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Universal Sompo Health Insurance Benefits

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Highlights
Claim Settlement Ratio70.75%
COVID-19 CoverYes
In-House Claim SettlementAvailable
Network Hospitals4,000+
Policies Sold2,67,221
Renewability Lifelong Renewability
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Benefits of Universal Sompo Health Insurance

Universal Sompo is a leading name in the general insurance segment and the company offers a range of general insurance products to customers. The company offers innovative insurance products and has a strong online presence making it easy to buy and service insurance policy. The banking partners of Universal Sompo have more than 7,700 branches across India making the company’s network strong and far-reaching.

When it comes to health insurance, Universal Sompo offers all types of plans for suiting individual needs. There are indemnity health plans, fixed-benefit plans, family floater plans, etc. to fulfill all your coverage requirements.

  • Additional Benefit of Free Health Check up

    Free health check-ups allow the policyholders to monitor their health so that they can maintain and improve it. Universal Sompo’s health insurance plans offer the customers with free health check-ups which can be availed once in one to four policy years depending on the plan selected.
  • Additional Protection over Employer Coverage

    Employees who are already covered under their employer’s group health plan and are looking to increase their coverage can opt for Universal Sompo’s health insurance plans. The company’s plans are comprehensive and would allow additional protection to employees while the premiums rates would be low and affordable.
  • Cashless Benefit

    The company provides the benefit of cashless claim settlements if you take treatments in a networked hospital. Universal Sompo is tied up with more than 4,000 hospitals which facilitates easy cashless claim settlements for its customers.
  • Claim Settlement Ratio

    Universal Sompo has an in-house claim settlement team which makes it easier for the company to settle its claims quickly. The company’s claim settlement ratio for FY 2019-20 is 70.75%. Note that the claim settlement ratio change from time to time.
  • Coverage against Medical Expenses

    The health insurance plans of Universal Sompo are equipped to cover all possible types of medical expenses which are incurred in a medical contingency. Thus, the plans give both basic coverage features as well as advanced coverage benefits. Basic coverage benefits which are found in Universal Sompo’s health plans include pre and post hospitalisation expenses, inpatient hospitalisation, day care treatments, alternative treatments, ambulance charges, etc. Advance coverage options include coverage for OPD, maternity, second opinion, hospital cash benefit, etc. which are found in comprehensive health insurance plans.
  • Incurred Claim Ratio

    Incurred Claim Ratio (ICR) means the proportion of premium which is used up in paying claims in a financial year. For the year 2018-19, Universal Sompo’s ICR was 92%* showing that the claims paid were more than the premiums earned. The incurred claim ratio changes from time to time.
  • Tax Benefit

    Health insurance premiums earn a tax benefit under Section 80D of the Income Tax Act. So, if you buy Universal Sompo’s health insurance plans for yourself, your family and your parents, the premium paid up to Rs. 55,000 (Rs. 25,000 for individual and Rs. 30,000 for senior citizen) would be allowed as a deduction from your taxable income.

Universal Sompo Health Insurance Plan List

Name of PlanSum Insured
Complete Healthcare InsuranceMin: 1 Day; Max: 70 Years1 Lakh Get Quotes Now
Corona Kavach PolicyMin: 1 day; Max: 65 years50,000 - 5 lakh Get Quotes Now
Corona Rakshak PolicyMin: 18 Years; Max: 65 Years50,000 - 2.5 lakh Get Quotes Now
Individual Health Insurance PlanMin: 3 Months; Max: 55 Years1 Lakh Get Quotes Now
Critical Illness PolicyMin: 5 Years; Max: 65 Years2.5 Lakh Get Quotes Now
Senior Citizen Health InsuranceMin: 60 Years; Max: 70 Years1 Lakh Get Quotes Now
Arogya Sanjeevani PolicyMin: 3 Months; Max: 65 Years 1 Lakh - 5 Lakh Get Quotes Now
Hospital Cash Insurance PolicyMin: 6 months; Max: 70 years Get Quotes Now

Universal Sompo Health Insurance Top Up List

Name of PlanSum Insured
Super Healthcare Policy Min: 91 days; Max: 80 years1 Lakh - 1 Crore Get Quotes Now

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Why to Buy Health Insurance Policy Online from InsuranceDekho

  • Tax benefit upto 75,000*
  • Claim support everyday 10AM-7PM
  • 14 Lakh+ happy customers

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Universal Sompo Health Insurance Contact Details

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Claim Process at Universal Sompo Health Insurance

  • Network Hospital
  • Non-Network Hospital
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 24 hours and for planned hospitalisation intimate within 72 hours prior to admission.
  • 3

    Claim Processing

    Fill in the pre-authorisation form and hand it over to hospital's insurance/TPA desk to initiate claim request.
  • 4

    Claim Settlement

    Once your request is approved, claim is settled. If not approved, claim for reimbursement after discharge.
  • 1

    Claim Assistance

    For any assistance or query, call InsuranceDekho at the toll-free number 755 1196 989.
  • 2

    Claim Intimation

    Emergency hospitalisation needs intimation within 72 hours and for planned hospitalisation intimate within 48 hours prior to admission.
  • 3

    Claim Processing

    Submit claim form with original documents such as doctor’s reports, hospital bills, diagnostic tests, etc.
  • 4

    Claim Settlement

    Once your request for reimbursement of expenses is approved, the claim will be settled.

1140 Universal Sompo Cashless Network Hospitals in India

Insurance Products by Universal Sompo General Insurance

FAQ About Universal Sompo Health Insurance

  • How to buy and apply for Universal Sompo Health Insurance plan?

    You can buy and apply for any Universal Sompo Health Insurance Policy online from the official website of Universal Sompo Health Insurance at www.universalsompo.com or through online broker’s website like insurancedekho.com.

  • Are pre-existing diseases covered in Universal Sompo Health Insurance?

    Yes, pre-existing diseases are covered. But, it’s subject to the waiting period mentioned in your health plan.

  • How long does TPA take to approve the claim?

    Generally, TPA approves the claim within 3-6 hours after receiving all relevant documents.

  • How long does it take to clear the bills?

    Once all the relevant documents are received, it normally takes 7 days to settle the bills.

  • What is a health card?

    A health card is an identity card issued to policyholders. It enables them to avail cashless treatment at every network hospital.

Latest Health Insurance Articles

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Network Hospital in Popular Cities

CityNo of Hospital
Ahmedabad92
Chandigarh27
Jaipur91
Gurgaon46
Noida27
Kolkata81
Chennai207
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*Standard T&C Apply. All savings/offers are provided by the Insurers, which are subject to modification .For more details on risk factors, terms and conditions, please read the sales brochure of respective insurers carefully before concluding a sale. Tax benefits are subject to changes in applicable tax laws. Girnar Insurance Brokers Private Limited, (CIN: U66010RJ2016PTC054811, Regd .Off: Girnar 21, Govind Marg, Moti Doongari Road, Dharam Singh Circle, Jaipur, Rajasthan- 302004; Corp. Off: 11th Floor, Tower B, Emaar Digital Greens, Golf Course Extension Road, Sector-61, Gurugram-122102, Haryana. IRDAI License no 588. Direct Broker (Life & General) valid till 19th March 2023. Email - support@insurancedekho.com ; Helpline number: 7551196989.
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