Oriental Group Mediclaim Insurance Policy

The Oriental Mediclaim Insurance policy can be availed for groups, institution, association or corporate body. The policy coverage is offered in accordance with IRDAI guidelines. The insured can cover his/her family including spouse and dependent children/patents or parents-in-law under this policy.

Oriental Mediclaim Insurance Policy (Group): Key Highlights

Policy Type	Group
Tenure	1 year
Maternity Cover	Optional
Pre-exiting Illness Cover	After 48 months
ICU expense	Up to 2%

Coverage offered

Hospitalization Charges: If you buy an Oriental Mediclaim Insurance policy, you will be reimbursed for the expenses incurred in the hospitals.
Pre- hospitalization Expense Cover- You can claim for the pre-hospitalization expenses for 30 days before getting hospitalised.
Post - hospitalization Expense Cover- The insured is also able to get reimbursed for the post-hospitalization expenses for 60 days.
ICU Charges-These expenses are taken care of Rs 10,000 per day or up to 2% of the Sum Insured, whichever is less.
Surgeon or Specialist Fee- You can also claim the amount that you have paid for the fees of the surgeon or the specialist under this Oriental Health insurance.
Maternity Cover: This is an optional cover under which maternity expenses are covered up to 10% of the total premium paid.

Inclusions of the Oriental Mediclaim Group Insurance Policy

Under this policy, following expenses are covered:

Room charges, including the nursing and the boarding expenses
The expenses incurred in the ICU
The cost of services like oxygen, blood, anesthesia, surgical expenses, operation theater charges, medicines as well as drugs
Expenses incurred for the hospitalization of the donor
Expenses incurred for the daycare treatment
Domiciliary treatment expenses
Optional cover for maternity and cover for the newborn child

Exclusions of the Oriental Mediclaim Group Health Insurance

The policy doesn’t offer coverage for the following:

Any pre-existing diseases till 4 years of the commencement of the policy will not be covered.
Expenses incurred for any newly incepted disease within 30 days of the commencement of the plan.
Any accidental injury caused due to participating in any dangerous sports is not covered.
Medical expenses incurred for treating obesity are excluded.

*For a complete list of exclusions, please refer to the policy document

Features & Benefits of the Oriental Mediclaim Group Insurance Policy

Some of the salient features of this policy are as mentioned below:

This policy is available for a group of 50 or more families or individuals.
It also provides maternity benefit as an optional cover.
Radiotherapy, dialysis, chemotherapy, cost of the implantation of the prosthetic devices etc. are covered.
Surgical procedures that include a pacemaker, diagnostic test, relevant laboratory, X-ray, etc. are covered.

Eligibility Criteria

In order to buy this policy, the following eligibility condition can be followed:

Minimum Entry Age	3 months
Maximum Entry Age	No Limit
Number of people covered	50 individuals or 50 families
Residential Status	Indian Citizens and Residents

Cancellation Terms of the Policy

The insured will be able to cancel the policy within the free look period, and the entire premium amount will be refunded.

If the policy is canceled within 1 month, 1/4th of the annual premium will be charged, if canceled within 3 months, 1/2 of the annual premium will be charged and 3/4th of the annual premium will be charged if the policy is canceled within 6 months and the entire year's premium will be charged if the policy is canceled after 6 months.

FAQs

Q. How much insurance coverage do I need?

Ans: The amount of insurance coverage depends on several factors, including age, city of residence, way of life, and yearly income.
Q. What is the ideal age to get an Oriental Mediclaim Insurance policy?

Ans: You need to get the health insurance done at the earliest to avoid all kinds of medical emergencies. These medical emergencies may arise at anytime and anywhere. The health insurance takes care of the hefty expenses that have to be incurred in case of serious illnesses or mishaps.
Q. What is meant by a family package cover?

Ans: This cover refers to the family floater plan that covers the insurance needs of the entire family. This includes self, spouse, children, parents, and parents-in-law.
Q. What is the maternity cover you get in the Oriental Mediclaim Insurance policy?

Ans: The Oriental Mediclaim Insurance policy provides 2.5% of the sum insured as the maternity coverage.
Q. Does the Oriental insurance company provide you with the cashless benefit if you opt for the Oriental Mediclaim Insurance policy?

Ans: Yes, you do get a cashless facility from the Oriental Insurance Company Ltd.. There is a list of network hospitals under the insurance company, and if you get treated in any of those hospitals, you will be able to get a cashless benefit.