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 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 like:
The plan will be available to individuals until 70, and insured individuals can cover up to 3 dependent children between 91 Days and 18 Years. However, male children can be covered up to the age of 26 years. There are two plan variants under the Oriental Insurance Bank Saathi Policy wherein Plan A offers a sum insured of INR 2 to 5 lakhs and Plan B offers a sum insured of INR 6 to 25 Lakhs.
When purchasing the health insurance plan, it is necessary to fulfill the following eligibility criteria mentioned below:
Child Entry Age
Minimum: N/A Children: 91 Days to 26 Years
Adult Entry Age
Maximum: 70 Years
Plan Type
Individual/Family Floater
Policy Term
N/A
Initial Waiting Period
30 Days
Sum Insured
Plan A - 1 L | 2 L | 3 L | 4 L | 5 L
Plan B - 6 L | 8 L | 10 L | 15 L | 20 L | 25 L
Insurance holders can avail of a multitude of benefits on the purchase of Oriental Insurance Bank Saathi Policy as it offers all-around coverage to you and your family members. We have listed a few below:
The below-mentioned sum insured options are available under the Oriental Insurance Bank Saathi Policy
SI Options : Plan A
In-patient & Out-patient coverage
Room Rent
Covered Up to 1% SI
ICU Charges
Covered Up to 2% SI
Pre-Hospitalization
Covered for Up to 30 Days
Post-Hospitalization
Covered for Up to 60 Days
Domiciliary Hospitalization
Covered Up to INR 25,000
Daycare Treatment
Covered
OPD Charges
Not Covered
Coverage Terms
COVID-19 Treatment
Covered
Cataract
Covered Up to INR 32,000
No Claim Bonus
Not Applicable
Automatic Restoration
Not Applicable
Daily Hospital Cash
Not Covered
Organ Donor
Covered Up to SI
Maternity Cover
Not Covered
New Born Baby Cover
Covered
Alternative Treatments
AYUSH Treatment
Covered Up to 25% SI
IVF Treatment
Not Covered
Modern Treatment
Covered
Emergency Coverage
Ambulance
Up to INR 1,000
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
Wellness Programmes
E-Consultation
Covered
Health Check-Up
Not Covered
Second Medical Opinion
Up to INR 5,000 Per Policy Period
Vaccination
Not Covered
Limitations
Co-payment
Not Applicable
Sub-limits
Not Applicable
In-patient & Out-patient coverage
Room Rent
Covered Up to 1% SI
ICU Charges
Covered Up to 2% SI
Pre-Hospitalization
Covered for Up to 30 Days
Post-Hospitalization
Covered for 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
Covered Up to INR 40,000
No Claim Bonus
Not Applicable
Automatic Restoration
Not Applicable
Daily Hospital Cash
Covered
Organ Donor
Covered Up to SI
Maternity Cover
Covered
New Born Baby Cover
Covered
Alternative Treatments
AYUSH Treatment
Covered Up to 25% SI
IVF Treatment
Not Covered
Modern Treatment
Covered
Emergency Coverage
Ambulance
Up to INR 2,000
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
Wellness Programmes
E-Consultation
Covered
Health Check-Up
Not Covered
Second Medical Opinion
Up to INR 10,000 Per Policy Period
Vaccination
Not Covered
Limitations
Co-payment
Not Applicable
Sub-limits
Not Applicable
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 Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, the room rent is covered
It is a special department in the hospitals where patients with serious medical conditions are treated.
Coverage status under Oriental Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, ICU charges are covered
Medical expenses incurred before the hospitalization of the policyholder.
Coverage status under Oriental Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, pre-hospitalization is covered for up to 30 days.
Medical expenses incurred after the discharge of the policyholder from the hospital.
Coverage status under Oriental Insurance Bank Saathi Policy?
Oriental Insurance Bank Saathi Policy covers medical expenses incurred during post-hospitalization for 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 Insurance Bank Saathi Policy?
Oriental Insurance Bank Saathi Policy does cover domiciliary hospitalizations
Treatments that can be treated in less than 24 hours of hospitalization like blood dialysis, cataract, etc.
Coverage status under Oriental Insurance Bank Saathi Policy?
Oriental Insurance Bank Saathi Policy covers the expenses of Day Care treatments.
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization.
Coverage status under Oriental Insurance Bank Saathi Policy?
OPD charges are not covered under the Oriental Insurance Bank Saathi Policy.
COVID-19 treatment includes the cost of treatment for COVID-19 with a confirmative diagnosis from Govt. approved Centre.
Coverage status under Oriental Insurance Bank Saathi Policy?
Covid-19 Covered.
A common eye condition in which your vision gets blurred.
Coverage status under Oriental Insurance Bank Saathi Policy?
Oriental Insurance Bank Saathi Policy covers 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 Insurance Bank Saathi Policy?
