ORIENTAL
Specific Health Plans
Specific Health Insurance Plans

Health of Privileged Elders

Covers specified diseases only.

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SALIENT FEATURES OF THE POLICY:

Exclusively designed for Citizens aged 60 years and above

Policy is available for Sum Insured 1 lac, 2 lac, 3 lac, 4 lac and 5 lacs.

Covers specified diseases only.

Compulsory co-payment of 20% on admissible claim amount.

Discount in premium for opting Voluntary Co-payment.

No claim discount in premium.

Loading for new entrants.

Benefit of continuity extended if already insured with any mediclaim policy of the Company.

TPA service available.

Cashless Service through TPA only and limited to Rs. 1 lakh.

Telemedicine expenses.

Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy systems of medicines if, treatment is taken in any AYUSH Hospital.

Product Features

Ambulance Charge

Covered Actual Expenses or Rs 1000/- whichever is less

Actual Expenses or Rs 1000/- whichever is less shall be reimbursable in case patient has to be shifted from residence to hospital in case of admission in Emergency Ward / I.C.U. Or from one Hospital / Nursing home to another Hospital / Nursing Home for hospitalization.

Alternate Treatment

Covered

Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy systems of medicines if, treatment is taken in any AYUSH Hospital.

Hospital Room Eligibility

Covered 1% of the Sum Insured per day.

Room, Boarding and Nursing Expenses as provided by the Hospital /Nursing Home not exceeding 1% of the Sum Insured per day

Co-Payment

20% Copay

Compulsory co-payment of 20% on admissible claim amount

Domiciliary Hospitalization

Available

DOMICILIARY HOSPITALIZATION BENEFIT shall not exceed Rs. 20,000/- (Twenty Thousand rupees) per insured in respect of all claims admitted during the policy period.

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