Oriental Happy Family Floater Insurance Plan

This is a family floater plan wherein the insured and his/her immediate family members are covered under a single policy. The health insurance plans are available in two varieties – Gold and Silver. The policy offers flexibility in terms of sum insured and add-on to help you get the most out of it. Family is defined as self, spouse, children, and parents and parents-in-law.

Key features and benefits:

• Single sum insured that floats over all family members covered under the policy.
• Cover for room, nursing and boarding expenses up to 1% of sum insured per day.
• Cover for ICU expenses up to 2% of sum insured per day.
• Surgeon, practitioner, specialist etc. fees are covered, along with ambulance services.
• No pre-policy medical check-ups for applicants up to 60 years old.
• Coverage of pre-existing diseases after 4th consecutive policy renewal.
• Silver plan offers sum insured between Rs.1 lac and Rs.5 lacs, subject to 10% co-pay.
• Gold plan offers sum insured between Rs.6 lacs and Rs.10 lacs.
• Daily cash allowance and attendant allowance available for Gold plans, subject to maximum amounts.
• Hospitalization expenses covered for specific duration.
• Cashless hospitalization in network hospitals.
• Option to add Personal Accident cover with both Gold and Silver plan, while Life Hardship Survival benefit can be added only on Gold plans.
• Option to choose between TPA (Third-party administrator) and non TPA services. Discount of 5% on premium is applicable if TPA services are not chosen.

Tax benefits:

Customers can claim tax deductions on the premium payments made in a year. The deductions are available under Section 80D of the Income Tax Act, 1961. Individuals can claim a maximum deduction of Rs.25,000 in a year on health insurance premiums, while senior citizens can claim deductions up to Rs.30,000 in a fiscal year.

Eligibility:

• Applicants should be an Indian resident citizens over 18 years and less than 60 years of age.
• Family members include policyholder, his/her spouse, children and parents and parents in law.

Exclusions:

• Pre-existing diseases covered from 4th year of policy renewal onwards.
• Life hardship benefit applicable for 180 or 270 days of survival after discharge.
• Ailments such as AIDS and mental illnesses.

Renewal:

• Policy renewal option is applicable for all customers, subject to approval from the insurer.
• Renewal can be done online or through any of the registered offices of the Oriental Insurance Company Ltd.

Other Plans from Oriental Health Insurance:

• Oriental Insurance Individual Mediclaim Health Insurance
• Oriental Bank Mediclaim Policy
• PNB Oriental Royal Mediclaim Insurance Policy
• Oriental Insurance Jan Arogya Bima Plan
• Oriental Insurance Nagrik Suraksha Policy
• Oriental Insurance Janata Personal Accident Policy
• Oriental Insurance HOPE - Health of Privileged Elders

GST rate of 18% applicable for all financial services effective July 1, 2017.

Disclaimer: Premiums may vary depending upon factors like age, location and prevailing taxes/GST.