Oriental Insurance Bank Saathi Policy does not offer a no-claim bonus.
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 Insurance Bank Saathi Policy?
Oriental Insurance Bank Saathi Policy does not offer automatic Restoration.
It is a cash amount that you receive each day during the time of hospitalization.
Coverage status under Oriental Insurance Bank Saathi Policy?
Daily hospital cash is available under the Oriental Insurance Bank Saathi Policy with Plan variant B wherein 0.1% of the Sum Insured (Rs.600 to Rs.2500) per day of Hospitalization, subject to a maximum compensation for 10 days per illness and claim being admissible under the hospitalization section of the policy.
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 Insurance Bank Saathi Policy?
Under Oriental Insurance Bank Saathi Policy the 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 Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, Maternity Cover is available for SI slabs equal to or greater than 10 L limited to 2.5% of the Sum Insured.
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 Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, the newborn baby cover is available for SI slabs equal to or greater than 10 L limited to 2.5% of the Sum Insured.
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
Coverage status under Oriental Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, AYUSH treatment is covered Up to 25% of 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 Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, IVF is not available.
Medical treatments that demand modern technology such as robotic surgeries, stem cell therapy, etc.
Coverage status under Oriental Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, modern treatments are covered.
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 Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, ambulance cover is available up to
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 Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, the air ambulance is not covered.
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 Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, compassionate travel is not covered.
Any kind of medical/health emergency when you are outside of India.
Coverage status under Oriental Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, global coverage is not covered.
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 Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, E-consultation is covered up to INR 2000/- per family, for a policy period.
A facility where the policyholder can avail of free health check-ups after fulfilling the company's policies.
Coverage status under Oriental Insurance Bank Saathi Policy?
Under the Oriental Insurance Bank Saathi Policy, a health check-up is not available.
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 Insurance Bank Saathi Policy?
Oriental Insurance Bank Saathi Policy covers the expenses for a second medical opinion
Coverage against the expenses incurred on vaccinations is provided by the insurance companies.
Coverage status under Oriental Insurance Bank Saathi Policy?
Oriental Insurance Bank Saathi Policy does not cover vaccination expenses.
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 Insurance Bank Saathi Policy?
Co-pay is not available under the Oriental Insurance Bank Saathi Policy.
Sub-limits are the specific limits set in an insurance policy for its various features. For example, there are usually sub-limits set on room rent, OPD, doctor’s fees, ambulance charges, family visits, etc. Small amounts of the total sum insured are allotted to different features that the policy comes with and exceeding these amounts leads to out-of-pocket expenses from the policyholder.
Status under Oriental Insurance Bank Saathi Policy?
Sub-limits are not applicable.
We have mentioned below premium rates to be paid by policyholders for plan variant A and B excluding GST within the age bracket of 18 to 40 Years.
| Sum Insured (in Rs.) | 2 L | 4 L | 5 L |
| Premium (In Rs.) | 6.530 | 8,964 | 9,843 |
| Sum Insured (in Rs.) | 6 L | 15 L | 20 L | 25 L |
| Premium (In Rs.) | 11.202 | 18,385 | 21,485 | 24,535 |
Permanent diseases or health conditions that are not included under this plan after a specific period of times are mentioned below:
Obesity and weight management treatment
Suicide or Drug Abuse
Contamination from Nuclear Fuel or Radiation
Civil War
Breach of Law
Certain diseases and treatments are covered under Oriental Insurance Bank Saathi Policy after a specific period of time that is mentioned below:
Pre-Existing Diseases 48 months
Oriental Insurance Bank Saathi Policy is a group health insurance policy which offers a wide range of sum insured options to you and your family members. The plan provides holistic coverage for insurance holders with a maximum entry age of 70 years. With multiple plan features like in-patient hospitalization, maternity coverage, newborn coverage, modern treatment, organ donor cover, and more.
Oriental Health Insurance offers a wide range of health insurance plans to fulfill the medical needs of individuals, families, and senior citizens.
A comprehensive policy that is designed to secure the healthcare needs of a family. The plan comes in 4 variants and the SI goes up to 50 lacs.
Unique Features
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 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
There are two plan variants available under the Oriental Insurance Bank Saathi Policy wherein:
Yes, Oriental Insurance Bank Saathi Policy provides tax benefits. All premiums paid towards the health insurance plan are eligible for tax benefits under the Income Tax Act of 1961.
Yes, Plan variant B covers maternity expenses under the Bank Saathi Policy.
The maximum entry age available under the plan is 70 years.
Yes, newborn baby cover is available under the Oriental Insurance Bank Saathi Policy.
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Simran is an insurance expert with more than 3 years of experience in the industry. She may have all the answers to your insurance queries. With a background in Banking, she proactively helps her readers to stay on par with all the latest Insurance industry developments.
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