Quick Overview
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
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
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
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
Registered Office
The Oriental Insurance Company Ltd., ”Oriental House”, A-25/27 Asaf Ali Road, New Delhi-110002.
Top 10 Health Insurance Companies in India
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?
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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
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