Oriental Happy Family Floater Policy & Benefits | PolicyX
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Oriental Happy Family Floater Policy

Oriental Happy Family Floater Policy offers comprehensive health cover ...Read More

Up to 2 Crores
Sum insured
1,000+
Pan India presence
91.62%
Claim settlement ratio
📄 Download brochure
🛡️ IRDAI Approved
⭐ 4.4/5 · 2,704 reviews
🏥 4,000+ hospitals
📊 -1.03 solvency ratio
✅ 91.62% claim settlement
Written by Anshika Ojha
Reviewed by Raj Kumar
Published: 24 Oct 2024
Updated: 27 Jul 2026
Expert Verified
IRDAI Licensed

Overview

The Oriental Family Floater Policy offers versatile coverage options to its policyholders. Oriental Health Insurance designed the plan to align with different family dynamics in India.

With four different plan options, namely Silver, Gold, Diamond, and Platinum, the Happy Family Floater Policy offers high sum insured options ranging from ₹1 Lakh to ₹50 Lakhs. The policy also provides multiple optional covers for enhanced protection, such as geographical protection in SAARC countries. This allows the insured individual to be covered when traveling abroad to any of the SAARC (South Asian Association for Regional Cooperation) countries: Afghanistan, Bangladesh, Bhutan, Maldives, Nepal, Pakistan, and Sri Lanka. Additionally, policyholders can avail features like hospitalization cover, automatic restoration, worldwide personal accident cover, and more.

Video reviews

Walkthroughs from the PolicyX team — pros, cons, real claim experiences and who should buy.

Oriental Health Insurance

Oriental Health Insurance

This video talks about Oriental Health Insurance in detail. It talks about the Solvency Ratio, and Claim Support Ratio which helps an individual to analyze the Claim settling ability of the Insurer.

Benefits of Oriental Happy Family Floater Policy

Tax Benefits

The amount paid towards the premium of this plan is eligible for tax benefits under Section 80D of the Income Tax Act, 1961.

Discounts

  • Family discounts are available up to 60% when adding two or more family members under the same policy.
  • Online discounts are available up to 10% on online purchases.

Optional Covers

Individuals can avail of optional covers that protect policyholders during their international travel. The 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, and Sri Lanka—at no additional premium charges. Policyholders can also opt for Worldwide Personal Accident Cover.

Air Ambulance Cover

Under the Happy Family Floater Plan, policyholders can avail of Air Ambulance cover, costing a maximum of up to 5% of the sum insured for medical emergencies such as cardiovascular diseases, accidents, and central nervous system-related cases.

Exclusions

Permanent diseases or health conditions that are not included under the Oriental Happy Family Floater Policy are:

  • Hospitalization due to war, riot, strike, and nuclear weapons
  • Intentional self-injury
  • AIDS
  • Miscarriage and abortion
  • Congenital disease
  • Infertility and in vitro fertilization

Certain diseases and treatments are covered under this plan after a specific period. Read the details below:

  • Listed ailments after 24/48 months
  • Pre-existing diseases after 48 months

Sample Illustration of Oriental Happy Family Floater Policy

To understand how much premium one needs to pay, let us go through the example below, which illustrates sample premiums.

Silver Plan

Sum Insured (in Rs.) Premium Payable
1 Lakh 2,115
2 Lakhs 3,053
3 Lakhs 3,712
4 Lakhs 4,180
5 Lakhs 4,543

Gold Plan

Sum Insured (in Rs.) Premium Payable
6 Lakh 5,257
7 Lakhs 5,847
8 Lakhs 6,427
9 Lakhs 6,864
10 Lakhs 7,255

Diamond Plan

Sum Insured (in Rs.) Premium Payable
12 Lakh 8,044
15 Lakhs 9,244
18 Lakhs 10,422
20 Lakhs 11,199

Platinum Plan

Sum Insured (in Rs.) Premium Payable
25 Lakh 13,993
30 Lakhs 14,932
40 Lakhs 15,947
50 Lakhs 16,674

Plan at a glance

Eligibility, sum insured options and policy mechanics — pulled straight from the policy wording.

Entry age
18 to 65 Years
Plan type
Individual and Family Health Insurance
Sum insured options
₹1 L, ₹2 L, ₹3 L, ₹4 L, ₹5 L, ₹15 L, ₹18 L, ₹30 L, ₹40 L, ₹50 L
Waiting period
30 days
Renewability
Lifetime
Policy term
1 Year

*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.

Pros & cons

A quick honest summary — the strengths and the trade-offs.

Pros

  • Domiciliary hospitalization
  • Pre and post-hospitalization
  • Newborn baby expenses

Cons

  • Illegal activities
  • Alcoholism and drug abuse
  • Obesity

What's covered

A quick look at what this plan covers — and what it doesn't.

Hospitalization

  • Room rent Covered
  • ICU charges Covered
  • Pre-hospitalization Covered
  • Post-hospitalization Covered
  • Domiciliary hospitalization Covered
  • Day-care treatment Covered
  • OPD charges Covered
  • Covid-19 treatment Covered
  • Cataract Covered

Bonuses & restoration

  • No-claim bonus Not covered
  • Automatic restoration of SI Covered
  • Daily hospital cash Covered

Family & special care

  • Maternity cover Covered
  • New-born baby cover Covered
  • IVF treatment Covered
  • AYUSH treatment Covered
  • Organ donor expenses Not covered

Modern & preventive care

  • Modern treatment Covered
  • Road ambulance Covered
  • Air ambulance Covered
  • E-consultation Covered
  • Health check-up Not covered
  • Second medical opinion Not covered
  • Vaccination Not covered

Conditions & global

  • Co-payment Covered
  • Sub-limits Not covered
  • Compassionate travel Not covered
  • Global coverage Covered

Who can buy this plan

Eligibility criteria pulled straight from the policy wording.

  • Min entry age: 18 Years
  • Max entry age: 65 Years
  • Initial waiting period: 30 days
  • Sum Insured: Up to 50 Lakhs

Frequently Asked Questions

The 5 most-asked questions about Oriental Happy Family Floater Policy, answered.

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 of multiple additional benefits under the Happy Family Floater Policy such as second medical opinion for major illnesses, organ donor benefit when the insured person is an organ donor, and a lump sum payment of 10% of the 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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