Quick Overview

Oriental health insurance is one of India’s oldest public sector general insurance companies and is owned by the Central Government. It is known for offering affordable health insurance plans like Youth Eco Care and Happy Family Floater.

The insurer reported an annual business volume of ₹10,032 crore in FY 2024-25 for its total health insurance segment. Oriental insurance has a wide presence across the country. It operates through 25+ regional and 5 corporate offices, 1,000+ offices nationwide, and maintains international operations in Nepal, Kuwait, and Dubai.

The Oriental Insurance Company Limited was incorporated in Mumbai on September 12, 1947 to carry out general insurance business. It was initially a wholly owned subsidiary of The Oriental Government Security Life Assurance Company Ltd.

From 1956 to 1973, the company operated as a subsidiary of the Life Insurance Corporation of India until the general insurance sector was nationalized. In 2003, the General Insurance Corporation transferred its shares to the Central Government, making it a government-owned insurer.

This guide walks you through the Oriental Health Insurance review, their plans and whether the insurer aligns with your medical needs.

Oriental Insurance Performance Metrics

Metrics/ValuesFY 22-23FY 23-24FY 24-25Avg of FY 22-25
Claim Settlement Ratio (CSR)93.05%94.21%93.38%93.55%
Incurred Claims Ratio (ICR)130.09%101.96%102.58%111.54% 
Annual Business Volumes/GWP - Total Health (in ₹ Crore) ₹8,789₹9,028₹10,032₹9,283
Volume of Complaints per 10,000 claims (Insurer Overall)3.007.6011.407.33

Note: The data is sourced from IRDAI Annual reports and the insurer’s public disclosure.

Insights for Oriental:

    • Oriental health insurance claim settlement ratio remains consistently high at around 93% across all three years, well above the industry average of 91.22% and Ditto's recommended benchmark of more than 90%, indicating strong reliability in settling claims.
    • Although the ICR has decreased from 130.09% to 102.58%, it remains above 100%, meaning the insurer is still paying more in claims than it earns in premiums from the health segment.
    • The complaint numbers shown above reflect all of Oriental’s products (health, motor, and others), as the insurer does not publish product-wise complaint data separately. Though the complaint volume is increasing, the figures are lower than the industry average of 27.06.
    • Average GWP of ₹9,283 crore over three years highlights sustained scale-up rather than one-time growth.

Top Plans Offered by Oriental Health Insurance

PlanFeaturesEligibility
Oriental Youth Eco Care(Sum insured options range from ₹3 lakh to ₹1 crore)The basic plan covers key benefits like AYUSH treatments and daycare procedures, while the premium variant adds features like maternity cover, daily hospital cash, and second medical opinion. Any Person aged between 18 years and 45 years residing in India can buy the plan with a policy term of one year. The Coverage under this Policy is available on an individual and floater basis.
Happy Family Floater(Sum insured options range from ₹3 lakh to ₹50 lakh)The policy offers flexible coverage with each variant adding more features, such as maternity, newborn baby cover from day one or assisted reproduction, based on the sum insured and policy type.  Any person aged between 18 years and 65 years can buy the plan with a policy term of one year. The plan offers lifelong renewability, and the maximum entry age can be extended to 70 years, subject to t&c.
Oriental Mediclaim(Sum insured options range from ₹1 lakh to ₹50 lakh)It provides coverage without any co-payment requirement and covers key aspects like AYUSH treatments, maternity cover, day care procedures, and pre- and post-hospitalization expenses. It is available for individuals aged 18 to 65 years with a policy term of 1 year. The entry age can be extended up to 70 years by paying an additional premium, as per the policy t&c.

Take Note: The Happy Family Floater plan comes with a range of optional riders to enhance coverage. These include a Life Hardship Survival Benefit for specified critical conditions, geographical extension to SAARC countries, personal accident cover, restoration of sum insured, co-payment waiver, and waiver of the proportionate deduction clause, allowing policyholders to customize protection based on their family’s needs.

Premium Comparison for Oriental Health

ProfilesOriental Youth Eco Care Policy (Premium Plan)Happy Family Floater (Diamond Plan)
Individual Plan (Age 25)₹9,016₹10,076
Family Floater, 2A Ages (31, 32)₹19,432₹20,152
Family Floater, 2A 1C Ages (35, 34, 5)₹22,282₹23,458
Family Floater, 2AAges (62, 63)₹72,865₹91,436

Note: The premiums above are for a ₹15 lakh cover, assuming the insured person lives in Delhi (110010). The listed figures are illustrative and can vary according to the medical underwriting and the city you reside in.

