Oriental Health Insurance Family Floater Plan: Overview 2025

Households throughout India are trying to find safe choices to conserve their health and finances against healthcare inflation and escalating healthcare charges. One of these solutions is the Oriental Health Insurance Family Floater Policy which has become more pertinent in the year 2025 as a result of complete family medical coverage on a single policy. This policy will protect the entire members of your family, giving them essential monetary support when it is needed the most.

Either you are a newly married couple with young children on hand or you are part of a joint family, knowing the features, advantage, and peculiarities of this policy can make you make proper decisions concerning the health cover. So, without further ado, let us have a look at the most important information, highlights and questions most often asked that should help you in the year 2025.

What is Oriental Health Insurance Family Floater Policy?

The Oriental Health Insurance Family Floater Policy is a health insurance scheme provided by oriental insurance company limited which is a public sector insurance entity in India. Through this plan, one family is covered on the same umbrella, which provides common sum insured in terms of hospitalisation and medical expenses.

Family floater policy is suited to a situation where the risk of hospitalization is distributed among several members of the family and has a higher coverage and in many cases premium rate when compared to individual health plans.

Who can be Insured in this Family Floater Policy?

You can cover yourself, your spouse, dependent children (including legally adopted ones), and parents dependent on you. Certain versions also have an option of covering extended family members including parents in law and siblings among others depending on policy conditions.

The majority of the policies are acceptable with children between 91 days and 25 years. Adults like to enter the 18 year-old stage to 65 years age bracket. Such flexibility is particularly helpful to Indian families that live together or to those taking care of elderly parents.

You may be surprised to learn? Family floater plans are also associated with family joint family where family floater plan is considered more cost effective because the premium amount is determined on the basis of the older person covered and the sum insured. This is economical, particularly when a family has young children.

What Are the Main Points or Pros of Oriental Health Insurance Family Floater Policy?

• Wide networks: Covers hospitalisation costs, pre and post hospitalisation, day care surgeries, ambulance expenses and so forth.
• Cashless treatment: Rest assured, with the availability of a wide network of over 8000 hospitals in India, treatment is hassle free.
• Pre and post hospitalisation: Costs are normally covered 30 days prior to hospitalisation and 60 days after hospitalisation.
• No claim bonus: The sum insured increases by a percentage amount on each claim free year, up to around 50 percent.
• Tax savings: Premium is tax exempted under Section 80D of the income tax act.
• Flexible sum insured: Sum insured options of Rs. 2 lakh to Rs. 15 lakh and beyond are available and depend on family needs.
• Optional covers: Maternity benefit or critical illness cover or personal accident cover can be chosen.
• Online portability: It is the option to port to another insurer without bearing the loss of accumulated benefits within the guidelines of IRDAI.
• Fast Renewal: Renewal made simple with cell phones and the Web.

People Ask Questions

Q: Am I able to insure new members of my family in the policy year?
A: Yes they can add newborn and newly-wed spouses on the policy by paying extra premium during the policy term.

Orient Family Floater Policy How it Works?

A single premium finances a total amount to be covered per year amongst the members covered by the policy. As an example, say you purchase a Rs. 5 lakh cover on your family of four; each member will be able to claim as much as he/ she needs in terms of medical expenses till the entire sum insured is over.

There are claims that can be made in relation to hospitalisation of more than 24 hours, and the specified daycare procedures. Claims without cash involve employing the network hospitals, and reimbursement can be done to non network hospitals.

What are the Advantages and Disadvantages of Such Policy?

Advantages

• Cost effective: In most cases it is less expensive than obtaining several policies on an individual basis because it involves sharing of the risk.
• Streamlined administration: There is a single policy, a single renewal date and a single premium on behalf of all the family members.
• Portable coverage: Family demographics change? Renewal is easy to add or drop members.
• Shields against high costs: The high sum insured can be applied when the severe health incidents take place to any of the family members.

Limitations

• Single sum insured: In the event that one member utilizes a good amount of the cover, then there is little left to other members until the coming policy year.
• Age factor: Premium is also tied to the age of the oldest member, thus inclusion of old parents is costly.
• Coverage cap: There are some conditions such as maternity or critical illness that can have different sub limits unless additional cover is purchased.
• Waiting periods: The pre existing diseases and certain specific ailments have waiting periods according to policy wording.

Professional Opinion: Insurance counselors say that the coverage amount should be revised according to the number of family members, medical background, and the current medical inflation. In India, the annual health care costs are going up by 8 to 10 percent each year hence review your cover at regular intervals.

How To Purchase/Renew the Oriental Health Insurance Family Floater Policy in 2025?

Insurance is mostly done through the Internet using official portal of Oriental Insurance, third party insurance aggregators, or authorized agents. It is possible to compare sum insured to the choice of features, add ons, and premium rates among other options.

