The Oriental Insurance Company

Key Features

Claim Settlement Ratio 89%

Claim Settlement Facility 100%

Network Hospitals 4,300

Renewability 100%

COVID-19 Cover Yes

Incurred Claim Ratio 85.39%

Benefits of The Oriental health insurance

The Oriental health insurance offers Individual Mediclaim policy & Family floater policy online. The policy can be purchased online by filling the details of the proposal form and paying the required premium under the policy. The premium would be calculated on the basis of the declaration given in the proposal form. Pre existing conditions if any would be referred to the underwriter and the policy should be taken from the office after certain medical tests. A discount of 5% would be given if the policy is purchased online from the portal.

The Oriental health insurance policy covers the dental and Ophthalmic OPD expenses. Dental and Ophthalmic expenses incurred as outpatients would be covered under the policy up to a certain limit as mentioned in the policy.

If during the policy period the sum insured under the policy is reduced or exhausted due to claim(s) made under the policy, the sum insured is automatically restored to the extent of the claim amount made under the policy. The maximum amount of restoration would not exceed the restoration limit opted under the policy. There are 2 options of restoration i.e. 50% &100% sum insured restoration limit.

There are certain discounts available under the policy such as:-

  • Family discount of 10% if more than one person is covered under the policy
  • Discount on premium up to 20% if voluntary co-payment of up to 20% is opted under the policy.
  • Discount of 5.5% on premium if TPA services are not opted.