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Insurance

ChatGPT and the Future of Customer Service in Insurance

machine learning

ChatGPT and the Future of Customer Service in Insurance

After accumulating over 100 million active users in a little over 2 months since its release (in November 2022), ChatGPT has been taking the tech world by storm. In fact, Microsoft has leveraged this bleeding-edge technology and incorporated it within its own Bing search engine in an attempt to disrupt the search engine market. Along with these disruptions, is it possible that ChatGPT or similar tech can disrupt the customer service aspect in the insurance sector? Let’s find out!

  • Potential uses and benefits of ChatGPT in Insurance
  • Limitations of ChatGPT
  • Chatbot use cases in insurance
  • The road ahead

Potential uses and benefits of ChatGPT in Insurance

  • API integration: Insurance companies can make use of the ChatGPT API and integrate it within their own website. ChatGPT can then act as a sales representative on their insurance website and interact with the prospective customer; much like a live chat executive might. The tool can then begin to understand the customer’s requirements and spit out the most relevant insurance quotes.
  • Customer support: The ChatGPT API can also be used to troubleshoot customer grievances and inform the customer about possible solutions to their complaints or queries.
  • Lower costs: The ChatGPT tool is much more likely to cost lower compared to hiring an actual human being. This can increase the profitability of the insurance company.
  • Limitation of human error: Human beings are prone to the error. The AI tool, if properly trained will likely dish out accurate and relevant information.
  • Breaking the language barrier: AI tools like ChatGPT are language agnostic. They can chat with a user in English, Hindi, Marathi, or any other regional language.
  • Availability and consistency: ChatGPT does not need a break. It can work around the clock. No lunch or dinner breaks. In fact, it can be online 24×7.
  • Summary of policy bonds: This could be a game changer within the insurance industry. Insurance bonds are usually very long and nuanced. You can ask ChatGPT to make a summary of your insurance bond and highlight the most important and noteworthy points. The tool will do so and you can make a better more informed buying decision due to this.

Limitations of ChatGPT

  • Missing a human touch: At times, the ChatGPT chatbot can seem like its missing a human touch. Its answers may come out more robotic in nature. This tendency is likely to be eliminated completely as the technology gets more robust.
  • Compromised training data: That chatbot and its results are based on the integrity of the training data. At times, this training data set may be polluted due to human biases, and this can create incoherent or irrelevant responses.
  • Lack of empathy: The tool is a computer program; it is not a human. This makes it completely lack any empathy. This lack of empathy may cause the tool to not understand the gravity of a particular request made by a customer.

Chatbot and AI companies in Insurance

Let us look at some of the most notable chatbot use cases in the insurance industry and attempt to get an idea of how things in the future may pan out.

Haptik AI: The Indian AI company Haptik is currently building a suite of products that insurance companies can use in their interactions with customers. Haptik has products that insurance companies can use in their customer interactions on the following platforms:

  • WhatsApp Messaging
  • Instagram
  • Insurance website
  • Facebook Messenger
  • SMS

Flo AI: Progressive Insurance has a chatbot called Flo (made by Microsoft) that assists their customers to do the following:

  • File claims
  • Change payment dates
  • Get insurance quotes

Allstate Business Insurance Chatbot (ABIE): ABIE is a chatbot on Allstate Insurance’s website that helps prospective customers in answering initial questions about the product. ABIE can also point customers to the most relevant insurance policies.

GEICO’s Kate chatbot: Similar to ABIE, GEICO’s Kate chatbot helps customers get the relevant information and sends the best and most relevant motor insurance quotes based on their requirements.

The road ahead

The world of machine learning and AI has come a long way. From the 1950s, when Artificial Intelligence pioneer Arthur Samuel introduced the first self-learning software for playing checkers to OpenAI’s ChatGPT in 2022. Machine learning and AI have come a long way. That being said, this is still just the tip of the ice berg.

These technologies have the potential to geometrically increase efficiency and profitability of companies and will most likely be heavily invested in, causing a surge of AI and ML products and applications across the insurance sector and beyond.

Are you looking for a new insurance policy or a policy renewal? Reach out to us and let us assist you.

Categories
icici lombard health insurance

What is iPartner by ICICI Lombard? (Simply Explained)

What is iPartner by ICICI Lombard? (Simply Explained)

So, are you looking to sell insurance to your prospects but are wondering about how to get going? Well, ICICI Lombard has come up with their iPartner program. What is the ICICI iPartner program? This article will attempt to talk about the most important aspects of the iPartner program, such as:

  • ICICI Lombard iPartner explained
  • Features and benefits of iPartner
  • How to become an iPartner with ICICI Lombard
  • Eligibility criteria
  • ICICI iPartner Pro Mobile App

ICICI iPartner explained

To understand how the ICICI Lombard iPartner program works, you will first have to understand ‘what is PoSP and its workings?’ PoSP stands for Point of Salesperson. A PoSP has the ability to sell insurance and related products to their clients. He or she essentially acts as an insurance agent.

To become a PoSP, a person has to complete a 15-hour certification program as per IRDA regulation. Once this is done, a PoSP can begin selling insurance on their own. The ICICI Lombard iPartner program is essentially ICICI Lombard’s version of a PoSP program where you can sell ICICI Lombard insurance products to your customer base and get a commission from it.

Features and benefits of iPartner

  • Brand value of ICICI Lombard: Partnering up with ICICI Lombard through their iPartner program and selling ICICI Lombard insurance policies is ought to be a pleasant experience, as ICICI Lombard has a favorable brand image in the eyes of prospective customers. The sales conversion is likely to be high due to this brand value.
  • Flexible timings: You are your own master after enrolling in the iPartner program. You can select your own work hours and do not have to adhere to any deadlines. Work as much as or as little as you wish.
  • Commissions: As a PoSP, you will be eligible to receive a commission on insurance sales and renewals. The commission rate depends on the type of policy sold.

Type of policy sold

Commission rate

Health insurance

15%

Business insurance

10%

Car insurance

15%

Bike insurance

15%

Data taken from: https://www.icicilombard.com/become-posp-insurance-agent

  • Paperless: As a PoSP, you do not need to collect or deal with any paper work. The entire sales process is online and the customer documents need to be uploaded directly to the ICICI portal. This leads to streamlining of process and ease of management.
  • Online claims: Your customers can directly initiate online claims, they do not need to come to you to initiate a claims request. This saves a lot of time and effort.

