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Universal Sompo Health Insurance for Senior Citizen

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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 Senior Citizen

Senior Citizen Health Insurance Policy protects you financially in the old age by covering hospitalisation and medical expenses. The policy provides cover for hospitalisation charges for the insured. The senior citizens also get an optional cover for the critical illnesses occurring after 90 days from the date of inception of the policy. Anyone who is aged more than 60 years and is a permanent resident of India is eligible to purchase this plan.

Key Features

  • Maximum entry age is 70 years
  • Available on an individual as well as family floater basis
  • Sum insured options ranging from Rs. 1 Lakh to Rs. 5 Lakh
  • The proposer or his/her spouse is required to undergo some medical tests
  • Cumulative bonus
  • Option to cover critical illnesses
  • Discounts offered on family floater plan
  • Additional discount of 10% if the spouse is covered on an individual sum insured

Scope of Coverage

  • Expenses related to in-patient treatment
  • Pre and post hospitalisation expenses
  • Domiciliary hospitalisation expenses covered up to a certain limit
  • Cost of health check-up
  • Daily allowance
  • Ambulance charges covered up to a certain limit
  • Daycare procedures or surgeries
  • Expenses of the accompanying person

Eligibility

Anyone who is above 60 years of age and residing in India can take this policy to cover self and spouse. The maximum entry age under the policy is 70 years.

Exclusions

  • Cosmetic, re-shaping treatments, aesthetic treatments, and surgeries
  • Spectacles, hearing aids, or contact lenses including optometric therapy
  • Illnesses caused directly or indirectly by war, revolution, uprising, or military acts
  • Expenses arising due to intentional self-injury or breach of law with criminal intent
  • Use of intoxicating substances such as drugs, alcohol, tobacco chewing, smoking, etc.

To know complete product details refer to the policy wordings or get in touch with the customer care executives at InsuranceDekho on 1800 1205 698.

Health Insurance Coverage Calculator

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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

  • Is there any health insurance policy specifically for the senior citizens provided by Universal Sompo?

    Yes, Universal Sompo provides health insurance policy especially designed for senior citizens by the name of Senior Citizen Health Insurance Policy. 

  • Who can take this policy?

    Any senior citizen aged above 60 years can purchase this policy to cover himself/ herself and his/her spouse.

  • Are pre-acceptance medical tests required under this policy?

    Yes. Senior citizens and their spouse (if proposed for insurance under the Policy) may be asked to undergo medical tests for purpose of consideration of Your proposal. If the proposal to purchase the policy has been accepted, 50% of the amount of the tests will be reimbursed. 

  • What are the additional benefits under this policy?

    The policyholders get several added benefits with this policy such as-cumulative bonus, family discounts, options for sum insured, portability, free look up period and so on. 

  • Who should buy Universal Sompo senior citizen health insurance plan?

    Any senior citizen aged more than 60 years who wishes to insure themselves a well as their spouse can buy Universal Sompo senior citizen health insurance plan. While the minimum entry age is 60 years, the maximum entry age is 70 years.

Network Hospital in Popular Cities

CityNo of Hospital
Surat59
Indore33
Bengaluru282
Karimnagar16
New Delhi208
Lucknow49
Mumbai125
View All