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THE ORIENTAL INSURANCE COMPANY LIMITED

Regd. Office : Oriental House, P.B. No. 7037, A-25/27, Asaf Ali Road, New Delhi - 110 002

PROSPECTUS

HOPE – HEALTH OF PRIVILEGED ELDER

(SENIOR CITIZEN SPECIFIED DISEASES INSURANCE)

SALIENT FEATURES OF THE POLICY: Exclusively designed for Citizens aged 60 years and above Policy is available for Sum Insured 1 lac, 2 lac, 3 lac, 4 lac and 5 lacs. Covers specified diseases only. Compulsory co-payment of 20% on admissible claim amount. Discount in premium for opting Voluntary Co-payment. No claim discount in premium. Loading for new entrants. Benefit of continuity extended if already insured with any mediclaim policy of the Company. TPA service available. Cashless Service through TPA only and limited to Rs. 1 lakh. This policy is available to any Indian citizen who is aged 60 years and above and for hospitalisation in India only. The proposer has to submit any of the following documents as age proof: (a) Birth Certificate (b) Matriculation Certificate (c) School Leaving Certificate (d) Photo Voter Identity Card (e) Driving Licence (f) PAN Card (g) Passport The Policy reimburses the payment of hospitalisation and / or domiciliary hospitalisation expenses for the specified diseases contracted or injury sustained by the insured persons. The settlement of the claim will be done by the TPA either to the network hospital or to the insured. 1.1 Only the following Specified Diseases / illness/ injury are covered under the policy and the maximum liability of the Company in respect thereof shall be as follows: Sr. No. 1. 2. 3. 4.

Name of Disease Accidental Injury Knee Replacement Cardio Vascular Diseases Chronic Renal Failure Maximum Limit of Liability per illness (including domiciliary hospitalisation benefit, if any)

100% of Sum Insured 70% of Sum Insured 50% of Sum Insured 50% of Sum Insured

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5. 6. 7. 8. 9. 10. 11.

Cancer Hepato-Biliary Disorders Chronic Obstructive Lung Diseases Stroke Benign Prostrate Orthopaedic...