How to become an iPartner with ICICI Lombard

You can enroll in the ICICI Lombard iPartner program by following these simple steps:

Step 1: Download the ICICI Lombard iPartner Mobile App

Step 2: Upload your KYC documents

You will now need to upload the following KYC documents to the App:

  • Cancelled check (to setup bank payments)
  • Aadhar Card
  • PAN Card
  • Education certificate

Step 3: Document verification
The company will then verify your documents and accept or decline your application.

Step 4: Sell insurance
Once accepted, you can now sell ICICI Lombard insurance products through the iPartner program.

Eligibility criteria

Age

Qualification

18+

SSC

ICICI iPartner Pro Mobile App

The iPartner Pro Mobile App has the following features:

  • You can generate insurance quotes through the App.
  • These insurance quotes can be directly sent to your customers.
  • Your customers can directly buy insurance through the sales link generated through the App.
  • You can raise a pay-out request through the App.

Are you looking for a new ICICI Lombard insurance policy or a policy renewal? Reach out to us and let us assist you.

Categories
Oriental Health Insurance

How Oriental Insurance’s Corona Kavach Policy Can Protect You from COVID-19

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How Oriental Insurance’s Corona Kavach Policy Can Protect You from COVID-19

Corona Kavach by Oriental Insurance is a robust health policy that will protect you and your loved ones against the financial burden arising from COVID-19.  In this article, let us show you how this health insurance policy is suitable to fulfill the health requirements of you and your family members. In this article we will talk about the following:-

  • What is covered under the Oriental Corona Kavach policy?
  • Key features of Oriental Corona Kavach Policy
  • What are the exclusions under the Oriental Corona Kavach policy?
  • Oriental Corona Kavach claim settlement procedure
  • Oriental Corona Kavach policy eligibility
  • Oriental Corona Kavach frequently asked questions (FAQs)

What is covered under the Oriental Corona Kavach policy?

Below given are the general inclusions that will be covered or paid for under this policy:-

  • Hospitalization expenses: Oriental’s Corona Kavach plan covers hospitalization expenses of in-patient care arising due to COVID-19. Hospitalization expenses like room, bed charges, nursing, doctor’s fees, etc will also be covered under the policy.
  • Intensive care: This policy covers all Intensive Care Unit (ICU), and Intensive Cardiac Care Unit (ICCU) expenses.
  • Homecare treatment expenses: The plan also covers home care treatment of the policyholder suffering from COVID-19 up to the sum insured for 14 days. Diagnostic tests, doctor’s consultation fees, nursing charges, prescribed medicines, etc are covered under the plan. This plan also pays for medical equipment like PPE kits, oxygen cylinders, pulse oximeters, nebulizers, and so on.
  • AYUSH coverage: Alternative treatments like AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy) are covered up to the sum insured limit under the policy.
  • Pre and Post hospitalization: Oriental’s Corona Kavach policy covers 15 days of pre-hospitalization and 30 days of post-hospitalization expenses.
  • Ambulance charges: The policy also pays for road ambulance charges for transferring the patient to the hospital up to Rs 2000 per hospitalization.
  • Daily cash optional benefit: This plan also offers a daily cash benefit as an optional rider which provides extra cushion to the policyholder during a financial crisis. Under this optional rider, the policyholder will receive 0.5% of the sum assured as a daily cash payout during hospitalization.
  • Co-Morbidity coverage: This plan also covers any pre-existing conditions suffered by the policyholder in conjunction with COVID-19. All medical tests, procedures, treatment, etc of the existing medical ailment triggered by COVID-19 shall be covered up to the sum insured.

Key features of Oriental Corona Kavach Policy

Below given are some important key features of Oriental’s Corona Kavach Policy.

  • Sum insured limit: Oriental’s Corona Kavach policy provides a wide range of sum insured options starting from Rs 50,000 up to Rs 5 lacs.
  • Family floater benefit: The company also offers the option to avail of a family floater benefit under which all the members of the family can be protected against COVID-19 under a single policy.
  • Policy tenure: This plan has a tenure of three and half months (3 ½ months), six and half months (6 ½ months), and nine and half months (9 ½ months).
  • Waiting period: This policy has a waiting period of 15 days after which it shall cover hospitalization and medical expenses for COVID-19.

What are the exclusions under the Oriental Corona Kavach policy?

Below provided are a few general exclusions under the Corona Kavach policy:-

  • Experimental/Unproven treatments: Any unproven treatments or experimental procedures that lack medical authentication to prove their effectiveness will not be covered. However, treatments authorized by the government only shall be covered under this policy.
  • Cosmetic procedures: Any cosmetic procedures or surgeries shall not be covered under the policy.
  • Dietary supplements: Any dietary supplements purchased without a doctor’s prescription will not be covered under this policy. However, multivitamins and mineral supplements prescribed by the doctor shall be covered.
  • Treatment outside India: Any treatment availed outside the geographical limit of India will not be covered.
  • Investigation and evaluation tests: Expenses related to any admission primarily for diagnostics and evaluation purposes will not be liable to be paid by the company. Any diagnostic expenses which are not related or not incidental to the current diagnosis and treatment shall not be covered under this policy.

What is Oriental’s Corona Kavach claim settlement procedure

There are two ways the policyholder can file for a claim with Oriental Health Insurance I.e the Cashless claim and reimbursement claim.

For cashless claim

Follow these simple steps laid down for availing cashless treatment:

  • Step 1– The policyholder can avail of cashless treatment when admitted to a network hospital of the company. In case of an emergency inform the insurance company within 24 hours of hospitalization or 72 hours prior to planned hospitalization.
  • Step 2– You will have to duly fill out the claim form available at the hospital and submit it to the TPA department at the network hospital.
  • Step 3– The insurance company will verify all the information and after thorough verification, the company will approve your cashless claim request.
  • Step 4– In case your cashless claim request is not approved by the company due to reasons like unsatisfactory submission of documents, etc, you can avail of the treatment and then apply for reimbursement of the hospital bills from the insurer.

For reimbursement claim

The policyholder will have to avail of a reimbursement claim when admitted to a non-network hospital.

