Oriental Insurance Company

Oriental Insurance Company

Oriental Insurance Company is a general insurance company that started its operations in Mumbai in 1947. The public sector company offers an array of insurance solutions like health, personal accident, motor, and many more with a view to cater to varied insurance-related needs of people from different sections of the society. Headquartered in New Delhi, Oriental Insurance Company comprises a highly trained and experienced workforce.

Health insurance is one of the popular products offered by the insurer. Oriental Insurance Health insurance plans provide the much-needed financial cushion to the policyholders against high medical emergencies. The plans are carefully designed to provide comprehensive coverage and protection for medical expenses arising from illness, injury, or diseases.

Facts about Oriental Insurance Company

Incurred Claim Ratio 63%
Network Hospitals 4300+
Renewability Lifelong
Branches 29 regional offices and 1,800+ operating offices

Why opt for Oriental Insurance Company?

  • Oriental Health Insurance focuses on offering utmost customer satisfaction by providing a range of health insurance plans specifically for individuals, families, senior citizens, and super-top-up plans.
  • The insurer boasts of an excellent Claim Settlement Ratio of 93.96%, making it one of the top insurance providers in the health insurance sector and a reliable partner to buy insurance plans.
  • Oriental health insurance plans are available in the Digilocker app of the Government of India, which is a cloud platform for storage, verification, and issuance of documents and certificates.
  • The Oriental Insurance company has more than 70 years of experience, and since then, it has been offering a wide range of insurance products catering to different requirements of the customers. This vast experience has helped the insurer to gain thorough knowledge about the insurance sector and product offerings.
  • This leading insurer has more than 4,300 hospitals in its network where the policyholders can avail cashless treatments without any hassle.

Oriental Insurance Company Health Insurance Plans

Oriental Insurance Company offers a host of health insurance plans to meet the different requirements of its customers. Below is the list:

  • Oriental Individual Mediclaim Policy
  • Oriental Super Health Top-Up Policy:
  • Oriental Happy Family Floater Policy:
  • Oriental Arogya Sanjeevani Policy:
  • Oriental Happy Cash-Nischint Rahein
  • Oriental Health of Privileged Elders (HOPE) Policy:
  • Dengue Kavach Policy

Oriental Health Insurance Claim Settlement Process

Oriental Health Insurance provides a hassle-free and transparent claim settlement process. There are two ways to make a claim under Oriental Health Insurance plans – cashless claims and reimbursement claims.

Oriental Health Insurance Cashless Claim Settlement Process

Below are the steps to make a cashless claim under the Oriental Health Insurance plan:

  • Step 1: Get admitted to a network hospital and inform the TPA about the hospitalization. In case of planned or emergency hospitalization, the insurer needs to be informed within 48 hours of hospitalization.
  • Step 2: Get the pre-authorization form from the hospital, fill and submit it at the TPA cell, and other relevant documents at the hospital.
  • Step 3: The TPA will further verify the documents and inform the insurer about the event.
  • Step 4: If the details and documents are in accordance with the policy’s terms and conditions, the insurer will settle the claim directly with the hospital.

Oriental Health Insurance Reimbursement Claim Settlement process

Below are the steps to make a reimbursement claim under the Oriental Health Insurance plan:

  • Step 1: Get hospitalized at any network hospital and avail the required treatment.
  • Step 2: Settle the expenses for the treatment availed at the hospital.
  • Step 3: Make sure to collect all relevant documents, bills, reports etc., at the time of discharge. Submit the documents to the insurer.
  • Step 4: If the claim is in accordance with the terms and conditions of the health insurance policy, then the insurer will approve it and reimburse the amount incurred for the medical expenses.

Documents required for Reimbursement Claim Settlement Process

The documents required for the reimbursement claim settlement process at Oriental Insurance company are:

  • Duly filled and signed Claim form
  • Copy of Claim intimation given to the Company along with the policy copy and premium receipt
  • Original discharge report from the hospital
  • Original test reports like ECG, X-Rays, and Sonography reports
  • Original bills of medical expenses, prescriptions, and cash memos

Oriental Health Insurance Renewal Process

Policy renewal lets the insured enjoy policy benefits. Below are the steps to renew the Oriental Health Insurance policy:

  • Step 1: Visit the official website of Oriental Insurance and click on the Renew Online tab.
  • Step 2: Enter the existing policy number and click ‘Renew Now’.
  • Step 3: Renewal quotes will be shown on the screen. Opt for the right quote as per your requirement.
  • Step 4: Pay the renewal premium amount online via a secured payment gateway.

 

FAQs:

Does Oriental Insurance Company cover organ donor expenses?

Yes, Oriental Insurance Company covers organ donor expenses with a lump sum payment of 10% of the sum insured.

Are pre-hospitalization and post-hospitalization expenses covered under Oriental Insurance?

Yes, the Oriental Insurance Company covers pre-hospitalization and post-hospitalization expenses for 30 and 60 days, respectively.

What is the limit for the room, nursing, and boarding expenses, covered by the Oriental Insurance Company?

The coverage limit under Oriental Insurance Company for the room, boarding, and nursing expenses are different for different variants, which are as follows:
Silver Plan - 1% of the Sum Insured per day is offered
Gold Plan - 1% of the Sum Insured per day is offered
Diamond Plan - Rs. 10,000 + 0.5% of the sum insured above Rs. 10 lakh per day is provided.

Is lifelong renewability benefit available under the Oriental Health Insurance policy?

Yes, all Oriental health insurance policies come with lifelong renewability benefits.

Does Oriental Insurance Company offer discounts to policyholders?

Yes, Oriental Insurance Company offers discounts to the policyholders based on the chosen plan.

Is pre-policy medical check-up required to buy Oriental Health Insurance Policy?

The requirement for pre-policy medical check-ups varies from different plans to different variants. For instance, in a family floater plan under its silver and gold variant, the pre-policy check-up is needed for persons aged 60 years and above. In contrast, a pre-policy medical check is required for people aged 55 years and above under its diamond variant.

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