Oriental Overseas Mediclaim Policy (E&S)

Oriental Overseas Mediclaim Policy (E&S) is a medical emergency policy from Oriental Insurance Company Ltd. that covers medical expenses, arising due to physical injuries, illness, and contagious diseases. Especially designed for students and employed individual travelling abroad, the insured under this policy can avail the best treatment following consultation with the institute’s medical practitioner. Thus, it acts as back-up, ensuring financial coverage for students and employed individuals during a medical emergency overseas.

Eligibility Criteria

The minimum eligibility conditions to buy this policy are:

Type	Individual or Family Floater
Minimum Entry Age	6 months (with parental coverage)
Maximum Entry Age	70 years
Number of people covered	Individual (for employed and students) Family (parents, spouse and children)
Residential Status	Citizens of India, with temporary residence in another country for education, research or employment through an Indian agency

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

FAQs

Q. What are the added return benefits of Oriental Overseas Mediclaim Policy (E&S) Health Insurance?

Ans: The overseas mediclaim offered by Oriental health insurance is applicable for covering medical emergencies, transport costs, and losses. The policy does not function as a conventional health insurance plan. Therefore, benefits of added returns are not provided to the insured and family.
Q. Can the overseas mediclaim be purchased to avail tax benefits?

Ans: Overseas mediclaim is meant only as an emergency health cover; therefore, tax benefits are not provided.
Q. What is the policy tenure of Oriental Overseas Mediclaim Policy (E&S)?

Ans: The policy tenure lasts for one year. After policy commencement, termination occurs twelve months hence.
Q. How to purchase the online Oriental Overseas Mediclaim Policy (E&S) plan?

Ans: To buy Oriental health insurance online, the customer is required to register on the official website of The Oriental Insurance Company Limited. Details of the insured and/or family are to be entered. After filling up of the application form, the premium amount is to be paid online.
Q. What are the documents to be submitted for making a claim?

Ans: Documents with medical treatment and policy details (name of treating doctor, policy ID with date of commencement), claim form (available with The Oriental Insurance Company Limited), invoices, travel documents, medical certificates, medical prescriptions, and receipts should be submitted for a claim.