Follow these steps to avail of a reimbursement claim

  • Step 1:- In case of an emergency inform the insurance company within 24 hours of hospitalization or within 72 hours prior to planned hospitalization.
  • Step 2:- Submit all the required documents to the company within 15 days of the discharge date to initiate the claim process.
  • Step 3: The insurance company will then evaluate the claim’s authenticity.
  • Step 4: Once all the supporting documents relating to the claim are proven authentic, the claim will be accepted and the amount shall be reimbursed to the policyholder.

Documents to be submitted for claim

Submit the following documents within 15 days from the date of discharge to the company to initiate the reimbursement claim process.

  • Dully signed and filled authorization form
  • All original medical bills, prescriptions, receipts, reports, etc
  • Original copy of medical reports like x-ray, scans, etc.
  • Photo identification proofs
  • Discharge summary
  • Death certificate ( if applicable)
  • FIR ( if application)

Oriental Corona Kavach policy eligibility criteria

Individuals between the age groups of 18 years and 65 years can opt for Oriental’s Corona Kavach plan. However, under the family floater plan dependent children from day 1 up to 18 years of age shall be covered.

Frequently asked questions about Oriental Health Insurance Corona Kavach

  • What is the minimum age criterion to opt for the Oriental Corona Kavach policy?

    The minimum age to enter the policy is from 1 day for children up to 18 years of age.

  • What is the waiting period under the Oriental Corona Kavach plan?

    There is a waiting period of 15 days from the policy purchase date after which the policy will cover all hospitalization expenses for COVID-19.

  • Is AYUSH treatment covered under the Corona Kavach policy?

    Yes, alternate treatments like Ayurveda, Yoga, Unani, Siddha, Homeopathy, Naturopathy, etc are covered under the plan.

  • Can I avail of tax benefits under the Oriental Corona Kavach policy?

    Yes, you can avail of tax benefits under Section 80 D of The Income Tax Act, 1961, on the premiums paid by you.

  • Is a medical check-up needed before purchasing this policy?

    No, a pre-policy medical check-up before purchasing this policy is not required.

  • Is worldwide coverage available under this plan?

    No, this policy provides coverage for medical treatment availed within the country.

  • Categories
    Oriental Health Insurance

    Oriental Health Insurance Plans (Top 15 Plans)

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    Oriental Health Insurance Plans (Top 15 Plans)

    Oriental health insurance offers a variety of plans to safeguard you and your family’s future. Listed below are the various health insurance plans offered by the Oriental Health Insurance company.

    1. Happy Family Floater Policy
    2. Mediclaim Insurance Policy (Individual)
    3. PNB- Oriental Royal Mediclaim
    4. OBC- Oriental Mediclaim Policy
    5. Mediclaim Insurance Policy (Group)
    6. Oriental Happy Cash – Nischint Rahein
    7. Oriental Super Health Top-up
    8. Pravasi Bharatiya Bima Yojana
    9. Health of Privileged Elders
    10. Arogya Sanjeevani Policy-Oriental Insurance
    11. Overseas Mediclaim Policy (E&S)
    12. Jan Arogya Bima Policy
    13. Oriental Dengue Kavach
    14. Oriental Critical Illness Policy
    15. Corona Kavach and Group Corona Kavach

    1.) Oriental Happy Family Floater policy

    Orientals Happy Family floater policy is a family floater plan that offers coverage to you and your family members under a single sum assured. This plan covers inpatient hospitalization expenses,multiple daycare treatments,pre and post hospotalization charges and much more. You can choose to cover yourself,legally wedded spouse, children and dependent parents under this policy. This plan is available in 3 variants- Silver, Gold and Diamond Plan.

    Key Features

    • Takes care of in-patient hospitalizations expense,multiple daycare treatments, pre and post hospitalizations, ambulance charges and more.
    • Benefit of cover restoration if you exhaust your coverage because of previous claims.
    • Organ donor benefit of up to 10% of the sum insured.
    • Benefit of second medical opinion for 11 major illnesses all round the world between Rs.5,000- Rs. 15,000 depending on the plan selected.
    • Receive daily cash and Attendant allowance benefit of Rs. 600 – Rs. 1000. (for Gold and Diamond plan)
    • Compulsory 10% co payment on ever claim only in the Silver plan.

    Oriental Happy Family Floater policy

    Age Entry

    91 days – 65 years

    Sum Insured

    Rs. 1 lakh – 20 lakh

    2.) Mediclaim Insurance Policy (Individual)

    This is a health insurance plan that provides comprehensive coverage to the insured that safeguards them from hospital related expenditure incurred due to any sickness,illness or any injury.
    You can also cover yourself,your spouse,your children and parents under this policy under family floater basis.

    Key Features

    • Covers reasonable and customary costs in respect of Hospitalization
    • Covers ICU charges,room rent,boarding & nursing expenses,emergency ambulance costs,etc
    • Pays towards anesthesia, Blood, Oxygen, Operation Theater costs,medicines & drugs,etc.
    • Pays 30 days pre and 60 days post hospitalization.
    • Daily cash allowance up to maximum 6 days of hospitalization
    • Covers inpatient Ayush Treatment and Organ donor expense.

    Mediclaim Insurance Policy (Individual)

    Age Entry

    18 years- 70 years

    Sum Insured

    Rs.1lakh- Rs 10 lakh

    3.) PNB- Oriental Royal Mediclaim

    This policy is designed for any account holders of Punjab and National Bank at a low premium cost o protect the from healthcare related expenses.
    This policy can be taken for self along with his family members.

    Key Features

    • Benefit of daily cash benefit during hospitalization only for the primary holder of the policy up to Rs 1,000.
    • The plan covers In-patient Hospitalization expenses in respect of the organ donor provided that the organ donation is for the Insured Person
    • Covers 116 daycare procedures,Ambulance charges, Funeral expense in case of death of the insured max up to Rs 1,000.
    • Covers up to 30 days pre and 60 days post hospitalizations expenses.
    • Covers doctors, surgeons fees, chemotherapy, radiotherapy, medicines, blood, oxygen, etc.

    PNB- Oriental Royal Mediclaim

    Age Entry

    18years -79 years

    Sum Insured

    Rs.1lakhs -10 lakhs

    4.) OBC- Oriental Mediclaim Policy-2017

    Oriental’s Insurance’s OBC Mediclaim policy is made for the account holders of Oriental Bank of Commerce at a affordable premium costs. This particular plans is in 3 variants One account one policy,one person one policy and multiple accounts- one policy.
    This policy can be taken either for the self alone or along with the family under single sum insured.

