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Universal Sompo Health Insurance for Family

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Highlights
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

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Disclaimer : Actual Premium might vary basis your location, age and number of members

Universal Sompo : Health Insurance for Family

Complete Healthcare Insurance is important for you to have as it is a comprehensive plan that covers most of your medical expenses that may arise in the future. Persons aged between 3 months to 55 years can be covered under this plan but the proposer has to be an adult only. Up to 2 adults and 4 children can be covered under the family floater plan with different combinations specified. The plan provides several benefits to the policyholders such as outpatient medical expenses, organ donor cover, domiciliary hospitalisation cover and so on.

Key Features
  • The plan is available in three variants, viz-Basic, Essential and Privilege plans
  • The plans can be taken on an individual or family floater basis
  • Dependent children can be covered up to 25 years of age
  • Sum insured options of Rs. 1 Lakh to Rs. 10 Lakh
  • Policy terms of 1 year, 2 years and 3 years
  • Premium frequency: Single premium
  • No Claim Bonus
  • Free look period

Scope of Coverage

  • Daycare procedures
  • Diagnostic tests are covered
  • Convalescence benefit
  • Pre and post maternity expenses
  • Vaccination charges
  • Ambulance charges
  • Organ donor expenses
  • 60 days pre and post hospitalisation expenses

Eligibility

Minimum entry age is 18 years and the maximum entry age is 70 years for this plan.

Exclusions

  • Expenses occurring in the waiting period. An accident is an exception for the same
  • Pre-existing diseases are covered after 36 months of the continuous coverage
  • Maternity and childcare benefit can be availed only after the waiting period
  • Outpatient treatment can be covered after a waiting period of 3 years
  • Any injury caused due to self-harm

To know complete product details, read the policy wordings. You may also contact us on 1800 1205 698.

Health Insurance Coverage Calculator

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  • Individual
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  • Family
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Disclaimer : Actual Coverage might vary basis your location, age and number of members
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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.

1872 Universal Sompo Cashless Network Hospitals in India

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FAQ About Universal Sompo Health Insurance

  • Does Universal Sompo offer any plan for a family or extended family?

    Yes, Universal Sompo offers health insurance plans for family or extended family. 

  • Does the health insurance plan for family provide coverage for maternity and OPD?

    Yes, the health insurance plan for the family provides coverage for maternity and OPD. 

  • Can I buy such health insurance policies online?

    Yes, family floater health insurance plans can be purchased online. 

  • Does the family floater health insurance policy provide restoration benefit?

    The family floater health insurance policy provides restoration benefit to the policyholders. 

  • What are the options available for policy terms?

    The policy can be purchased for 1 year, 2 years and 3 years. 

Network Hospital in Popular Cities

CityNo of Hospital
New Delhi208
Lucknow49
Mumbai125
Faridabad28
Ghaziabad36
Hyderabad229
Ahmedabad92
View All