Oriental Happy Family Floater Policy

Oriental Happy Family Floater Policy 2015

Oriental Happy Family Floater Policy 2015 is a family floater insurance plan covering individuals and their family members. As a family floater plan, it covers at least two persons per family. The policy has three plan categories namely Silver, Gold and Diamond. In exchange for a regular premium, the policy offers coverage for medical expenses, including hospital cash benefit, maternity cover, attendant allowance etc.

Type	Family Floater
Sum Insured	Rs 2 lakh-20 lakh
Grace Period	30 days
Tenure	1 year
Renewability	Lifelong

Coverage Offered

It is a family floater policy that includes three key plan options, categorized as Silver, Gold and Diamond plans. The coverage provided by these plans ranges from Rs 2 lakh to Rs 20 lakh.

The policyholders will get coverage for the following benefits if they buy Oriental Happy Family Floater Policy 2015.

In-Patient Treatment: The in-patient treatment cover includes medical expenses, ambulance and bed charges and others. It also covers maternity and new-born baby under Diamond plan.
Pre-hospitalization Treatment: Oriental Happy Family Floater Policy 2015 Insurance Policy offers support for any medical expenses for 30 days before hospitalization, in case the beneficiary is hospitalized for a considerable period.
Post-hospitalization Treatment: In case it requires, Online Oriental Happy Family Floater Policy 2015 covers post-hospitalization expenses for 60 days from the day of discharge.
Domiciliary Treatment: The Policy covers up to Rs 50,000 for domiciliary treatment. The policy coverage includes only medical expenses and animal bite treatment as applicable.
AYUSH Treatment: Oriental Happy Family Floater Health Insurance covers expenses for alternative treatment such as Ayurveda, Unani, Siddha and Homeopathy.
Organ Donor: It covers expenses and offers benefits when the insured person is the recipient or donor.
Restoration of Sum Insured: Oriental Happy Family Floater Policy 2015 Health Insurance allows restoration of the inclusive slab from Rs 3 lakh to 10 lakh. It is applicable only for Silver and Gold plans.

Inclusions of the Policy

Apart from the above coverage, the policy also includes the following:

Cash Allowance: The policy offers cash allowance for up to 1.5% of the total Sum Insured for a maximum of 10 days as applicable under the Diamond plan.
Critical Illnesses: Oriental Happy Family Floater Health Insurance covers 11 critical illnesses from the categories listed below.
Few cancerous diseases
Cardiac treatments
Coma with a certain severity
Motor Neuron diseases
Multiple sclerosis
Organ transplant
Paralysis of limbs
Kidney failure etc.
Optional cover: The Policy also offers option covers and additional benefits, such as geographically extended protection, sum restoration, accidental cover and Life Hardship Survival benefit.

Exclusions of the Policy

Oriental Happy Family Floater Policy 2015 Health Insurance policy does not cover the following treatments or expenses:

Hospital admission for diagnostic or investigation purpose
Hospitalization for cosmetic surgery, war injuries, infertility, genetic conditions, suicide attempt, HIV or STD-related diseases etc.
Pre-existing diseases up to 2 years from the policy is in force
Obesity treatment, injury related to adventure sports, damages due to alternative procedures taken, etc.

For a complete list of exclusions, please refer to the Policy document.

Features & Benefits of the Oriental Happy Family Floater Policy 2015

Oriental Happy Family Floater Policy 2015 Health Insurance plan has the following benefits and features:

It offers New Born Baby cover till 90 days from the date of birth.
Oriental Happy Family Floater Policy 2015 Health Insurance offers benefits for survival while hospitalized for up to 270 days if sufferingfrom any listed critical illnesses.
The policyholders can get a daily cash allowance of Rs 1000 for a maximum of 10 days in case of hospitalization.
The tax benefits offered by the Policy as per Income Tax Act 1961.

Eligibility Criteria

The minimum eligibility conditions of the policy are as mentioned below:

Minimum Entry Age	18 years (91 days for dependent children)
Maximum Entry Age	65 years
Number of people covered	Minimum 2 persons (Spouse, Dependent Children, Parents or Parents-in-law, unmarried siblings if dependent, )
Residential Status	Residents of India, including Permanent Residents and foreigners holding employment pass.

Cancellation of the Policy

In case of new issuance, the policyholders can cancel the Oriental Happy Family Floater Health Insurance policy within 15 days free look period if they did not make any claims. Policyholders can cancel the Policy anytime on request.
The company can cancel the Policy after giving 30 days' notice. The policyholders will be refunded with premiums as applicable. However, they will not get any refund in case of fraudulent activities.

FAQs

Q. What is the waiting period included in the Policy for availing of medical cover?

Ans: Oriental Happy Family Floater Policy 2015 Insurance Policy has 30 days waiting period to start all illness covers except in policy renewal and accidents.
Q. How does the Policy allow cost-sharing facility?

Ans: The policy allows 10% cost-sharing as copayment under the Silver Plan and 20% cost-sharing if the entry age is above 65.
Q. Which countries are covered under this policy?

Ans: The country extends its benefits coverage to seven countries other than India, such as Afghanistan, Bangladesh, Sri Lanka, Pakistan, Bhutan, Maldives and Nepal for policyholders who would buy Oriental Happy Family Floater Health Insurance.
Q. What are the things to be considered during policy renewal?

Ans: The policyholders must pay due premiums within the grace period to avoid policy termination. In case a new member is added at the time of renewal, the policy will be considered a new policy concerning that member.
Q. What are the donor expenses available under the Oriental Happy Family Floater Policy 2015 Insurance Policy?

Ans: This Policy offers up to 10% of the sum insured as coverage to the insured donors; if the insured person is the recipient, it covers medical and other related expenses.