    Key Features

    • The policy covers inpatient hospitalization,domiciliary hospitalization for the necessary illness or injury
    • Covers 30 days pre and post hospitalization expense along with emergency ambulance costs.
    • Covers for Operation Theater Charges,Chemotherapy,Radiotherapy,Cost of pacemaker,etc.
    • Organ donor expenses can be covered in this policy
    • Daily cash allowance benefit when hospitalized for 24 hours and above

    OBC- Oriental Mediclaim Policy

    Age Entry

    Years 18- 79 years

    Sum insured

    Rs. 1lakh – Rs10 lakh

    6.) Mediclaim Insurance Policy (Group)

    Oriental Insurances mediclaim policy can be purchased by any Corporate group, Organization or company provided there are at least 50 members in the group. This plan provides extensive health coverage to the insured members of the groups safeguarding them from medically related expenses. The members can also choose to extend their coverage to their family members including spouse, children, parents.

    Key Features

    • This policy covers the necessary and customary hospital expenditure of the policyholder.
    • Covers room rent,nursing and boarding,ICU charges
    • Provides Emergency Ambulance cover up to Rs.2000.
    • The plan also covers for Mental illness and HIV
    • Covers advanced and modern technological treatments such as Deep brain stimulation,Oral chemotherapy,Balloon Sinuplasty,etc.
    • Optional Maternity cover along with New born cover available at low premium.
    • Cover In-patient Ayush hospitalization and pre and post hospitalization charges.

    Mediclaim Insurance Policy (Group)

    Age Entry

    18 years onward

    Sum insured

    Rs. 1lakh – Rs10 lakh

    7.) Oriental Happy Cash – Nischint Rahein

    This is a daily cash benefit plan that pays the insured daily lump sum cash allowance when he/she is hospitalized for a maximum period of 24 hours.

    Key features

    • Receive daily cash benefit towards convalescence,when your hospitalization exceeds more than a period of 30 to 60 days.
    • Cash benefit toward in-patient Ayush treatment.
    • 25% additional cash benefit on the hospitalization of a insured female member
    • No medical tests mandatory to avail this policy.
    • The policyholder will receive daily cash upon multiple hospitalizations in the same year.

    Oreintal Happy Cash policy

    Age Entry

    3months – 60 years

    Sum insured

    Rs500 – Rs 3000

    8.) Oriental Super Health Top-up

    This is a Super Top-Up plan which starts covering your medical expenses once you have exhausted the sum insured of your base health insurance policy.

    Key Features

    • Covers inpatient hospitalization expenditures
    • Covers organ donor expense when the insured is the recipient
    • Benefit of Maternity and New born baby cover available
    • Mental illness coverage also available in the policy
    • The plan also covers Modern day advanced treatments like Robotic surgeries, Stereo-tactic radio surgeries, etc
    • Policy coverage can be extended after 70 years of age with paying 10% additional premium

                                                                                    Oriental Super Top-Up plan

    Age Entry

    3 months- 65 years

    Sum insured

    Rs3 lakh  – Rs.30 lakhs

    9.) Oriental Pravasi Bharatiya Bima Yojana

    This plan is designed for any Indian Emigrants going overseas for work related purpose,as well as Indian Citizens who have applied and obtained an emigration clearance as per the Emigrant Act,1983.
    This plan provides accidental death and disability coverage to the insured while working overseas.

    Key Features

    • Lump sum payout of 100% sum insured in case of accidental death of the individual.
    • Lump sum payout of 100% sum insured when suffering from permanent total disablement due to accident.
    • This plan also covers the cost of hospitalization under family floater basis in the event of accident related hospitalization.
    • Maternity coverage available to the insured female under the policy.
    • The policy covers the repatriation expenses in the event of demise of the insured individual.
    • Air transportation cost of the attendant and insured covered in case of death or disability.

    10.) Oriental Health of Privileged Elders (HOPE)

    Oriental’s Health of Privileged plan is exclusively designed for individuals above the age 60 of years,this plan provides coverage towards specific illnesses or conditions in the policy that are prone due to old age.
    The plan provides coverage for accidental injury and multiple treatments such as cardiovascular diseases,chronic renal failure, cancer, orthopedic diseases and more.

    Key Features

    • Covers in-patient hospitalization,domiciliary hospitalization,ambulance expense,etc
    • This plan also covers alternative treatments like Ayush.
    • Covers 30 days pre and 60 days post hospitalization expenditure
    • This policy covers only specified illness in the policy and pays a percentage of Sum assured on the covered condition or illness.

    Oriental Insurance Health of Privileged Elders (HOPE)

    Age Entry

    60 years onward

    Sum insured

    Rs 1 lakh – Rs 5lakh

    11.) Arogya Sanjeevani Policy-Oriental Insurance

    This is a standard Health Insurance policy that is designed to cover Hospitalization Expenses for In-Patient Care or Day Care Treatment incurred for treatment of an Illness/ Injury sustained.
    This plan can be availed on an individual or a family floater basis as well.

    Key Features

    • Covers inpatient hospitalization,multiple daycare treatments, pre and post hospitalization charges, etc.
    • Cumulative bonus of 5% of Sum Insured,Max up to 50% during claim free years.
    • Specified modern and advanced treatments up to 50% of sum insured.
    • Dental treatment and plastic surgery covered, if medically necessitated due to disease and injury.
    • AYUSH Treatment covered up to sum insured.
    • Life-long renewals allowed with no exit age.

                                         Arogya Sanjeevani Policy-Oriental Insurance

    Age Entry

    3months – 65 years

    Sum insured

    Rs. 1 lakh – Rs 20 lakhs

    12.) Overseas Mediclaim Policy (E&S)

    This plan is designed for individuals who are traveling abroad for Education or Employment ,it protects them against any travel or health hazard that can happen overseas.

    Key Features

    • Covers medical expenses in case of an accident or illness
    • Coverage for mental, nervous and emotional disorders is limited to 30 days continuous in-hospital expenses
    • Coverage against accidental death or Permanent Total Disablement due to accident.
    • Covers the cost of repatriation in case of death of the insured.

    13.) Oriental Jan Arogya Bima Policy

    This is a special plan designed for lower income families of the country to provide them with standard health car coverage at a low premium cost.

