Oriental Insurance HOPE Policy for Senior Citizen
Oriental Insurance HOPE – Health of Privileged Elder policy has been uniquely designed for Senior Citizens aged 60 years and above. The policy covers specified diseases in case of hospitalisation only and requires compulsory co-payment of 20%.
Key Features of Oriental Insurance HOPE Policy for Senior Citizen
- Exclusive policy for Senior Citizens aged 60 yrs and above
- Domiciliary Hospitalisation benefit is provided
- Premium discount available on voluntary co-payment
- Benefit of continuity extended if already insured with any mediclaim policy of Oriental Insurance
- Cashless Service through TPA only and limited to Rs. 1 lakh
What is covered in Oriental Insurance HOPE Plan for Senior Citizen
- The policy covers only the specified diseases / illness / injury and there is a maximum liability in respect of each disease -
- Accidental injury
- Knee replacement
- Cancer
- Stroke
- Cardio vascular diseases
- Orthopedic diseases
- Benign prostrate
- Opthalmic (Eye) diseases
- Chronic obstructive lung disease
- Hepato-biliary disorders
- Chronic renal failure
- Hospital room, boarding and nursing expenses and ICU charges
- Emergency ambulance charges
- Doctor, surgeon, anesthetist, consultant or specialists fees
- Cost of anesthesia, blood, oxygen, operation theatre charges, surgical appliances
- Cost of medicines, drugs and consumables
- Cost of artificial limbs, prosthetic devices like pacemaker
- Cost of diagnostic tests like X-ray
Additional Benefits of Oriental Insurance HOPE Plan for Senior Citizen
§ Cost of health check-up after a block of 4 claim-free years
§ Premium discount available on voluntary co-payment
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Co-payment opted
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Discount available on Premium
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10%
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10%
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20%
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20%
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30%
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30%
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40%
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40%
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50% and above
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50%
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Eligibility and Restrictions of Oriental Insurance HOPE Policy for Senior Citizen
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Minimum
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Maximum
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Coverage Amount (in Rs.)
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1,00,000
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5,00,000
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Policy Term (in years)
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1
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1
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Entry Age (in years)
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60
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-
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Tax Benefits in Oriental Insurance HOPE Policy for Senior Citizen
This plan offers tax benefits for the premiums as a deduction from the taxable income under section 80D of the Income Tax Act.
Exclusions - What is not covered in Oriental Insurance HOPE Policy for Senior Citizen?
- Any disease / health condition / illness / ailment or any condition arising therefrom other than those specified in the policy as covered
- 2 yr exclusion on arthritis, cataract, surgery of benign prostatic hypertrophy, age related osteoporosis and osteoarthritis, calculus disease etc
- Pre-existing diseases and related conditions for first 2 yrs
- Any disease covered under the policy contracted by the Insured person during the first 30 days from the commencement date of the policy except treatment for accidental injuries
- Injury or conditions due to any act of foreign enemy, war, nuclear materials
- Circumcision, vaccination, inoculation
- Surgery for eye sight correction, cost of spectacles, contact lenses, hearing aids, crutches, braces, walker etc
- Any conditions due to abuse of drugs, alcohol or intoxicating substances
- General weakness or rest cure
- Self-inflicted injuries, suicide
- Psychiatric and psychosomatic disorders
- AIDS / HIV / STD
- Cost of vitamins, tonics etc unless part of treatment
- Naturopathy, acupuncture, acupressure and other such therapies
- Massages, Steam bathing, Shirodhara and like treatment under Ayurvedic treatment.
- Doctor’s home visit charges, Attendant / Nursing charges during pre and post hospitalisation period.
