Why Universal Sompo

Like with other health insurance plans, a critical illness plan should also be taken at the earliest. Given the current lifestyle, diseases have become a very common phenomenon. Critical illnesses are too, becoming rampant among individuals. Any critical illness has the potential to wipe out our finances. Like other health plans, critical illness plans also have a waiting period clause and thus having a critical illness plan at the earliest is the best solution.

Young and old alike need a critical illness plan. The incidence of diseases has increased among the young adults too. Illnesses like cancer, paralysis, stroke, heart attack, etc. are becoming increasingly common among many individuals. Thus, a critical illness plan is suitable for people of all age groups and should be taken by everyone.

Critical illness plans can be used to supplement your existing health plans. The cost of treatment of critical illnesses is huge and might not be covered completely by a regular health plan. These plans, by nature, provide a lump sum benefit for meeting such high expenses. A critical illness plan pays a lump sum amount irrespective of the actual expenses incurred. This amount can be used to meet the lifestyle expenses and the recovery expenses incurred due to a critical illness. Lastly, critical illnesses are becoming increasingly common and their financial implications require a sound coverage. Thus, critical illness plans are beneficial for you and your financess

If you feel that you already have a health plan and do not need a critical illness plan, think again. Though your health plan would cover your critical illness, it would not be sufficient. Critical illnesses include very high medical costs. Your normal health plan might prove insufficient in providing for the costs of such illnesses. Thus, having a specialized critical illness plan would be ideal. Moreover, while your normal health plan would only pay for the hospital bills, the lump sum amount received under the critical illness plan could be used to meet the other lifestyle or medical expenses incurred.

We may ask you or any person proposed for insurance under the Policy to undergo below mentioned medical tests for purpose of consideration of your proposal under following circumstances.

• You/ Your family member are/is above 55 years of age as on the last birthday
• On basis of Your declaration in the Proposal Form of Your/ Your family member’s medical conditions

No, there is no co-payment or excess applicable under this policy.

Your policy is ordinarily renewable for lifetime. A grace period of 30 days is allowed in the Policy for ensuring continuity of the Policy without break The Company is not bound to give renewal notice

Yes, a 15 days of free look period is applicable for Critical illness policy

You should survive for 30 days post diagnosis of such Critical Illness to be able to make a claim under the Policy.

• Copy of Original Bills (including but not limited to pharmacy purchase bill, consultation bill, diagnostic bill and any attachments thereto like receipts or prescriptions in support of any amount claimed)
• All reports, including but not limited to all medical reports, case histories, investigation reports, treatment papers, discharge summaries.
• A precise diagnosis of the treatment for which a claim is made.
• A detailed list of the individual medical services and treatments provided and a unit price for each.

Within a period of 30 days from date of intimation.

Yes, you have access to claim forms as well as all value added services information at www.universalsompo.com

Duration of the policy is 1 year, 2 year or 3 year. The insured can avail any of the options.

You have a choice of paying premium by direct debit, credit card or cheque.

Yes, any person buying this policy should be at least 18 years of age or above. The policy also has a maximum entry age limit of 65. Also you can buy this cover you dependent child, the minimum entry age for dependent child is 5 years.

Yes, Critical illness is tax-free under Section 80D of the Income Tax Act.

No, any Cosmetic or plastic surgery or any elective surgery or cosmetic procedure that improve physical appearance, surgical and non-surgical treatment of obesity (including morbid obesity) and weight control programs, or treatment of an optional nature is not covered.

Yes, pre-existing diseases are covered under this policy only after 48 months from the commencement of policy.

The Policy can be taken by an Individual for covering himself/herself, his/her spouse, his/her dependent children’s and/ or parents/ parents-in-law. The Sum Insured under the Policy shall be available on individual basis only.

No, OPD cover is not covered under Critical Illness Policy.

Within a period of 30 days from date of intimation.

Heart related problems like: First Heart Attack of specified severity, Open Heart Replacement are covered under the policy however the signs or symptoms of such Critical illness commence after 90 days from the date of commencement of the Policy.

Yes, discounts will be offered if the Policy is taken by paying the appropriate premium for 2 years/ 3 years at once.

Yes, an occupational loading as under may be done if you/ any other person proposed for insurance under the policy fall into following risks categories.

The Policy can be taken by an Individual for covering himself/herself, his/her spouse, his/her dependent children’s and/ or parents/ parents-in-law. The Sum Insured under the Policy shall be available on individual basis only.