Oriental Health Insurance: Contact Details and Address

Customer Support Details

TypeDetails
Toll-free number1800-118-485
Alternative number(normal charges apply)011-33208485
Customer or grievance supportcsd@orientalinsurance.co.in

Registered Office

The Oriental Insurance Company Ltd., ”Oriental House”, A-25/27 Asaf Ali Road, New Delhi-110002.

CTA

Top 10 Health Insurance Companies in India

RankInsurerRatingClaim Settlement RatioComplaints Volume (per 10,000 claims)Annual Business Volume (in crores)
1HDFC ERGO4.9996.71%9.28₹6,118
2Bajaj General4.9996.78%3.07₹6,119
3Aditya Birla4.4995.81%18.67₹3,290
4Care Health4.2393.13%42₹6,775
5Niva Bupa4.2391.62%43.85₹5,481
6SBI General3.7996.14%20.51₹3,329
7Go Digit3.6998.66%16.88₹1,388
8Generali Central 3.6691.78%11.02₹3,989
9ICICI Lombard3.6584.50%10.67₹6,794
10TATA AIG3.4388.72%10.65₹3,165

Note: Our rating methodology looks at multiple factors like CSR, GWP, complaints, and more to give a well-rounded view. These figures are the average of the last three financial years.

The Oriental Insurance Company Limited is one of India’s oldest and most trusted public sector insurers, with decades of experience in health insurance. However, it doesn’t feature in the top 10 health insurers mainly because its ICR remains high, its hospital network is smaller than private peers, and it relies heavily on third-party administrators (TPAs) for claims processing. 

Why Choose Ditto for Health Insurance?

At Ditto, we’ve assisted over 8,00,000 customers with choosing the right insurance policy. Why customers like Pallavi below love us:

Oriental Health Insurance
    • No-Spam & No Salesmen
    • Rated 4.9/5 on Google Reviews by 15,000+ happy customers
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    • Dedicated Claim Support Team
    • 100% Free Consultation

Confused about the right insurance? Speak to Ditto’s certified advisors for free, unbiased guidance. Book your call or chat on WhatsApp with us now!

Ditto’s Take on Oriental Health Insurance

Oriental Insurance Company Limited has built long-standing trust as a public sector insurer with simple, budget-friendly policies. However, compared to newer private insurers, it has been slower in digital innovation and product modernization, which may make it less appealing for customers seeking seamless, feature-rich health plans.

The insurer has certain flaws, such as:

    • Non-Comprehensive Plans: Some policies like Youth Eco Care lack modern features like restoration benefits, consumables cover, cumulative bonuses, and wellness perks.
    • Sub-Limits and Caps: Room rent limits and disease-wise sub-limits can restrict high-value claims.
    • Limited Network Hospitals: A smaller cashless network may reduce treatment flexibility.
    • TPA Dependency: Reliance on third-party administrators like MD India and Medi assist can sometimes lead to delays or communication gaps in claims processing.

If you are looking for a health plan from insurers with established track records, we recommend comprehensive plans, which align with your long-term goals.

Note: Oriental Insurance is not a partner insurer of Ditto. Our assessment here is completely independent and based solely on publicly available data and the evaluation framework we use for all insurers. If you want to understand how Ditto reviews insurers across claims, complaints, business strength, and product suitability, read our methodology here. Please check the insurer’s official website for the latest available information.

Frequently Asked Questions

How can I complete my Oriental health insurance renewal?

You can complete oriental health insurance renewal by visiting the official website of The Oriental Insurance Company Limited, entering your policy details, verifying information, and paying the renewal premium online before the due date.

What is an Oriental health insurance policy?

An oriental health insurance policy provides financial protection against hospitalization expenses, offering cashless treatment at network hospitals and reimbursement options as per policy terms and coverage selected.

How can I locate the nearest network hospital under Oriental Insurance?

You can easily find a hospital from over 4000+ network hospitals by using the network locator on the Oriental Insurance website or mobile app.

Is the mobile app free to download?

Yes. The Oriental Insurance app is free on Android and iOS and supports login, claim tracking, and hospital search.

How can I locate a Oriental insurance office?

You can find a Oriental insurance office by using the office locator on their official website. 

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