Hospitalization
Expenses
Day Care
Procedures
AYUSH
Coverage
Treatment of
Cataract
Dental Treatment &
Plastic Surgery
Ambulance
Charges
Expenses of Hospitalization for a minimum period of 24 consecutive hours.
Up to 25% of Sum insured or Rs.40,000/-, whichever is lower, per eye, under one policy year.
(l)Uterine Artery Embolization and HIFU (High intensity focused ultrasound) (2) Balloon Sinuplasty (3) Deep Brain Stimulation+Cl0 (4) Oral Chemotherapy (5) lmmunotherapy (6) The Vaporization of The Prostate (7) IONM - (Intra Operative Neuro Monitoring) (8) Stem Cell Therapy Show MoreShow Less
Admission primarily for rest Cure, rehabilitation and respite care.
Expenses related to the surgical treatment of obesity that do not fulfill certain conditions.
Expenses or treatments for Change-of-Gender treatments is not included.
Any expenses realted to cosmetic or plastic surgery is not incured.
Expenses related to any treatment necessitated due to participation in hazardous or adventure sports.
Set the ball rolling by requesting for cashless approval through a network hospital. Post which we evaluate and approve/reject the request.
After approval, go ahead with the hospitalization.
The claim gets settled directly with the hospital upon discharge.
Settle the bill with the hospital and share the original documents and invoices with us.
We authenticate the documents.
The approved amount gets deposited in your bank account.
I am writing to appreciate the quality of service offered to me by Universal Sompo. I had submitted a claim after my husband’s demise and Universal Sompo settled it within one month. The paper work was quite simple and so was the entire claim process. Really grateful and thankful to the team.
I chose Universal Sompo as my health insurance partner, and I can gladly say that I made the right choice. Their customer service team is proactive, customer-centric, digitally-enabled and provides best services. I strongly recommend Universal Sompo to anyone who is looking for a reliable health insurance provider.
I lost my father in a tragic accident. He had a Personal Accident Policy with Universal Sompo. So, I reached out to the claims team that very patiently guided me through the claim procedure. My claim got settled in January 2021, for which I am extremely grateful.
I recently tested positive for COVID-19 and had to be hospitalized. After I got discharged, an officer came to my home, collected my bills, and forwarded them for approval. I got my claim amount sanctioned within a week. Hard to believe, right? But it happened.
I am a resident of Jodhpur city, currently preparing for SSC exams. Recently, I and my elder brother got infected with COVID-19, but fortunately, each one of us had Corona Rakshak Policy from Universal Sompo. It saved us from any major inconvenience as far as the financial front is concerned.
I lost my wife to COVID-19. For me, nothing can compensate for her loss. But it is at such times that you know who your real well-wishers are. And for me, Universal Sompo is one of them. Really grateful to all that you did for me.
‘Arogya Sanjeevani’ is an affordable and simple health insurance policy approved by IRDAI. All general insurance companies have been authorised to provide this policy to their customers. It is not ‘sponsored’ by the government. People who want Arogya Sanjeevani health insurance policy, need to purchase it on their own.
Yes. Under this policy, the entry age limit for adults is 18 years to 65 years. While for children when you buy a family floater plan, it is 3 months to 25 years.
The tenure for this policy is 1 year.
Under this policy, you can cover 2 adults and three dependent children. Additionally, you can buy this plan for parents and parents in law as well
Insured can select the sum insured only up to a maximum of Rs. 10 lakh, and in multiples of Rs. 50,000. Cannot increase coverage beyond Rs. 10 lakh.
Insured who are 56 years & above will have to undergo Medical Test defined by Universal Sompo General Insurance
No. Only children cannot be covered in this policy, although you can cover your children along with yourself and your spouse.
Yes, you can claim tax benefits under Section 80D of the Income Tax Act, 1961. An individual can claim a deduction on the premium paid for the insurance of self, spouse, and dependent children up to Rs. 25,000.
The waiting period is the time you need to wait before you can avail of a specific benefit from the date your policy or coverage starts. For example, If you bought a policy on 1st August 2020, you’ll only be able to claim for hospitalisation costs against Coronavirus after 31st August 2020. You can check the waiting period in the policy schedule
Yes, pre-exsiting disease covered under Arogya Sanjeevani health plan after 48 months waiting period.
No there are no Plans available
Yes, Coronavirus covered under Arogya Sanjeevani policy
Yes, as per the terms and conditions of the Arogya Sanjeevani Policy, there is a compulsory copayment of 5% to be paid during claims
No, the Arogya Sanjeevani policy only comes with standard benefits included in the plan. There are no add-ons or covers you can opt for.
Yes, whilst the standard room rent allowed is 2% SI, the maximum cap is that of Rs 5,000 per day which is a decent amount considering most hospitals offer good rooms at this price.
Yes, as per the policy conditions, all Arogya Sanjeevani Health Policies come with a 5% Copayment.
Insurance is the subject matter of solicitation. IRDAI Registration Number - 134. CIN # U66010MH2007PLC166770.
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