Individual Mediclaim Policy vs Star Maternity Plan Health Insurance Plan 2026 | PolicyX

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Oriental Individual Mediclaim by Oriental Health Insurance is an affordable health insurance policy designed to cover all your medical expenses related to the hospitalization or domiciliary hospitalization of the policyholder under the following conditions:

  • Sudden illness
  • Accident
  • Surgery to treat any disease that arises during the policy period.

This plan offers comprehensive coverage for hospitalization expenses, domiciliary costs, organ donors, and more, for individuals aged 18 to 65 years receiving treatment in India. You can also include your family under the same policy.

PLAN DETAILS

Individual Mediclaim Policy

Star Maternity Plan

Product Type Individual Individual and Family Health Insurance
Key Features
(Key features of the plan)
  • AYUSH Benefits Covered
  • Inclusions and Exclusions
  • Lifetime Renewability
  • Lifetime Renewal
  • Newborn’s Immunizations
  • Pediatrician Consultation
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Covered -
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered -
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Covered -
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered -
Post-hospitalization
(Expenses after discharge from the hospital)
Covered -
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered -
Hospital_network
(Number of Hospital Network in city)
4000 14000
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Covered -
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Covered -
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered -
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Covered -
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Covered -
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Not Covered -
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Covered -
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Covered -
Plan Entry Age 18 to 65 Years 60 - 65 Years
Plan Premium Entry Age and S/A 2,933 -
Plan Waiting Period 30 180
Plan Coverage - -
Plan Sample Premium 2,933 -
Plan Brochure Brochure URL Brochure URL
Policy Term 1 Year N/A
ICU Charges Covered -
Covid-19 Treatment Covered -
Cataract Covered -
Automatic Restoration Not Covered -
Ayush Treatment Covered -
Modern Treatment Covered -
E Consultation Covered -
Air Ambulance Covered -
Global Coverage Not Covered -
Claim Ratio 91.62 99.06
Solvency Ratio -1.03 2.21
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