Edelweiss Health Insurance vs Oriental Health Insurance

The second wave of the coronavirus is in full innings and seems like it is here to stay for a while longer. While the states have been able to reduce the number of cases by enforcing lockdowns and vaccinations, the threat of contracting COVID-19 remains large for those who are not vaccinated yet. Thus, if the unfortunate, such as COVID-19 or any other disease were to happen, financial backup and wise investments are essential to get through. One such investment is health insurance, as it can lower the financial strain of healthcare expenses. Learn more with this Edelweiss Health Insurance and Oriental Health Insurance comparative guide. 

Edelweiss Health Insurance vs Oriental Health Insurance – Overview 

ParameterEdelweiss Health InsuranceOriental Health Insurance
No. of health insurance policies810+
E-servicesPolicy salePolicy renewal Claim settlement Branch locatorOnline consultation24x7 customer support Policy salePolicy renewalClaim settlement Branch locatorOnline consultation24x7 customer support
Branches10+1000+
Claim settlement ratio (CSR)85.57%94.28%
Cashless claim settlement time72 hoursUnspecified
Hospital network2,570+4,300+

Source: Insurance Regulatory and Development Authority of India’s (IRDAI) Annual Report – 2019-20. 

Health Insurance Policies: Edelweiss Health Insurance vs Oriental Health Insurance

Edelweiss Health Insurance is offering health insurance services for the last 20 years. It is part of the reliable Edelweiss Group and is a homegrown corporation. It has only 8 health insurance policies but ensures that each insurance policy packs a plethora of benefits. 

Oriental Health Insurance is part of the decades-old Oriental Government Security Life Assurance Company Ltd. Carrying years of insurance experience; the company has been successful in winning the hearts of its customers. It now offers over 10 health insurance policies that provide extensive coverage.  

Family Floater Insurance: 

Edelweiss Health Insurance offers 3 health insurance policies for family healthcare. These include the Silver, Gold and Platinum Plan. 

These plans offer: 

  • Sums insured (SI) up to Rs. 1,00,00,000
  • Voluntary co-payment options 
  • Coverage for: 
  • 180 days of pre and post-hospitalization 
  • In-patient hospitalization 
  • Domiciliary hospitalization
  • Daycare procedures 
  • Organ donor expenses 
  • AYUSH treatments – 
  1. Ayurveda
  2. Unani
  3. Siddha
  4. Homeopathy
  • Maternity care and newborn baby care 
  • Critical illness treatment 
  • Ambulance charges up to Rs. 10,000
  • Assistive services such as: 
  • Medical evaluation and monitoring 
  • Second medical opinion
  • Health check-up 
  • Emergency evacuation 
  • Daily recovery benefits of up to Rs. 1,500 for up to 10 days 

Oriental Health Insurance offers the Happy Family Floater Policy with 3 sub-policies – Silver, Gold and Diamond for family care. It provides:

  • SI up to Rs. 20,00,000
  • Coverage for
  • 30 days of pre-hospitalization
  • 60 days of post-hospitalization
  • In-patient hospitalization 
  • Domiciliary hospitalization 
  • AYUSH treatments 
  • Daycare procedures 
  • Organ donor expenses 
  • Maternity and newborn baby care 
  • Advanced technology treatments 
  • All stages of HIV/ AIDS treatment 
  • Mental illnesses treatment 
  • Second medical opinion for critical illnesses 
  • Ambulance charges 
  • Daily hospital cash 
  • Telemedicine expenses 
  • Vaccination expenses needed due to an animal bite 

Top-up Insurance: 

Edelweiss Health Insurance’s Top-up Policy offers: 

  • Coverage for: 
  • Pre and post-hospitalization
  • In-patient hospitalization
  • Maternity and newborn baby care 
  • Up to 25 critical illnesses 
  • Out-patient dental treatment 
  • Ambulance charges and daily hospital cash 
  • Second medical opinion
  • Reimbursement of: 
  • AYUSH treatment expenses
  • Daycare treatment expenses 
  • Organ donor expenses 
  • Domiciliary hospitalization expenses 
  • Assistive care services 

Oriental Health Insurance’s Top-up Insurance Policy offers: 

  • SI up to Rs. 30,00,000
  • Coverage for: 
  • Pre and post-hospitalization
  • In-patient hospitalization
  • Daycare procedures 
  • Organ donor expenses
  • Mental illnesses treatment 
  • HIV/ AIDS treatment 
  • Maternity and newborn baby care
  • Ambulance charges
  • Daily hospital cash  
  • Telemedicine expenses

Corona Kavach Policy: 

After the IRDAIs mandate in 2020, directing insurers to make COVID-19 health insurance coverage available across India, all insurers now offer standard COVID-19 Policies. One of these is the Corona Kavach Policy. The policy shares almost the same features across every insurance company including Edelweiss Health Insurance and Oriental Health Insurance

The features include: 

  • SI between Rs. 50,000 to Rs. 5,00,000
  • Coverage for: 
  • Pre and post-hospitalization
  • In-patient hospitalization
  • AYUSH treatments
  • Domiciliary hospitalization  
  • Comorbidity treatment 
  • Ambulance charges up to Rs. 2,000 
  • Daily hospital cash
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