Happy Family Floater Policy vs Special Care Plan Health Insurance Plan 2026 | PolicyX

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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 Happy Family Floater Policy offers multiple optional covers for enhanced protection for policyholders, 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.

PLAN DETAILS

Happy Family Floater Policy

Special Care Plan

Product Type Individual and Family Health Insurance Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • International Cover
  • Multiple Discount Benefits
  • E-Consultation Available
  • Indemnity cover
  • Autism cover
  • Modern treatment
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Covered Not Covered
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered Covered
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Covered Not Covered
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered Not Covered
Post-hospitalization
(Expenses after discharge from the hospital)
Covered Covered
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered Covered
Hospital_network
(Number of Hospital Network in city)
4000 14000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Not Covered Not Covered
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Covered Not Covered
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered Covered
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Covered Not Covered
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Covered Not Covered
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Not Covered Not Covered
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Not Covered Applicable
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Covered Applicable
Plan Entry Age 18 to 65 Years 1 to 25 Years
Plan Premium Entry Age and S/A 2,115 4800
Plan Waiting Period 30 30
Plan Coverage - -
Plan Sample Premium 2,115 -
Plan Brochure Brochure URL Brochure URL
Policy Term 1 Year 1 year
ICU Charges Covered Covered
Covid-19 Treatment Covered Not Covered
Cataract Covered Not Covered
Automatic Restoration Covered Not Covered
Ayush Treatment Covered Not Covered
Modern Treatment Covered Covered
E Consultation Covered Not Covered
Air Ambulance Covered Not Covered
Global Coverage Covered Not Covered
Claim Ratio 91.62 99.06
Solvency Ratio -1.03 2.21
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