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Oriental Health Insurance For Maternity

Motherhood is the best transition of a woman’s life. Being a mother is truly a blissful journey, and every woman wants to experience it. But at the same time, this beautiful journey brings a lot of responsibilities and expenses from the day you get pregnant. If you don’t plan your finances properly, then it will disrupt your happiness. To avoid this financial turmoil, you should incorporate maternity insurance into your life that will take care of all maternity-related expenses.

Maternity insurance is a particular type of insurance that reimburses expenditures up to a certain predefined limit for your delivery. This type of coverage is suitable for both normal as well as C-section deliveries. Some insurance policies even cover the cost of termination due to certain health complications. Some insurance providers also offer pre-and post-natal expenses and newly born baby expenditures.

Health Insurance For Maternity

If you want to purchase the best maternity insurance to secure your future, then Oriental Insurance has a Happy Family Floater Policy that will meet all your requirements. Does Oriental Health Insurance cover maternity? Yes, Oriental maternity health insurance bears maternity expenses as well as newborn baby expenses under its Diamond variant. Oriental health insurance for maternity (Happy family floater policy) could be the utmost choice for all expecting mothers. This Oriental health insurance maternity cover helps women to manage their finances during this crucial phase of life. This policy ensures the highest medical care without compromising the quality of treatment. Indubitably, this Happy Family Floater Policy is the best maternity plan as compared to other plans in the market.

Some Salient Features of Oriental Happy Family Floater Policy

  • The policy period is one year
  • Lifelong renewability (This means you can enjoy the benefits of the policy till lifelong, irrespective of your age)
  • The range of sum insured is between Rs.12 Lakh to Rs. 20 Lakh sum insured range
  • The plan offers coverage for 11 critical illnesses
  • You will get a discount of 5.5% in premium if TPA services are not chosen (no discount is applicable on PA premium)
  • You are eligible for tax benefits under Section 80D of the Income Tax Act
  • There are some optional covers like Personal Accident, Life Hardship Survival Benefit


Oriental Health Insurance Maternity Benefits

  • This insurance plan offers maternity expenses coverage up to 2.5% of the sum insured (Diamond Plan)
  • The plan (Diamond plan) also provides newborn baby coverage up to 2.5% of the sum insured
  • Hospital admission of minimum 24 hours
  • This plan covers pre-and post-hospitalization expenses (30 days and 60 days respectively)
  • The plan offers daily cash allowance (0.1% of sum insured on per day basis) to policyholders
  • The plan offers ambulance charges (Rs. 1,000 to Rs. 3,000 per illness) limited to Rs. 3,000 – Rs. 8,000 per policy period
  • The plan also provides attendant (Rs. 500 & Rs. 1000 per day of hospitalization, in Gold & Diamond Plan respectively) allowance for 10 days per illness
  • The plan also covers alternative treatment methods, including Ayurvedic, Unani, Siddha, and Homeopathic treatment
  • With this plan, you can enjoy cashless facilities at more than 4000+ network hospitals for your illnesses
  • No pre-health checkups are required for people below 55 years of age
  • The plan embraces you with intriguing discounts on premium
  • If you are not satisfied with your Oriental health insurance plan, you can migrate to another insurer as per your choice 


For the Happy Family Floater Policy, the minimum entry age is 91 days. On the other hand, the maximum entry age for this policy plan is 65 years. But you should know that the maximum entry age for the policy can be extended to 70 years, based on certain conditions.


  • This plan is not applicable for refractive error correction and hearing aids
  • The plan won’t offer coverage for external congenital/genetic conditions
  • The plan won’t reimburse the treatment of STDs and HIV/AIDS
  • This plan will not cover you in case of substance abuse and self-inflicted injuries
  • The plan is not suitable in case of any hospital admission primarily for investigation/diagnostic purpose


Oriental Health Insurance Claim for Maternity

Oriental health insurance claim settlement ratio for maternity insurance is 93.96%. The company has a convenient, easy, and hassle-free claim settlement process. The company offers both cashless and reimbursement claim processes to its policyholders.

For a Cashless Claim Treatment

  • Choose a network hospital in your locality for your treatment
  • Inform Oriental Insurance Company as soon as possible if there is an emergency. In case of planned hospitalization, inform the company before hospitalization
  • Show your health insurance card along with ID proof during the time of hospitalization 
  • Collect the pre-authorization form from the hospital, fill it and submit
  • The hospital will send the pre-authorization form to the TPA of Oriental Insurance Company for investigation
  • After checking the details thoroughly, the TPA will approve or reject the claim 
  • After approval, your expenses will be covered by the insurer


Reimbursement Claim

  • Get admitted to a non-network hospital
  • Inform Oriental Health insurance regarding your hospitalization as soon as possible
  • Collect the reimbursement claim form from the insurance company
  • Fill up the form and mention all the details 
  • Pay the hospital bill at the time of discharge
  • Collect all original bills, documents, and reports and submit them to the TPA along with the reimbursement form 
  • After receiving the documents, TPA will investigate all 
  • Once TPA is satisfied with the documents, your claims will be settled


The Conclusion

Maternity insurance has become a part of life for every intended couple. This type of insurance will not only relieve your financial burden but also helps you to stay protected against healthcare inflation. But before making any commitment, go through the policy documents and find out what benefits are covered under the maternity insurance plan. 

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