    Key Features

    • Covers medical expense and inpatient hospitalization
    • Cover domiciliary treatment expenses
    • Pays Diagnostic Materials and X-Ray, Dialysis, Chemotherapy, Radiotherapy, Cost of Pacemaker, Artificial Limbs & Cost of organ
    • Coverage for room rent,ICU charges, nursing and boarding charges.
    • The policy term is of 1 year

    Oriental Jan Arogya Bima Policy

    Age Entry

    3months – 70 years

    Sum insured

    Rs. 5,000/

    14.) Oriental Dengue Kavach

    Oriental’s Dengue kavach policy provides the insured individual lump sum benefit of 100% sum insured on the first positive diagnosis of Dengue fever.
    You can also include to cover your family under this policy.

    Note:- this is only a benefit based policy,it does not cover the cost hospitalization.

    Key Features

    • Receive lump sum benefit on the first positive diagnosis of dengue
    • Waiting period of thirty days from the beginning of the policy

    Oriental Dengue Kavach policy

    Age Entry

    18 years-65 years

    Sum insured

    Rs. 10,000 – Rs. 20,000

    15.) Oriental Critical Illness Policy

    As the name suggests, this policy is crafted to secure the insured against listed critical illnesses or conditions in the policy. Under this the insured will receive 100% lump sum benefit on his first diagnosis of any of the specified life threatening illnesses or conditions such as cancer of specified severity, first heart attack, open heart surgery, paralysis, stroke and more

    This plan comes under 2 variants- plan A and Plan B

    • Plan A- covers 11 critical illnesses
    • Plan B- covers 22 critical illnesses

    Key Features

    • 100% sum insures on first diagnose of any of the specified illness or conditions
    • Medical Second Opinion Benefit max of up to Rs. 10,000

    Oriental Critical Illness Policy

    Age Entry

    18 years – 65 years

    Sum Insured

    Rs 2 lakh- Rs 50 lakh

    16.) Oriental Corona Kavach and Group Corona Kavach

    Corona Kavach policy offers to safeguard you against hospital expenditure incurred due to the treatment of Covid-19.
    This plan can be availed on family floater as well as individual basis.

    Key Features

    • This plan covers inpatient Hospitalizations,home care treatment incurred for treatment for Covid-19 during the policy period.
    • Covers inpatient Ayush treatment.
    • Covers 15 days pre and 30 days post hospitalization expenses.
    • Daily cash benefit for each 24hours of hospitalization for treatment of corona virus.
    • Covers room rent,ICU,oxygen,ventilator costs, etc.

    Are you looking for a new Oriental Health Insurance policy or a policy renewal? Reach out to us and let us assist you.

    Categories
    Health Insurance

    Oriental Health Insurance (Plans, Benfits, and more)

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    Oriental Health Insurance (Plans, Benefits, and more)

    About the company

    • The Oriental Insurance Company was established in 1947, the year of independence. The company was initially a subsidy of the General Insurance Corporation of India until 2003, when it separated itself from the parent company and was set up as an independent insurance company.
    • Oriental Insurance Company, headquartered in New Delhi, currently has over 1800 branches and offices across the country and employs over 13,000 people. The company also operates in Nepal, Kuwait, and Dubai.
    • Oriental Insurance offers a suite of insurance products like the unique Corona Kavach Policy, the overseas Mediclam Policy, the family floater health insurance policy, the Arogya Sanjeevni Policy, motor insurance, and travel insurance plans, among others.
    • The company had a robust claim settlement ratio of 93.96% in FY 2019–2020.

    Highlights of the company

    Oriental Health Insurance

    Network Hospitals

    4000+

    Claim settlement Ratio

    93.96% FY 2019-2020

    Incurred Claim Ratio

    108.80%

    Renewal

    Lifetime

    Website

    https://orientalinsurance.org.in/

    Contact

     1800118485/011-33208485

    Types of health insurance plans offered by Oriental Health Insurance

    Here are the 15 types of plans offered by the Oriental Insurance Company.

    Plan Name

     

    Happy Family Floater Policy

    This is a family floater plan that covers you and your family under a single policy. You can cover yourself, legally wedded spouse, dependent children and parents.

    Mediclaim Insurance Policy (Individual)

    This is a health insurance plan which offers extensive coverage to the insured that safeguards them from hospital related expenditure incurred due to any sickness, illness or any injury

     Oriental Royal Mediclaim PNB

    This plan is only available for account holders of Punjab and National Bank, with the purpose to safeguard them from medically related expense at a affordable premium.

     Oriental Mediclaim Policy- OBC

    This plan is available for account holders of Oriental Bank of Commerce,to provide them essential healthcare coverage at a low premium cost.

     This particular plans is in 3 variants One account one policy,one person one policy and multiple accounts- one policy.

    Oriental Mediclaim Insurance Policy (Group)

    Oriental’s Mediclaim insurance policy is programmed to offer comprehensive coverage against hospitalization expense.

    This plan can be purchased by any members of corporate group, Organization or company

    Oriental Happy Cash-Nischint

    This is a cash benefit plan which provides daily cash to the insured during hospitalization.

    Oriental Super Health Top-up

    This plan is a Super Top-Up plan which will come into action after you have exhausted the coverage of your base health insurance policy.

    Super Health Top-up comes with wide range of sum insured with flexible sum deductible option.

    Pravasi Bharatiya Bima Yojan

    This policy is made for Indian  emigrants working in abroad. This plan provides accidental death and disability coverage to the insured while working overseas

    Health of Privileged Elders

    This is a health Insurance plan exclusively for senior citizens,offering them coverage for specified illnesses and conditions. Individuals above the age of 60 can purchase this policy.

    Arogya Sanjeevani Policy-Oriental

    Arogya Sanjeevani policy provides standard health coverage at a affordable premium.

    This plan covers in patient hospitalization and multiple listed modern and advanced treatments.

    This plan is available on individual or Family floater sum insured basis.

    Overseas Mediclaim Policy (E&S)

    This plan is an ideal plan for individual who travel abroad for education or employment.

    It covers Covers medical expenses in case of an accident or illness abroad.

