Oriental health insurance mediclaim plan is a health cover that caters for medical expenses once an insured person is hospitalized due to; accidents, sudden illness, or surgery conducted to treat any illness during the varied policy duration. The individual oriental health insurance mediclaim plan is available to people between 18 to 65 years. However, it can be extended up to 70 years for the insured to receive quality treatment within India. Explained below are more features of the oriental health insurance mediclaim plan.
Features of Oriental Health Insurance Mediclaim Plan
1. Duration and Age
The mediclaim plan is varied for one year and is offered to individuals over 18 years of age. The aforementioned extendable coverage age attracts an additional premium charge of about 10% on all applicable health insurance renewal rates. The mediclaim plan allows the insured party to include family members who are below 21 years to enjoy all the covered health expenses. Note that the plan covers treatment expenses that are incurred in Indian hospitals only.
2. Premium Discounts
Like most health insurance providers, Oriental health insurance offers a few premium discounts. It offers a 10% discount on premiums when more than one family member is covered under the mediclaim policy. Additionally, it offers 10% and 20% voluntary co-payment options that correspond with 10% and 20% premium discounts respectively. If TPA services are not opted for, you qualify for a 5.5% premium discount.
When filing a fresh cover, you are eligible for a 50% reimbursement of the pre-insurance medical check-up expenses you incur. You get daily hospital cash allowances once you are hospitalized for more than 2 days. The mediclaim plan also covers ambulance charges, expenses incurred by an organ donor when donating the organ to an insured person, and premium adjustments when renewing your mediclaim plan to cater for your current healthcare needs.
4. Covered Risks
The Oriental mediclaim plan is a hospitalization plan that reimburses medical expenses that are incurred during treatment of insured diseases or surgeries while the insured person is admitted as an in-patient. The plan also covers pre-hospitalization and post-hospitalization expenses incurred for 30 and 60 days respectively.
Eligible Expenses of Oriental Health Insurance Mediclaim Plan
1. Value Added Expense Benefits
These are the eligible expense benefits you enjoy under the Oriental health insurance Mediclaim plan. They include; expenses incurred by organ donors during transplant up to the sum insured, ambulance service charges, expenses arising from personal injuries, and permanent disability and death are also covered under this clause but at an additional expense.
Hospitalization expenses are catered for when an insured is treated as an in-patient in a medical college hospital or a government hospital. Under domiciliary hospitalization expenses, dog bites and bites from animals like cats and monkeys are covered up to INR 5,000 per bite. You are also eligible for dental treatment expenses arising from accidents.
2. Sub Limits
These are eligible but limited expenses. They include; room rent expenses that do not exceed 1% of the sum insured daily, daily ICU expenses of up to 2% of the sum insured, ambulance charges that do not exceed 1% of the principal amount or INR 2,000 per hospitalization and daily 0.1% of sum insured hospital cash allowance for up to 6 days per insured person. However, the hospital cash allowance attracts a 2 days deductible per hospitalization. Note that it offers domiciliary hospitalization expenses of up to 20% of the total sum insured or INR 50,000 per insured person during the policy duration.
3. Excluded Expenses
Just like other health insurance covers, the Oriental health insurance mediclaim plan has a few exclusions whose expenses it does not cater for. They include; pre-existing illnesses that occurred before you bought the health policy, maternity-related expenses incurred during pregnancy and childbirth, and all psychosomatic and psychiatric disorders. It also excludes treatment expenses incurred due to diseases like; anal fistula, sinusitis, bronchitis, cataract operation, menorrhagia, hysterectomy, asthmatic complications, benign prostatic hypertrophy, hernia, piles, fibromyoma, or menorrhagia among others.
Why Choose Oriental Health Insurance?
The mediclaim plan offers numerous outstanding features that assist you in settling multiple health care expenses when hospitalized. Hence, Oriental health insurance protects you from unnecessary stress due to financial constraints that may arise during treatment. However, to get the best health insurance cover, you must research through web aggregator sites like Coverfox.com that offer health insurance policy comparisons and features that guide you to make the right decision. Go for a comprehensive health insurance plan solution in order to lead a stress-free lifestyle.