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Oriental Arogya Sanjeevani Health Insurance

165 reviews Rate This
Oriental Health Insurance
Arogya Sanjeevani Policy
Claim SettlementDedicated Team
Claim Settlement Ratio93.96%
COVID-19 CoverYes
Network Hospitals4,300+
Policies Sold12,50,812
RenewabilityLifelong

About Oriental Arogya Sanjeevani Health Insurance

Arogya Sanjeevani Policy offered by the Oriental Insurance Company Limited is a new, standard health insurance product that offers wider coverage for your whole family. The policy provides the insured individuals to cover for basic medical expenses in case of hospitalisation necessitated due to any illness/sickness/disease/injury/accident. You can buy this policy online on an individual or a floater basis if you are aged between 18 years and 65 years. The policy period is one year and it is renewable for a lifetime. You can add under this policy your family members as well. They may be your legally wedded Spouse, dependent children, parents, and parents-in-law for sum insured options ranging between Rs. 1 Lakh to Rs. 5 Lakh.

Suitable for all, Oriental Arogya Sanjeevani Policy offers many benefits to the policyholders. These include-free look period of 15 days; liberty to pay the premium in monthly, quarterly, half-yearly, and yearly instalments; cumulative bonus for every claim-free year, cover for modern treatments, grace period, portability and lifetime renewability benefit. Also, the policy comes with a minimum co-payment of 5%. This means the insured will have to pay only 5% of the total claim amount from your own pocket for all admissible claims.

Read more: Arogya Sanjeevani Policy

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Key Inclusions and Exclusions of the Plan

What's Included

  • Cover for all daycare treatments
  • Expenses related to Cataract subject to sub-limits
  • 30 days pre and 60 days post hospitalisation expenses
  • Dental treatment necessitated due to an injury or a disease
  • Treatment under AYUSH systems of medicines up to sum insured limit
  • Expenses incurred on road ambulance up to Rs. 2,000 per hospitalisation

What's Not Included

  • Any expenses related to OPD treatment
  • Any expenses incurred on domiciliary hospitalisation
  • Treatment required due to participation in adventure sports
  • Treatment taken outside India
  • Cosmetic or plastic surgery unless required due to an accident
  • Expenses for any unproven treatment, services, or supplies

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Arogya Sanjeevani Policy User Reviews

4.6
Rating based on
165 User reviews
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What users are saying
  • All
  • Useful Policy

    Oriental Arogya Sanjeevani Policy has proved to be a very useful policy for me and my family. I made a claim when my wife got hospitalised and got saved financially. I am happy to have been able to avail of services under this plan after completing a waiting period of 30 days.   

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    A
    By Ajay Narang
    On: Jun 17, 2020
  • Good to have my entire family ...

    Oriental Arogya Sanjeevani Policy covers my entire family under a single sum insured. I purchased this policy last week from InsuranceDekho and I must say that the process was smooth as butter. All I did was call on their toll-free number and did as they guided.   

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    R
    By Rishabh Berlia
    On: Jun 16, 2020
  • Beneficial policy

    I was in search of an affordable health insurance plan for my family when my colleague referred Oriental Arogya Sanjeevani Policy to me. I brought it as it covers me for many benefits like pre and post hospitalisation, road ambulance cover, Cataract treatment, and in-patient AYUSH treatment, etc.  

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    Y
    By Yoginder Yadav
    On: Jun 15, 2020
  • Several benefits offered

    I purchased Oriental Arogya Sanjeevani Policy from InsuranceDekho during lockdown. Not only the buying process was smooth, but I also got a perfect plan with several benefits. These include- pre and post-hospitalisation expenses, road ambulance cover, cover for cataract treatment, etc. I really liked the product.  

    Read More

    S
    By Shivam Dubey
    On: Jun 14, 2020
  • Happy with InsuranceDekho’s se...

    InsuranceDekho offered me the best services. They not only suggested my Oriental Arogya Sanjeevani Policy but also helped me buy it online as I was not sure of the process. It was a great help from the team. Thank you!  

    Read More

    A
    By Abhinav Roy
    On: Jun 13, 2020
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Oriental Arogya Sanjeevani Policy Brochure

  • 1.68 MB
  • PDF Document
  • Jun 17, 2020
Download PDF

Claim Process at Oriental Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate as soon as it occurs prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation as soon as it occurs and for planned hospitalisation intimate as soon as it occurs prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

FAQs on Arogya Sanjeevani Policy Health Insurance Plan

  • Can I pay the premium in instalments for Oriental Arogya Sanjeevani policy?

    Yes. You can pay the premium for this policy in Monthly, Quarterly, Half-yearly, or Yearly instalments.

     

  • What are the sum insured options under Oriental Arogya Sanjeevani policy?

    The policy offers sum insured options ranging from as low as Rs. 1 lakh up to Rs. 5 lakh, in the multiples of 50,000.

     

  • Can I add dependent children under Oriental Arogya Sanjeevani policy?

    Yes. You can add natural or legally adopted dependent children under this policy if they are aged between 3 months to 25 years. In case the child is aged above 18 years and is financially independent, then he/she will not be eligible for coverage in the subsequent years. 

     

  • Will I be covered for the grace period under Oriental Arogya Sanjeevani policy?

    The grace period is a specified period of time provided to the policyholders immediately following the premium due date during which they can pay the premium to renew their respective policies. 

    No, this policy does not offer coverage for a grace period for which premium has not been paid.  

  • What is the policy term for Oriental Arogya Sanjeevani policy?

    Oriental Health Insurance Arogya Sanjeevani Policy is available for one year. The policy needs to be renewed thereafter. 

     

  • Is there any limit on Cataract treatment covered under Oriental Arogya Sanjeevani policy?

    Oriental Health Insurance Arogya Sanjeevani Policy covers Cataract treatment up to a limit of 25% or Rs. 40,000, whichever is lesser for each eye, during a policy year. 

     

  • Does the policy offer a cumulative bonus to the policyholders?

    Yes. If the policyholders do not make any claim during a policy, then they are rewarded with a 5% cumulative bonus. It is offered up to a maximum of 50%.   

     

  • Is there any waiting period under Oriental Arogya Sanjeevani policy?

    Yes. The policyholders need to complete a waiting period of 30 days from the date of policy issuance to be able to avail benefits under Oriental Arogya Sanjeevani Policy.  

     

  • Are maternity expenses covered under Oriental Arogya Sanjeevani policy?

    Oriental Arogya Sanjeevani Policy does not cover maternity expenses traceable to childbirth, but ectopic pregnancy is an exception. Expenses related to lawful medical termination of pregnancy and miscarriage, unless due to an accident are also not covered under this policy.  

     

  • Can I enjoy portability benefits under Oriental Arogya Sanjeevani policy?

    Yes. The policy allows portability benefits. 

     

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