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Universal Sompo Super Healthcare Health Insurance

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Universal Sompo Health Insurance
Super Healthcare Policy
Claim SettlementAvailable
Claim Settlement Ratio96%
In-House Claim SettlementAvailable
Network Hospitals4,000+
Starting Premium for Rs. 5 lakh CoverageRs. 527/month
Starting Premium for Rs. 5 lakhs SIRs. 475/month

About Universal Sompo Super Healthcare Health Insurance

Super Healthcare Policy offers financial cushion in case your hospital bill exceeds the sum insured under any mediclaim policy, or deductible amount. The policy comes in two variants namely top-up and super top-up, which further come with different options namely Plan 1, Plan 2, and Plan 3; and Gold, Diamond, and Platinum respectively. These come with different sum insured and deductible options ranging between Rs. 1 Lakh and Rs. 1 Crore and Rs. 50,000 and Rs. 40 Lakh. You can buy the policy on an individual or family floater basis if you are aged between 18 years and 80 years and can include dependent children as well aged between 91 days and 30 years. On floater sum insured basis, you can add self, spouse, and 4 dependent children to the policy, whereas on an individual basis, you can include self, spouse, dependent children, parents, grandparents, grandchildren, mother-in-law, father-in-law, son-in-law, daughter-in-law, dependent brother-in-law, dependent sister-in-law, sister, brother, niece, and nephew, under the policy.

Universal Sompo Super Healthcare Policy can be purchased for 1 year, 2 years, or 3 years, depending on the requirement and budget. The policy covers you several healthcare expenses such as in-patient hospitalisation expenses, free-health check-up on renewal, wellness reward programme, maternity expenses arising after 9 months from the date of policy inception, pre-hospitalisation and post-hospitalisation expenses, organ donor expenses, daycare procedures, domiciliary hospitalisation expenses, in-patient hospitalisation arising due to AYUSH systems of medicines, etc. You are not required to undergo any medical tests up to 65 years or sum insured of Rs. 20 Lakh. Also, you can avail tax benefits on the premium paid for this policy under Section 80D of the Income Tax Act, 1961.

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Key Inclusions and Exclusions of the Plan

What's Included

  • In-patient hospitalisation expenses
  • Treatments taken under AYUSH systems of medicines
  • Cover for weight loss surgery expenses
  • Daycare treatments
  • Pre-hospitalisation and post-hospitalisation expenses
  • Road ambulance expenses
  • Domiciliary hospitalisation expenses

What's Not Included

  • Treatments taken outside the geographical boundaries of India
  • Hospitalisation for th purpose of investigation or evaluation
  • Admission for rest cure, rehabilitation and respite
  • Change of gender treatments
  • Cosmetic or plastic surgery
  • Obesity or weight loss treatments
  • Dietary supplements bought without a prescription

11505 Universal Sompo Cashless Network Hospitals in India

Add-ons to Enhance Benefits

  • Disease Management Program

    This add-on helps you cope with the disease and show them ways to deal with them in everyday life. You can purchase this add-on by paying an extra premium at the time of policy purchase.

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.

FAQs on Super Healthcare Policy Health Insurance Plan

  • What are the value added benefits available under Super Healthcare Policy offered by Universal Sompo General Insurance?

    Super Healthcare Policy offered by Universal Sompo General Insurance comes with the following value added benefit:

    • Wellness program: This includes everyday care, complete wellness and healthcare, and health coach (up to 5 calls per year). 
  • What are the plan options available under Super Healthcare Policy?

    The Super Healthcare Policy comes with a top-up plan option as well as super top-up plan option, which further come with 3 variants each. The top-up policy comes with variants named Plan 1, Plan 2, and Plan 3. Whereas super top-up policy comes with plan variants named Gold, Diamond, and Platinum. 

  • What are the sum insured options offered under top-up and super top policies available under Super Healthcare Policy?

    Top-up plan option comes with sum insured options of Rs. 1 Lakh, Rs. 1.5 Lakh, Rs. 2 Lakh, Rs. 3 Lakh, Rs. 5 Lakh, Rs. 7 Lakh, Rs. 10 Lakh, Rs. 15 Lakh and Rs. 20 Lakh. Whereas the super top-up policy comes with sum insured options of Rs. Rs. 2 Lakh, Rs. 3 Lakh, Rs. 5 Lakh, Rs. 7 Lakh, Rs. 10 Lakh, Rs. 15 Lakh, Rs. 20 Lakh, Rs. 30 Lakh, Rs. 50 Lakh, and Rs. 1 crore. 

  • What are the deductible options offered under top-up and super top-up policies available under Super Healthcare Policy?

    Super top-up plan option comes with deductible options of Rs. 50,000, Rs. 1 Lakh, Rs. 2 Lakh, Rs. 3 Lakh, Rs. 4 Lakh, Rs. 5 Lakh, Rs. 6 Lakh, Rs. 7 Lakh, Rs. 8 Lakh, Rs. 9 Lakh, and Rs. 10 Lakh. Whereas the super top-up policy comes with deductible options of Rs. 1 Lakh, Rs. 2 Lakh, Rs. 3 Lakh, Rs. 4 Lakh, Rs. 6 Lakh, Rs. 7 Lakh, Rs. 8 Lakh, Rs. 9 Lakh, Rs. 10 Lakh, Rs. 15 Lakh, Rs. 20 Lakh, Rs. 30 Lakh, and Rs. 40 Lakh.

  • What is the renewal age for Super Healthcare Policy offered by Universal Sompo General Insurance?

    The policy offers lifetime renewability benefits. This means that you can renew the policy through lifetime, except on the grounds of moral hazard, fraud, or misinterpretation by the insured person. 

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