    Jan Arogya Bima Policy

    The aim of this plan is to provide standard health coverage to weaker sections of the society at affordable premium rate. The plan covers basic and necessary hospital expenditure incurred in the treatment of any illness or accident

    Oriental Dengue Kavach

    This is a benefit based policy,which provides lump sum payout of 100% sum insured when the insured is positively diagnosed with Dengue fever.

    Oriental Critical Illness Policy

    Under this the insured will receive 100% lump sum benefit on his first diagnosis of any of the specified life threatening illnesses or conditions specified in the policy.

    This policy comes in 2 variants – Plan A and Plan B

    Corona Kavach and Group Corona Kavach

    This policy covers all medical and hospital expenditure incurred in the treatment of COVID-19.

    Why should you select a health insurance policy from Oriental Health Insurance?

    Here are a few reasons why you could choose to buy health insurance plans from Oriental Health Insurance.

    • Robust settlement ratio: the company has a robust claim settlement ratio of 93.96%, which signifies that the company is very supportive and efficient in settling legitimate claims without depriving the customers of their rights.
    • Network Hospitals: The company has a solid network of more than 4500 hospitals associated with them, where you can avail hassle-free cashless treatment without worrying to pay the hospital bills from your own pocket.
    • Affordability: Oriental Insurance Company offers plans that provide you with extensive coverage and many other valuable benefits at a very affordable premium.
    • Portability Feature: All plans offered by the company come with a portability feature, which means that you can easily switch to another plan with another health insurance company in case you are not satisfied.

    Some Key Features of Oriental Health Insurance

    • Comprehensive Coverage: The plans offered by the company provide comprehensive coverage, protecting you from expenses related to inpatient hospitalization, daycare procedures, pre and post-hospitalization, domiciliary treatments, and much more.
    • Cumulative Bonus: Many plans offered by the company provide you with the benefit of a cumulative bonus, which increases your coverage up to a certain percentage in the event of no claims.
    • Reviewability: The plans come with a lifelong renewal option, which means that you can renew the policy without any restrictions or age bar, provided you pay the premium on time.
    • Cover Restoration: Various health plans by Oriental Health Insurance come with the benefit of cover restoration. This means that the company will provide you with additional coverage at no cost in case you exceed your sum insured by making a claim during the policy year.
    • Tax Benefit: Get a deduction on the health insurance premium paid by you to the company under Sec. 80 of the Income Tax Act of 1961.
    • Value Added Benefits: Oriental Insurance plans include numerous value added benefits such as maternity and new-born baby coverage, daily cash benefit, convalescence benefit, personal accident and disability coverage, and so on.

    How do I purchase Oriental Health Insurance policies?

    Online Method:-

    Follow the easy steps provided to buy Oriental Health Insurance Plans online.

    Step 1: Visit the company’s official website (www.https://orientalinsurance.org.in/).
    Step 2: Click on the “Buy Online” tab and select the health policy you wish to purchase.
    Step 3: Fill out all the details accurately, and then click Calculate Premium.
    Step 4: Once again, check all the details and make the premium payment.
    Step 5: Once the premium is paid, your policy will be generated instantly within 10-15 minutes, and soft copies of the policy document will be sent to the registered email address.

    Offline Method

    • You can also purchase the policy by visiting the nearest branch of the company
    • You can also contact the customer care executive on their toll-free number: 1800-118485 or 011-33208485.

    How to File a Claim with Oriental Health Insurance

    A health insurance claim can be filed in two ways: cashless claim settlement and reimbursement claim.

    cashless claim settlement

    When you are admitted to a company network hospital, you can file for a cashless claim settlement.

    Here are a few steps that you can follow to file for cashless claim settlement:

    • Step 1: Inform the company 72 hours before in the case of a planned hospitalization or within 24 hours in the case of an emergency hospitalization.
    • Step 2: Completely fill out and submit the pre-authorization form to the hospital, along with the health card and photo ID proofs.
    • Step 3: The hospital will send your pre-authorization claim form and other documents to the company to initiate the cashless treatment process.
    • Step 4: The company will further assess your claim with the terms and conditions of the policy and intimate their decision to the hospital.
    • Step 5: Once the company is satisfied with their investigation and gives the hospital the green light, you can begin receiving cashless treatment.
    • Step 6: In the event that the company rejects your claim. The reasons for this will be provided to you in writing.

    Reimbursement claim settlement with Oriental Health Insurance

    When you are admitted to a company non-network hospital, you must file a reimbursement claim.

    Follow the steps provided by us to file a reimbursement claim with Oriental Health Insurance.

    • Step 1: Inform the company 72 hours before a planned hospitalization or within 24 hours in case of an emergency hospitalization.
    • Step 2: After your discharge, get the reimbursement claim form from the company. You can simply do so by visiting their website and downloading the form there.
    • Step 3: Completely fill out the claim form and submit it to the company or its third-party administrator with all the required documents to initiate the claim process.
    • Step 4: Once you have submitted all the necessary documents, the insurance company will verify your request with your policy benefits.
    • Step 5: Once the company has assessed your claim, The reimbursement amount will be deposited directly into your linked bank account.

    Note: The policyholder or his or her relatives need to submit the duly filled claim form along with the necessary documents to the insurance company within 15 days from the date of discharge.

    Documents required to file a claim:

    • A dully filled and signed pre-authorization claim form
    • Photo identification proof
    • All original bills, reports, and receipts
    • All original test reports, scans, diagnoses,x-rays,ECG,MRI,etc
    • Original chemist and pharmacy bills, receipts, and prescriptions
    • Original doctors’ certificates, surgeons’ reports, etc.
    • FIR (if applicable)
    • Death certificate (if applicable)

    Renewal Process for Oriental Health Insurance

    You can easily renew your health insurance policy with Oriental Health Insurance online with the following steps provided by us:

    • Step 1: Go to the official website of the company.
    • Step 2: Click on the “Renew” tab.
    • Step 3: Enter your existing policy number and policy details.
    • Step 4: Click on “Renew Now” and verify your policy premium.
    • Step 5: Review your premium and any no-claim bonus to be credited, if any, and pay your premium online.
    • Step 6: Once you have made the payment, you will receive a confirmation email along with the premium receipt at your registered email address.

    Offline Renewal Process

    You can visit the nearest branch of Oriental Insurance Company to renew your policy, or you can also get in touch with their customer care executive at Toll Free: 1800-118485 or 011-33208485 and state your request.

