AYUSH
Healthcare
Homecare
Treatment
Emergency
Ambulance
Hospitalization
(More or less than 24 hrs)
Post-Hospitalization Expenses
The Company shall indemnify medical expenses incurred for Hospitalization of the Insured Person for the treatment of Covid on Positive diagnosis of Covid in a government authorized diagnostic centre including the expenses incurred on treatment,hospitalization, diagnosis and ambulance costs. Show MoreShow Less
Home Care Treatment means Treatment availed by the Insured Person at home for Covid on positive diagnosis of Covid in a Government authorized diagnostic Centre, which in normal course would require care and treatment at a hospital but is actually taken at home maximum up to 14 days per incident Show MoreShow Less
The Company shall indemnify medical expenses incurred for inpatient care treatment for Covid-19on Positive diagnosis of COVID test in a government authorized diagnostic centre including the expenses incurred on treatment of any comorbidity along with the treatment for Covid under Ayurveda,Yoga and Naturopathy, Unani, Siddha and Homeopathy systems of medicines Show MoreShow Less
The company shall indemnify pre-hospitalization/home care treatment medical expenses incurred, related to an admissible hospitalization/home care treatment, for a fixed period of 15 days prior to the date of admissible hospitalization/home care treatment covered under the policy. Show MoreShow Less
The company shall indemnify post hospitalization/home care treatment medical expenses incurred, related to an admissible hospitalization/home care treatment, for a fixed period of 30 days from the date of discharge from the hospital, following an admissible hospitalization covered under the policy. Show MoreShow Less
Expenses related to any unproven treatment, services and supplies for or in connection with any treatment. Unproven treatments are treatments, procedures or supplies that lack significant medical documentation to support their effectiveness. However, treatment authorized by the government for the treatment of COVID shall be covered. Show MoreShow Less
Any expenses incurred in respect of inoculations, vaccinations or other preventive treatment
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.
Policyholders are entitled to the benefits of policy on positive diagnosis of COVID-19 in a government authorized diagnostic centre and requiring hospitalization. Following are covered under the policy:
Minimum entry age is 18 years and maximum age at entry shall be at least 65 years. Dependent Child / children shall be covered from Day 1 of age to 25 years.
Yes. “Corona Kavach Policy” is available on individual as well as family floater basis. Policy can be availed for self and the following family members
The “Corona Kavach Policy” is available with a policy term of three and half months (3 ½ months), six and half months (6 ½ months) and nine and half months (9 ½ months) including waiting period.
Yes. 15 days waiting period is applicable under the policy.
There is no limit under Room/ICU/ICCU under the Policy.
The total reimbursement under the policy shall not exceed the sum insured opted by the policyholder including the “Optional Cover-Hospital Daily Cash”.
No. Day care and OPD treatments are not covered under the Policy.
Yes. Expenses incurred on hospitalization under AYUSH systems of medicine will be covered.
The minimum sum insured available is Rs. 50,000 (Rupees Fifty Thousand) and maximum limit is Rs. 5, 00,000 (Rupees Five Lakh).
Single premium payment mode
Any claim relating to Covid 19 if it has been diagnosed prior to policy start date will not be admissible. However, during the course of treatment for Covid 19, the policy covers the cost of treatment for any comorbid conditions including pre-existing diseases.
The claim for Covid 19 will be processed allowing the expenses incurred on the treatment of Covid 19 and cost of treatment for any comorbidity during the course of treatment for Covid 19 as per terms and conditions of the policy.
Renewal, migration and portability are not mandated.
Subject to underwriting policy, ‘Corona Kavach’ policy may be renewed for further terms of three and half months (3 ½ months), six and half months (6 ½ months) or nine and half months (9 ½ months) as per the option exercised by the policyholder.Renewals, if any, may be done before the expiry of the existing policy contract
Where corona kavach policy is renewed, additional waiting period of 15 days shall not be applicable. Waiting period served in the previous policy is protected.
During renewal, sum insured may be allowed to be changed by the policyholder. However, waiting period of 15 days shall apply afresh for the enhanced sum insured.
Corona Kavach group policy waiting period served in corona kavach group policy shall be protected for covid 19 treatment.
Yes, Corona Kavach (individual) policy is permitted for portability from one insurer to another.
Yes. All Healthcare workers as defined in the corona kavach policy are entitled for a discount of 5% in the premium.
Insurance is the subject matter of solicitation. IRDAI Registration Number - 134. CIN # U66010MH2007PLC166770.
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