A Few Steps:

• Go to the official site of Oriental Insurance and find the family floater health policies.
• Enter required details (family members, ages, sum insured).
• Select add ons such as maternity, or critical illness when required.
• Have premium quote in real time.
• Make premium payments safely online using credit card and get soft copy of policy document.

Policy renewal can be done through mobile app or internet and coverage can be modified, membership changed or transferred in or out of another provider.

People Ask

Q: Does one require a health check up to purchase the policy?
A: Depending on age and health declaration, there are occasions whereby a mere medical examination is sought of older members of the family or instances whereby the sum insured is high.

Oriental Family Floater vs Other Insurers Policy Comparison

2025-year-old data

What Does and Does Not This Policy Cover?

Covered

• Hospitalisation due to illnesses and accidents (minimum 24 hours)
• Pre and post hospitalisation costs of a particular number of days
• Day care procedures (around 140 plus listed)
• Hospitalisation costs in organ donor
• Until policy limit charges of ambulance

Not Covered

• Pre existing diseases until waiting period is over (usually 4 years)
• There are diseases or conditions like cataract, hernia, etc. in first years.
• Non allopathic/non medical treatment costs like supplements and cosmetic surgery
• Self harm injury, substance abuse or war related injury

People Ask Questions Also

Q: Would I be able to have cashless hospitalisation anywhere in India?
A: Yes, provided you are admitted in network hospitals registered with Oriental Insurance you can enjoy pan-India cashless benefits.

Did you know? Oriental Insurance has dedicated helpline numbers wherein the policyholders of family floater policies can contact the company to help in 24 7 claims support and cashless network questions.

Premium Calculations How Are Premiums Computed?

Premiums are pegged on:

• Oldest age in the family
• Population under Insurance cover
• Sum insured
• Selected add-ons or riders
• Zone of residence (metro or non-metro cities)

A Rs. 5 lakh cover in 2025 would cost a family of 4 with two adults aged 40 38 and two children under the age of 15 only about 15,000 to 17,500 every year. The annual premium would go up to Rs. 40,000 to 55,000 with the inclusion of parents who are beyond 60 years.

What Are The Optional Add Ons or Riders?

• Maternity and childbirth cover: It is beneficial to young couples who intend to have a baby, and they help to cover both the mother and the newborn.
• Critical illness rider: Extra lump sum on major maladies such as cancer, heart attack.
• Personal accident cover: It is compensation in case of accidental death or disability.
• Hospital cash: Daily cash allowance when people are hospitalized to spend on non medical issues.
• Top up plans: Top up total cover at reduced incremental premium.

What To Do To Make A Claim With Oriental Health Insurance?

Claims are of two kinds:

• Cashless claim: present your health card to one of the network hospitals, complete the pre authorisation form and the eligible bills are settled directly by the insurer.
• Reimbursement claim: In the non network hospitals make bill payments, keep all papers, send the claim form with the hospital records and get reimbursed.

In the case of any emergent, notify the insurer within 24 hours of being admitted. In the case of scheduled procedures, call 48 hours in advance.

What You Need To Know About Policy Renewal and Portability

• To prevent the lapse of the policy, renew the policy prior the expiry.
• The option of portability will give you freedom of moving to another insurance company at the time of renewal and shifting your waiting period/bonus credit under IRDA rules.
• Renewals are quick to make online through a few minutes and member list or the sum insured could be updated each year.

Expert Opinion: As many families in 2025 choose to increase their insurances when they grow up or the parents become financially independent to help them control their expenses at the time of renewal.

TLDR or Speedy Summary

Oriental Health Insurance Family Floater Policy is policy wherein the family is covered in one sum insured amount under medical expenses
Options of flexible sum insured starting with Rs. 2 lakh to Rs. 15 lakh and above
Covering hospitalisation, pre and post treatment, daycare, ambulance, no claim bonus and a network of 8,000 plus hospitals
The advantages are cost efficiency, convenience and fully competent yet the single sum insured is a constraint to take note of
In 2025, policy can be bought or renewed online and option of add ons such as maternity, critical illness etc. exists
Cross check features and premiums with other major insurance players to get the best fit

People Also Ask (FAQs)

Q: Is it possible to rise the sum insured throughout the year?
Most insurers do not permit increment of sum insured in the course of the policy year other than during policy renewal.

Q: Do you have a maximum age of entry of dependent children?
A: Normally 25 years unless beyond that they must have a different policy.

Q: Does the family floater cover ayurvedic / homeopathy treatment?
A: Mostly cover allopathic only but few nowadays cover AYUSH benefits. Look at your policy terms.

Q: How is a claim settlement long?
A: Cashless claims: most claims are accepted in a matter of few hours; reimbursement: 7–15 working days after documentation.

Q: Is it possible to take a personal policy and convert into a family floater?
A: Yes, according to the IRDAI norms you can port out of individual to floater or vice versa at renewal.

Sources:

• Oriental Insurance Official Page