    How to Calculate the Premium for Oriental Health Insurance

    You can now easily calculate your Oriental Health Insurance premium online by using the calculator available online and providing certain details.

    • Choose whether you want to purchase a health plan on an individual or family floater basis.
    • Select your sum insured.
    • Number of individuals to be insured
    • Age, name, mobile number, email address, and other details
    • Pan-India coverage (if requested).
    • Medical history (if any)

    Your premium will be displayed immediately after you enter these details into the calculator.

    Are you looking for a new Oriental Health Insurance policy or a policy renewal? Reach out to us and let us assist you.

    Frequently asked questions about Oriental Health Insurance

  • When was Oriental Insurance incorporated?

    12 September 1947

  • What is Oriental Insurance Company's IRDA registration number?

    IRDA registration no: 556

  • Is Oriental Insurance regulated by IRDA?

    Yes, Oriental Insurance is regulated by the IRDA.

  • Who is the Managing Director of Oriental Insurance?

    Mrs. Sunita Tuli Nagpal

    Shri R. R. Singh

    (As of 2022)

  • What is Oriental Insurance's solvency ratio?

    1.52 (As of 2021)

  • What is Oriental Insurance's customer care number?

    1800118485 / 011-33208485

  • Categories
    Insurance

    What is travel insurance in IRCTC?

    declaration

    What is travel insurance in IRCTC?

    Have you ever come across the “travel insurance” optional add-on while booking your train tickets on IRCTC? Do you want to know more about its features, benefits, policy terms, coverage, and more? This article will attempt to shed light on the above topics. So, let us begin.

    • How does it work?
    • Benefits and features
    • Inclusions and exclusions (coverage)
    • How do I buy travel insurance with IRCTC?

    How does it work?

    • The Indian Railways Catering and Tourism Corporation (IRCTC) provides the convenient option of insuring your travel with them against death, disability, robbery, theft, hospitalizations, and more at an extremely nominal premium charge of 35 paisa per passenger (now changed to 49 paisa).
    • While booking your tickets, you can simply click on the “travel insurance” check box, and your trip will be insured for up to Rs. 10 lacs. In the unfortunate event that an unforeseen event takes place, either you or your nominee will be reimbursed up to Rs. 10 lacs (as per policy terms).
    • Here, the IRCTC acts in the capacity of an intermediary, selling the insurance to the policyholder. The contract will be between the policyholder and the insurance company, not the IRCTC.

    Benefits and features

    Let us now talk about some of the most important features and benefits of travel insurance by IRCTC:

    • Extremely nominal premium: The IRCTC, being a government entity, subsidizes the insurance premiums for the travel insurance it disburses. The premiums are an extremely low 49 paisa per traveller.
    • High coverage: The coverage of Rs. 10 lacs is a reasonably large coverage considering the low premium rate.
    • Death benefit: A death benefit of Rs. 10 lacs is extended to the nominee in case the policyholder passes away.
    • Disability benefit: A disability benefit of Rs. 2–10 lacs (based on the extent of the disability) is disbursed to the policyholder in the event of a disability.
    • Hospitalization cover: Injuries and hospitalizations caused to the policyholder while on the trip are covered up to a sum of Rs. 2 lacs.
    • Repatriation cover: A cover of up to Rs. 10,000 is provided for body repatriation.

    Inclusions and exclusions (coverage)

    The following are the inclusions and exclusions of the policy:

    Inclusions

    Exclusions

    Death caused due to accident

    Disability, death or hospitalization caused due to self-injury

    Partial disability caused due to accident

    Suicide

    Total disability caused due to accident

    Disability, death or hospitalization caused due partaking drugs or alcohol.

    Hospitalization of policyholder

    Disability, death or hospitalization caused due to cross railway tracks

     

    Mental disorders

    Transportation of mortal remains

    STDs, AIDS, etc

     

    Radiation sickness

    For a complete list of inclusions and exclusions kindly read the brochure.

    IRCTC Travel Insurance Coverage Table
    IRCTC Travel Insurance Coverage Table

     

    How to buy travel insurance with IRCTC?

    Buying travel insurance with the IRCTC is rather straightforward. You will get a click box and a prompt to buy travel insurance at the time you make your ticket payment on the IRCTC website or app. At this time, you can select the travel insurance option and be insured during your next IRCTC trip.

    IRCTC travel insurance
    IRCTC travel insurance
    Categories
    Motor Insurance

    Can you buy damaged cars directly from insurance companies?

    car

    Can you buy damaged cars directly from insurance companies?

    It is likely that some bargain hunters may want to scoop up a slightly imperfect car for a reasonable discount. You may think that insurance companies may have a used car division where they sell-off damaged used cars, do you? Well, not exactly. There are 2 potential choices for a prospect:

    • Buying damaged cars from scrapyards or auction houses
    • Buying damaged cars from used car dealerships

    Buying damaged cars from used car dealerships

    Insurance companies do not deal with selling damaged cars directly, but they have tie-ups with used car companies, and sell their damaged vehicles to them (this is quite rare). The used car dealership may then repair the vehicle, make it drive worthy and then put it up for sale on the market. This is however extremely rare, as an insurance company will likely only sell-off totaled cars, and dealerships will not want to put their hand in repairing a totaled vehicle. Due to this dynamic, insurance companies will more than likely only sell their vehicles to either auction houses or scrapyards.

    Buying damaged cars from scrapyards or auction houses

    As mentioned earlier, used car dealerships will most likely not buy a car from an insurance company as insurance companies mostly sell-off totaled cars, and dealerships are generally not interested in investing in a totaled car. The only choice that remains now is that the insurance company then sells their damaged cars to a junkyard or an auction house.

    A prospect may check out a junkyard or an auction house to scoop up a deal but rest assured most vehicles there are not drive worthy. Perhaps a motor enthusiast can scan through such an environment to experiment with such a car, but nothing more.
    These cars are usually bought up for their spare parts, as some of the spare parts are operational and are bought with the intention to resell. Used spare part stores usually partake in such deals. Regular buyers generally will not engage in the buying of such a vehicle for a variety of different reasons.

    Notable auction houses in India

    Mentioned within are a list of the notable auction houses in India:

    Notable scrapyards in India

    Mentioned within are a list of the notable scrapyards in India:

    Categories
    Motor Insurance

    Is personal accident (PA) cover mandatory in motor insurance?

    car

    Is personal accident (PA) cover mandatory in motor insurance?

