Inpatient
Treatment
Pre & Post
Hospitalisation
Domiciliary
Hospitalisation
Cost of Health
Check-up
Ambulance
Charges
The charges incurred for medical check-up once in a block of every 3 claims free years up to 1.25% of the average Sum Insured or the actual amount incurred whichever is less. In case of floater policies, the limit of 1.25% shall be for the two family members covered under the Policy. Show MoreShow Less
Expenses incurred up to 1% of Sum Insured or the actual amount incurred whichever is less for the person accompanying you shall be payable under the policy.Expenses incurred up to 1% of Sum Insured or the actual amount incurred whichever is less for the person accompanying you shall be payable under the policy. Show MoreShow Less
Expenses or treatments for Change-of-Gender treatments is not included.
Any expenses realted to cosmetic or plastic surgery is not incured.
Admission primarily for rest Cure, rehabilitation and respite care.
Expenses related to the surgical treatment of obesity that do not fulfill certain conditions.
Expenses related to any treatment necessitated due to participation in hazardous or adventure sports.
Treatment for Alcoholism, drug or substance abuse or any addictive condition and consequences there of.
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.
The Policy provide coverage for Inpatient Treatment, hospitalisation costs, pre and post hospitalisation expenses, day care procedures, domiciliary hospitalisation, and more.
Policy cover primary Insured and his/her Spouse under this policy.
Sum Insured has option from 1 lac to 5 lacs
Yes, 5% of the Sum Insured every claim free year maximum of 10 claim free years.
Yes, Policy has Critical illness as an optional cover.
Policy terms 1 year to 3 years are available under the policy
Yes, Product has Family discount avavilable in it.
A. Investigation & Evaluation(Code- Excl04) B. Rest Cure, Rehabilitation and Respite Care (Code- Excl05) C. Obesity/ Weight Control (Code- Excl06) D. Change-of-Gender Treatments: (Code- Excl07) E. Cosmetic or plastic Surgery: (Code- Excl08) F. Hazardous or Adventure sports: (Code- Excl09) G. Breach of law: (Code- Excl10) H. Excluded Providers: (Code-Excl11) Above is a partial listing of the policy exclusions. Please refer to the policy clauses for the full listing
Yes, Premium paid is eligible for Tax benefit.
The Policy can be taken by a Senior Citizen who is above 60 years of age for covering himself/ herself and his/her spouse.
You will be allowed a period of at least 15 days from the date of receipt of the Policy to review the terms and conditions of the Policy and to return the same if not acceptable.
No, Reinstatement of Sum Insured is not allowed under the policy
10% Co-pay on all hospitalisation claims under the Policy
Insured Person will have the option to migrate to similar health insurance product available with the Company.
Yes, Portability option is available in the policy.
Yes, Our Underwriting Team may ask you to go for some medical test before purchasing policy.
No, the charges incurred for medical check-up once in a block of every 3 claims free years up to 1.25% of the average Sum Insured or the actual amount incurred whichever is less.
Insurance is the subject matter of solicitation. IRDAI Registration Number - 134. CIN # U66010MH2007PLC166770.
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