Oriental Health Insurance Plans

Arogya Sanjeevani Policy Oriental Insuranceis a standard health insurance policy issued under the guidelines of IRDAI

Available on a Family Floater as well as an individual basis, the plan is available at affordable premium rates. The plan is a straightforward health insurance plan that offers you financial support in case you or a covered family member has to be hospitalised for 24 hours or more.Its main features are as follows

1. The plan offers coverage for the sum insured for a minimum of INR 1 lakh and a maximum of INR 25 lakhs.Up to INR 5 lakhs, the sum insured is available in multiples of INR 50,000. Above that, the sum insured amounts are: INR 6 lakhs, 8 lakhs, 10 lakhs, 15 lakhs and 20 lakhs
2. Expenses on room rent, boarding and nursing are covered up to 2% of the sum insured
3. ICU charges are covered up to 5% of the sum insured
4. The premium of the policy remain the same all over the country
5. You can cover your spouse and your dependent children who are in the age group of 3 months to 25 years
6. Parents and parents-in-law can also be covered in this plan
7. For each claim-free year, you can avail of a cumulative bonus of 5%, up to a maximum of 50%
8. There is the option of lifelong renewability with no maximum age limit
9. Per hospitalisation, an ambulance cover up to INR 2,000 is available
10. You can avail of a 5% discount when you buy the policy online
11. Expenses on dental treatment and plastic surgery are covered when necessitated after an illness or an injury
12. Specified Modern treatments are covered up to 50% of Sum Insured
13. The policy covers daycare procedures, specific modern treatments and AYUSH treatments as well
14. The claim can be availed on a cashless as well on a reimbursement basis
15. The plan comes with a 5% mandatory co-payment
16. No pre-policy medical tests are required till the age of 55 years
17. You have the option to increase the sum insured

To help deal with the financial aspect of Covid-19, the IRDA advised the health insurance companies to offer pandemic-specific health plans to the public.Corona Kavach is standard health insurance and hence,the terms and conditions and premium rates of this plan are similar among different health insurance companies.The policy covers Covid-specific treatment expenses incurred due to hospitalisation of over 24 hours. Apart from the in-patient expenses, the policy also covers doctor prescribed home care treatments for up to 14 days. Apart from COVID, no other illness or injury is covered under this plan.

Given below are the main features of the Corona Kavach Policy:

1. The policy covers hospital expenses due to in-patient care that includes:
   • Room rent, boarding and nursing
   • ICU and ICCU charges, along with Fee of Specialists, surgeons, medical practitioners, consultants
   • Blood, oxygen, OT charges, surgical appliances, ventilator charges, medicines
   • PPE kits and gloves, masks
   • Costs towards diagnostic investigations
   • Road ambulance expenses up to INR 2,000 of an insured for covid-related hospitalisation will be covered
2. In-patient AYUSH treatment expenses taken in AYUSH hospitals are covered up to the sum insured, without any sub-limits
3. You can take home-care treatment which is prescribed by a medical practitioner and otherwise requires hospitalisation of more than 24 hours.This benefit can be taken for a maximum period of 14 days
4. As an add-on cover, you can get Hospital daily cash of 0.5% of the sum insured for every 24 hours on break-free hospitalisation
5. There are no deductibles in this policy
6. No medical screening is required before buying a fresh policy
7. Pre and post-hospitalisation expenses, related to COVID-19, are covered for 15 and 30 days respectively
8. There is a waiting period of 15 days from the policy inception date
9. Claims can be made in the form of Cashless Claim or Reimbursement
10. The following discounts can be availed of
    • 5% digital account when the policy is bought online
    • Health care workers are eligible for a 5% discount
    • If TPA services are not opted for, you can avail of a 5.5% discount on the premium

This is a group health insurance policy designed for the account holders of the Oriental Bank of Commerce

The features of the policy are as follows

1. Three types of policies can be taken under the plan – One account one policy,multiple accounts one policy and one person one policy
2. No pre-policy health check-ups are required under the plan
3. Daily hospital cash benefit of INR 200/day of hospitalisation is payable under the plan
4. Funeral expenses of the insured are also covered
5. You get coverage for more than 116-day care treatments