    In short, yes it is mandatory. But like most things the answer is slightly more nuanced. Read through the entire article to get a detailed understanding about PA cover, and whether it is compulsory to get one under law if you are driving or riding. This article will talk in detail on the following:

    • Meaning of personal accident cover
    • Example of PA cover
    • Is it compulsory?
    • Benefits of having a PA cover

    Meaning of personal accident cover

    A personal accident cover is a type of insurance policy that provides coverage to the insured in the event of an accident. This coverage helps the insured to cover medical costs that are incurred after an accident has ensued.

    Lastly, a PA cover also provides a nomination feature that will disburse a claim amount to the nominee in the event of the demise of the policyholder. PA covers are generally bought as add-on insurance riders along with motor insurance policies.

    Is it compulsory?

    Yes, buying a PA cover is mandatory under the Indian Motor Tariff Act, 2002. That being said, you need not opt for a PA cover if you already have a health insurance policy that provides accidental coverage (Rs.15 lacs or more). In this case, buying an additional PA cover along with your motor insurance policy is not compulsory.

    Examples of PA cover

    Example 1: Let us say, Mr. Satish has bought a brand new Honda City car and is currently in the process of buying a motor insurance policy for his vehicle. He also doesn’t have any health insurance policy under this name. In such a case, it is mandatory for Mr. Satish to ensure that he is buying a PA cover along with a third-party or comprehensive motor insurance policy.

    Example 2: Next, let us say that Mr. Manish has bought a new Maruti car and is now in the process of buying motor insurance. He is also a savvy person and already has a health insurance plan with accidental insurance bought before hand. In such a case, it is not mandatory for Mr. Manish to by a PA cover along with buying his motor insurance policy.

    Benefits of having a PA cover

    Let us now talk about some of the most important benefits of having a personal accident cover:

    • A PA cover will provide coverage towards medical expenses arising out of an accident.
    • A PA cover will provide a coverage to the nominee in the event of the policyholder’s death.
    • A PA cover provides compensation if the policyholder is maimed (disabled) after an accident.
    Categories
    sbi life insurance

    SBI Life Smart Scholar ULIP Child Plan (Features and benefits)

    life

    SBI Life Smart Scholar ULIP Child Plan(Features and benefits)

    The SBI Life Smart Scholar ULIP is a unit-linked life insurance plan that provides life insurance coverage to your child in the unfortunate event that the parent passes away. This policy works in a rather straight forward way, the policyholder will have to make regular premium payments and the insurance company will invest the same in per-determined stock market funds. These funds will be disbursed to the beneficiary in the event of maturity or death of the life insured.

    The life insured is generally a child that can then use these funds to further his education, marry, or engage in other activities that will benefit him or her. Let us now look at some of the most important factors of this plan, such as:

    • How does the SBI Life Smart Scholar plan work?
    • Features and benefits
    • Inclusions and exclusions
    • Eligibility criteria

    How does the SBI Life Smart Scholar plan work?

    The workings of the plan are as follows:

    • Step 1: The policyholder buys the plan and adds a benefactor to the policy
    • Step 2: The policyholder makes regular premium payments which are then invested in market-linked funds
    • Step 3: The benefactor of the policy (child) will be eligible to receive the fund value upon policy maturity or death of the policyholder.

    Features and benefits

    • Market linked: The Indian markets (NIFTY) have been giving a CAGR return of 11.1% over the course of the last 20 years. This is a reasonably healthy return that a policyholder can expect at maturity. Note that the returns may be variable based on the fund chosen by the policyholder.
    • Death benefit: 105% of the fund value will be disbursed to the benefactor in the event of the policyholder’s death.
    • Income tax benefit: I.T benefits can be claimed under Section 80C and Section 10(10D) of the I.T Act.
    • Accident benefit: This plan also provides accident and disability benefits.
    • Partial withdrawals: Partial withdrawals are permitted within his plan. This can assist in times of uncertain liquidity.

    Inclusions and exclusions

    Inclusions

    Exclusions

    Death benefit

    Death caused due to self-harm

    Maturity benefit

    Disability caused due to self-harm

    1 free partial withdrawal

    Death or disability due to war

    Premium redirection facility

     

    2 Fund switches / year

     

    Eligibility criteria

    Entry age

    Minimum

    Maximum

    Parent – 18 years

    Child –  0 years

    Parent – 57 years

    Child – 17 years

    Maturity age

    Minimum

    Maximum

    Child – 18 years

    Parent – 65 years

    Child – 25 years

    Learn about complete details about this plan through its policy brochure.

    Categories
    Insurance

    What is Bima Sugam? (Features and benefits)

    research

    What is Bima Sugam? (Features and benefits)

    The Bima Sugam exchange is an upcoming insurance portal announced by The IRDA of India in 2022. This upcoming exchange will allow buying and selling of insurance products under a single portal. Along with buying and selling, The Bima Sugam portal will also cater to claims servicing, claims, redressal, raising of complaints, and more. This upcoming platform will be owned directly by a blend of notable life and general insurance companies. The Chairman of The IRDA of India has labelled Bima Sugam as a“game changer for the insurance sector.”

    Let’s have a look at some of the salient features, benefits, workings and more of this platform.

    How will the platform work?

    • Both, insurance companies as well as customers will be operating on the same high tech and robust platform where buying, selling and servicing of insurance can be done seamlessly. Lastly, the portal will also provide features and benefits to agents and intermediaries.
    • Insurance policyholders will need to register with Bima Sugam. Once registered, they will be provided with an E-BIMA account. All their insurance policies will now be registered within this E-BIMA account in a dematerialized form (NSDL or CDSL).
    • Policyholders can now manage their policies through the portal.

    Features and benefits

    The portal will provide the following benefits and features:

    • Buying and selling of insurance and related products.
    • Claims handling of policyholders.
    • Grievance addressal and raising of complaints by policyholders.
    • Policyholders will also have the ability to change their insurance agent through the portal.
    • Further, policyholders will also have the ability to initiate a porting request through the portal.

    Ownership structure

    Ownership

    Shares

    General Insurance Council

    30%

    Online PSBs

    35%

    Life Insurance Council

    30%

    Brokers Association

    5%

    The total paid-up capital required to create the platform is approximately Rs.80 Cr.