below:
Click to know the claim process of Oriental Health Insurance Company.
Click to know the buying process of Oriental Health Insurance Company.
For any query related to the policy get in touch with the Oriental Health Insurance Company
Click to know the renewal process of Oriental Health Insurance Company
Oriental Health Insurance offers a wide range of health insurance plans to fulfill the medical needs of individuals, families, and senior citizens.
A plan for individuals and families covering domiciliary hospitalization, and daycare treatment. The plan also offers many discounts and other add-on benefits.
Unique Features
The policy offers Daily Cash Benefit during hospitalization. It also provides a 25% extra daily cash benefit for female policyholders at no additional premium.
Unique Features
Covers hospitalization charges for the individual and family members. It is a standard plan that covers many illnesses and annual medical checkups.
Unique Features
It provides health insurance coverage to the financially constrained sections of society at very nominal premiums ranging between Rs. 50 to 70.
Unique Features
The policy safeguards the Indian emigrant workers who intend to emigrate or have done so. The policy provides a Sum Insured of 10 lacs.
Unique Features
Oriental Super Top-up policy is an add-on policy that is designed to provide coverage to the insured and his family in case their base coverage is exhausted.
Unique Features
Designed to offer health insurance coverage to senior citizens aged 60 years and above and comes out with a compulsory co-payment of 20%.
Unique Features
Coverage for medical expenses of various ailments to the policyholders residing outside of India for study and employment.
Unique Features
Specially designed to offer coverage on detection of Dengue Fever without any sub-limit/ co-payment. The plan comes with a coverage of up to Rs. 20,000.
Unique Features
A combination of travel and health insurance that contains health benefits and offers coverage against loss during travel abroad.
Unique Features
A plan that covers 22 critical illnesses including kidney and lung failure. The policy covers spouse, dependent child, parents-in-law and unmarried siblings.
Unique Features
It is a group health insurance plan that covers hospitalization and maternity expenses. The plan also covers low-claim discounts.
Unique Features
The plan includes hospitalization, and Medical Advice. It also covers mental illness and modern treatments.
Unique Features
A plan for people with native bank accounts, includes coverage for pre-existing conditions, assisted reproductive techniques and hospitalization.
Unique Features
A plan specifically designed for the treatment of cancer, Dialysis and post-treatment follow-up. It offers Cancer Care Benefits even in SAARC Countries.
Unique Features
A standard health insurance plan that covers, hospital room rent (stay and bed charges), ICU services, and even new-age treatments.
Unique Features
This plan is designed to provide you with accidental death and disability coverage, cover for financial support in times of disability.
Unique Features
See More Health Insurance Articles
See More Health Insurance Articles
An individual between the age of 18 to 65 years or in some cases 70 years can invest in the Happy Family Floater Policy along with dependent children between the age of 3 months to 25 years.
Policyholders avail multiple additional benefits under Happy Family Floater Policy such as second medical opinion for major illnesses, organ donor benefit when the insured person is a organ donor, a lump sum payment of 10% of Sum Insured is paid to the insured life. Other benefits include air ambulance, Maternity Cover, e-consultation and more.
Under Happy Family Floater Policy Indivduals can opt for 4 different plan options namely Silver, Gold, Diamond and Platinum. The following plan variants are available with sum insured options ranging from 1 Lakh to 50 Lakh INR along with various other benefits.
The benefit allows individuals to avail protection against any unforeseen circumstances when travelling to other SAARC (South Asian Association for Regional Co-operation) countries -Afghanistan, Bangladesh, Bhutan, Maldives, Nepal, Pakistan, Sri Lanka at no additional premium.
Personal Accident Cover provided in the Happy Family Floater Policy states that if any policyholder sustains any injury anywhere in the world causing death or disability to the insured individual the policy will pay up to 100% of SI to policyholder or their legal nominee.
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Naval Goel is the CEO & founder of PolicyX.com. Naval has an expertise in the insurance sector and has professional experience of more than a decade in the Industry and has worked in companies like AIG, New York doing valuation of insurance subsidiaries. He is also an Associate Member of the Indian Institute of Insurance, Pune. He has been authorized by IRDAI to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.
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