Oriental Overseas Mediclaim Policy (E&S)

Eligibility Criteria

The minimum eligibility conditions to buy this policy are:

Coverage Offered

Under Oriental Overseas Mediclaim Policy (E&S), one can opt for the Individual or Family Floater option; the sum insured will be paid in US$ currency (US$ 75,000). The insured is required to reside in the same country as intended for mediclaim to be eligible for coverage. The coverage as part of the plan is as follows:

• Emergency Medical Treatment -Any sudden illness or hospitalization as eligible for coverage under the policy.
• Mental, Emotional, Nervous Ailments Cover-Medical expenses covered for 30 days of continuous in-hospital treatment.
• Repatriation for Transport of the Remains-In the event of the death of the insured, transportation of the remains to India and funeral expenses are covered.

Inclusions of the Policy

Other than the basic emergency coverage, the following are included under the Oriental Overseas Mediclaim Policy (E&S) insurance policy:

• Licensed Transportation- For efficient transport of the insured passenger to the medical institute, the costs of specific transport such as ambulance and aircraft are included in the policy.
• Baggage Costs- One of the biggest worries surrounding overseas travel is loss of baggage. This can result in loss of articles of prime importance, such as clothing, documents, etc. Accordingly, the policy can compensate effectively for losses incurred due to baggage misplacement and loss.
• Employee Coverage Waiver- If the insured consults the medical practitioner associated with the educational institute / employer, a waiver of US $50 is offered.
• Outpatient Treatment- In the event of emergency outpatient expenses exceeding US $500, the treatment is covered under the policy.

Exclusions of the Policy

The following are excluded from coverage under Oriental Overseas Mediclaim Policy (E&S):

• Any pre-existing condition
• Any terminal illness
• Intentionally self-inflicted injury or suicide
• Use of alcohol, intoxicants, and non-prescribed drugs
• Damage due to war, invasion, and terrorism
• Auditory examination or costs of prescription glasses
• Injuries due to sports and mountaineering
• Infertility and HRT
• Non-emergency hospitalization
• Pregnancy, miscarriage, and childbirth
• Cosmetic surgery (unless a health emergency)
• Treatment for HIV/AIDS
• Any injury or illness occurring outside the country of travel

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

Features & Benefits of the Oriental Overseas Mediclaim Policy (E&S) Insurance

The main features and benefits of Oriental Overseas Mediclaim Policy (E&S) insurance policy:

• No waiting period as pre-existing ailments excluded from treatment
• Emergency outpatient treatment and hospital expenses
• Compensation for baggage and passport loss
• Treatment for mental and nervous ailments
• Medical emergency occurring up to 12 weeks after policy expiration considered for coverage
• Evacuation costs if insured required to return to India due to medical emergency
• Travel costs for family of insured in case of India return (family includes parents, spouse, child)
• Renewal of policy, if required
• For students, compensation of medical emergency resulting in incomplete studies
• Cashless claims from licensed medical institutions and practitioners

Information on Cancellation of the Policy

The following are the conditions for cancellation of the Oriental Overseas Mediclaim Policy (E&S):

• The person covered by the policy is not regarded as the “insured” as per policy terms
• Concealing pre-existing health conditions for which treatment is taken after policy purchase
• Failure to travel overseas beyond 14 days of policy purchase upon production of passport