Posts tagged: Mediclaim

Mediclaim Family Floater

Happy Family Floater Mediclaim Policy:

* Our Oriental Insurance’s Happy Family Floater aspires to protect you against escalating medical cost and supports you in creating a healthy tomorrow for yourself and your near-ones.It is an extensive cover for medical expenses of illness and accidents requiring in patient hospitalization. Optional covers are available for Personal Accident (Worldwide). In addition, an add-on benefit of “Life hardship Survival” can be availed for certain critical diseases in Oriental Insurance Flotter Insurance Policy.
* The Happy Family Floater is available in Silver and Gold variants. The cover amount ranges from Rs. 1- 10 lacs.
Key Benefits of Happy Family Floater:

* Wide coverage for the whole family (Self and Spouse, dependent, unemployed children below 25 years of Age, unmarried/divorced/widowed daughter and dependent parents-in-law.
* Start with a smaller Sum Insured and increase it over the years as per your requirement (subject to policy conditions).
* Tax relief under section 80 D of the Income Tax act.
* Medical Check-up is required only for insured aged 60 years and above.
* Use your Happy Family floater ID card at more than 5000 Hospitals and avail cashless treatment (only on hospitalization) no more hassles of arranging money when you need it most.
* Pre-existing diseases covered from the fourth consecutive renewal..

Eligibility:

The proposer is to be aged between 21 and 55 years for the first entry in the policy. The cover can be renewed till the proposer reaches 65 years of age, with no limit on the age of the dependents. The Cover is available for a minimum of 2 members.

Key Exclusions and Limitations:

Any pre-existing diseases and conditions shall be excluded for the first four years.

All treatments within the first 30 days of cover except any accidental external injuries will be excluded.

Treatments related to pregnancy & child birth, dental procedures & congential diseases will be excluded.

Types of Oriental Floater Policy:

  • Silver Plan (For Sum assured between 1 to 5 Lakhs)

A.     Primary Member Premium

Sum insured Dom. Hosp. 21-35 36-45 46-55 56-60 61-65
1,00,000 10000 1320 1580 2470 3520 5240
2,00,000 20000 2490 2980 4720 6750 10110
3,00,000 25000 3480 4160 6730 9670 14560
4,00,000 25000 4340 5180 8560 12380 18730
5,00,000 25000 5200 6210 10400 15090 22900

 B.     Family Member Premium (Per Person)

Sum insured 3 month -20 year 21-35 36-45 46-55 56-60 61-70
1,00,000 240 260 320 490 700 1310
2,00,000 450 500 600 940 1350 2530
3,00,000 630 700 830 1350 1930 3640
4,00,000 780 870 1040 1710 2480 4680
5,00,000 940 1040 1240 2080 3020 5730

 C.     Personal Accident ( Optional/ Add-on Covers)

Sum insured 100000 200000 300000 400000 500000 
Premium 60 120 180 240 300

Entry Limit of the Proposer must be between 21 to 55 Years. ( Minimum 2 Person Required)

  • Gold Plan (For Sum assured above 5 Lakhs)

FAQ’s on Happy Family Floater Health Insurance click here.

Mail us for any querry on our Oriental Flotter Mediclaim Insurance Policy Authorised Advisor/ Consultant/ Agent will contact you within 24 hrs or Purchase/ Renew Apply for cheaper rates online here.

Faq’s on Health/ Mediclaim Insurance

Will Mediclaim reimburse my expenses related to the disease which I am already suffering before the inception of the plan?
Insurance company will not cover any illness/ailment which already existed at the time of first obtaining the insurance cover. However, some companies cover such conditions after, two or four continuous renewals; they start covering the pre-existing illness after that.

What is Mediclaim Policy and what does it cover?
The policy provides for reimbursement of hospitalization/ domiciliary hospitalization expenses for illness/diseases suffered or accidental injuries sustained by the insured during the policy period.

Does Mediclaim cover any expenses besides hospitalization costs?
Mediclaim covers pre-hospitalisation (30 days) and post-hospitalisation (60days) expenses also if they are connected with the sickness / accident for which the hospitalisation takes place.

What is considered as “domiciliary hospitalization” under Mediclaim?
It is that condition of the patient in which he cannot be moved to the hospital or if there is no bed available in any of the hospitals, then the treatment is taken at home and if it is given like the treatment given at the hospital, then in such situation, it is reimbursable.

What is a Cashless Facility?
Cashless Facility is a service wherein the insured can get admitted and can settle all hospitalization expenses at the time of discharge from hospital. The settlement is done directly by the insurance company, that’s why it’s a cashless facility where you are provided with the claim there and then at the time of settling the bills, the hospital directly contacts with the insurance company and settle the claim.

What is a Health Card?
A Health Card is that card which comes along with the policy which would entitle you to get cashless claim at any of the company’s network hospitals.

Am I entitled for cover immediately after I take my policy?
For the first 30 days after your policy is activated, you would not be entitled for any cover for sickness but you can avail of accidental cover immediately.

Do I have to undergo medical Check up while taking health insurance policy?
Medical tests is required after 45 years of age.

Is a Medical check up again required at the time of renewal of the policy?
No, the medical check up has to be taken only once, during the inception of taking a policy and only if you are 46 years of age or above.

What is the Critical Illness policy? And what does it cover?
It is that policy which covers Illness; it is complimentary to a mediclaim policy, being an additional policy which can be taken along with Mediclaim. The Critical Illness policy covers five major illnesses • Cancer.
• Kidney failure.
• Organ transplant.
• Multiple sclerosis and.
• Coronary artery surgery (20 percent of Sum Insured)

When does the Critical Illness policy cover all the five illnesses?
As long as the policyholder was not suffering from any of the illnesses, the pre-existing illness exclusion applies to the Critical Illness policy also.

What is a Floater Policy?
A floater Policy is issued with a single sum insured covering number of individuals. The family is covered for a fixed amount and anyone in the family can avail of the benefit till the limit is exhausted. In short, it is one single policy which takes care of the hospitalization expenses of your entire family.

Do I get a No Claim Bonus under my health insurance if I do not make a claim?
Yes, some plans offer a discount in premium. Others offer an increase in your benefit amount for every claim-free year.

What are the benefits of renewing my health insurance policy?
There should be continuous renewal of the policies. If there is a break in insurance, the insured would lose the benefits of insurance in the event of any contingency. You will be prevented from the benefits of No claim Bonus in a claim free year. Moreover you will not be covered for Pre-existing diseases.

Why should I take Individual health plan or a Family Floater plan if I already have health insurance from my employer?
You are covered with the health insurance policy as long as you are in the employer’s services. If tomorrow, you change your job, then you and your family will be barred of any medical emergency arises when you have not arranged for an alternative health insurance policy. It is at this point of time that an Individual or Family Floater Health Insurance policy will come to your rescue.

Ask to our experts for purchase/ buy insurance. We offers affordable cheaper mediclaim/ health insurance premium rates. U may compare Oriental Insurance ICICI Lombard Genral Insurance with others submitt your business querry online here…