Universal Sompo – A Plus Health Insurance Silver
Flagship health insurance plan of Universal Sompo providing comprehesive health cover for individual and families
- Cover :₹ 7.5 Lakhs
- Bonus / NCB :20% of Base SI, maximum to 100% per renewal
- Copay :No copayment
- Claims Settled :92.78%
₹7,835.00
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Category: Health Insurance
Universal Sompo – A Plus Health Insurance Silver
Premium Amount
₹7,835.00
Flagship health insurance plan of Universal Sompo providing comprehesive health cover for individual and families
- Cover :₹ 7.5 Lakhs
- Bonus / NCB :20% of Base SI, maximum to 100% per renewal
- Copay :No copayment
- Claims Settled :92.78%
Category: Health Insurance
100% Cover restoration
100% upto SI once in a year
Free Health Check-up
-
Daily cash allowance
NA
Ambulance charges
Up to Rs. 2500
Pre-hospitalisation
Expenses for 30 days covered
No claim bonus
20% of Base SI, maximum to 100% per renewal
Post hospitalisation
Expenses for 60 days covered
Ayush treatments
Ayush benefit up to Rs. 1000000
Maternity
Waiting period 36.0 months, Normal delivery: Rs. 25000; Caesarean delivery: Rs. 50000
Outpatient Expense
NA
Organ donor expenses
Covered up to Rs. 1000000
New-born treatment
NA
Domiciliary Hospitalisation
Covered up to Rs. 1000000
Recovery allowance
NA
Sum Insured
7.5 Lakh
E- Consultation
NA
Pros
NA
20% of Base SI, maximum to 100% per renewal
Ayush benefit up to Rs. 1000000
Domiciliary Hospitalisation
Covered up to Rs. 1000000
cons
Category: Health Insurance
USP of This Plan
Flagship health insurance plan of Universal Sompo providing comprehesive health cover for individual and families
- Cover :₹ 7.5 Lakhs
- Bonus / NCB :20% of Base SI, maximum to 100% per renewal
- Copay :No copayment
- Claims Settled :92.78%
Our Take
Policy Exclusions :
Any claim other than accidental claims inside 30 day waiting period
Obesity & weight control
Any claim for PEDs made during the waiting period of 36 months for 1 & 2 year policies or 30 months for 3 year policy.
Change of gender treatments
Any claim for specific procedures or diseases during the waiting period of 24 months
Cosmetic or plastic surgery
Investigation & Evaluation
Hazardous or adventure sports
Rest care & rehab outside the limits covered
Breach of law
Alcholism, drug or substance abuse
Excluded providers
Treatment recieved in nature clinics, health hydros, spas, etc and dietary supplements and substances purchase without prescription
Refractive error
Unproven treatments
Sterility, Infertility expenses and Maternity expenses over and above those covered in the policy
Claims settlement
If you go to a non-network hospital, you will have to get the claim settled on reimbursement basis by providing the original bills and documents to the insurer
If you get admitted to a network hospital, you can get a cashless authorization from the insurer and then the insurer will settle the expenses directly with the hospital.
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Specification: Universal Sompo – A Plus Health Insurance Silver
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Universal Sompo – A Plus Health Insurance Silver
₹7,835.00
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