Universal Sompo Individual Basic Plan

(22 Reviews)
Insurer Highlights

*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply

*Tax benefit is subject to changes in tax laws. Standard T&C Apply

Back
Get insured from the comfort of your home
Get insured from the comfort of your home
  • 1
  • 2
  • 3
  • 4

Who would you like to insure?

  • Previous step
    Continue
    By clicking on “Continue”, you agree to our Privacy Policy and Terms of use
    Previous step
    Continue

      Popular Cities

      Previous step
      Continue
      Previous step
      Continue

      Do you have an existing illness or medical history?

      This helps us find plans that cover your condition and avoid claim rejection

      Get updates on WhatsApp

      What is your existing illness?

      Select all that apply

      Previous step

      When did you recover from Covid-19?

      Some plans are available only after a certain time

      Previous step
      Advantages of
      entering a valid number
      You save time, money and effort,
      Our experts will help you choose the right plan in less than 20 minutes & save you upto 80% on your premium

      Universal Sompo Individual Basic Plan

      With rising healthcare expenses, having health insurance is imperative. Hence, individual health insurance plans are in great demand these days. In this regard, Universal Sompo Individual plan is quite popular for catering to the different needs of the individual.

      Read More

      Why Should You Consider Universal Sompo Individual Basic Plan

      If we talk about leading insurers in India then Universal Sompo is one of them. The company is quite popular for the quality of services and products, rapport with customers, smooth claim settlement and providing comprehensive insurance coverage. The advantages of individual policy to be considered are:

      • Cashless healthcare services across India at network hospitals
      • Easy portability benefit without compromising on accrued benefits
      • Tax benefit to be earned as per the Income Tax Act
      • Free look-in period of 15 days to return the policy
      • Smooth claim intimation, registration and settlement
      • No TAT for claim settlement as all claims are paid through NEFT/RTGS process
      • Comprehensive coverage can be availed at a competitive rate of premium

      Scope of Cover offered Under Universal Sompo Individual Basic Plan

      The individual policy of Universal Sompo offers the following benefits:

      Category Scope of Cover
      In-patient Expense Cover Hospitalisation expenses including room rent, nursing expenses, ICU charge, OT charge, doctors consultation fee, surgeon’s fee, expenses of blood, oxygen, medicine, X-ray, laboratory etc.
      Cashless Treatment At network hospitals across India
      Domiciliary Treatment Covers treatment exceeding for 3 days while treatment is availing at home, which otherwise would have required hospitalisation, in conditions like if the patient is unable to move or if the patient can’t be moved to the hospital due to lack of accommodation
      Extensive Sum insured A maximum of Rs. 5 lakh cover can be availed
      Additional Cover The individual policy can be extended to cover the listed critical illness on payment of an extra premium
      Medical Check-up No medical check-up is required up to the age 45 years.
      Tax Benefits The premiums paid towards Universal Sompo Individual plan is exempted from tax deduction under Section 80D of Income Tax Act

       

      Universal Sompo Health Insurance Premium

      The premium is calculated considering the age of the insured person and the coverage opted. If the insured or the dependent’s age is more than 45 years, a medical test is required to avail this plan. The cost of such a test will be borne by the insured.

      Eligibility Criteria

      Minimum Entry Age    18 years
      Maximum Entry Age 55 years
      Maximum Sum Insured    Rs.5 lakh
      Policy Tenure 1 year

       

      Universal Sompo Individual Basic Policy Exclusions:

      The policy doesn’t cover the insured person under below conditions:

      • No claim will be entertained arising out of a Pre-existing disease
      • Any expense incurred due to hospitalisation or domiciliary treatment for any illness during the initial 30 days of the policy. That means the insurer will not pay for the claims arising within the 30 days of policy initiation. However, if hospitalisation is required due to an accident, the claim can be registered under the accidental clause.
      • Coverage to some specific illnesses such as Benign Prostatic Hypertrophy (BPH), Cataract, Piles, Sinusitis, Hysterectomy or a related disorder is not offered during the first policy year.
      • Injury or loss directly caused by war, war-like situation, foreign invasion, use of nuclear weapon etc.
      • Circumcision unless essential for the treatment of an illness is not covered
      • No claim will be paid for expenses of contact lenses, spectacles, hearing aids etc.
      • Dental treatment or surgery is excluded unless hospitalisation is required or it is due to an accident.
      • Venereal diseases, intentional self-injury such as suicide or attempt to suicide
      • Injury due to the use of intoxicating drugs/alcohol are excluded
      • Any treatment directly or indirectly for treatment associated with AIDS/HIV or other sexually transmitted diseases
      • Expenses incurred towards cosmetic surgery are not covered
      • Miscarriage or abortion
      • Expenses related to maternity and childbirth
      • Naturopathy Treatment such as Ayurveda, Homeopathy, Sidha, Unani etc.

      Waiting Period Clause

       The following waiting periods are applicable in case of Universal Sompo Individual Basic Plan:

      • Initial Waiting period: 30 days from the date of policy initiation
      • For Specific Illness Waiting Period: First policy year
      • Pre-existing Illness: Pre-existing illnesses are permanently excluded

      Universal Sompo Individual Basic Claim Process

      The insurer has in-house claim management process, which ensures a safe and fast settlement. In order to claim your Universal Sompo health insurance, kindly follow the below steps:

      • Step 1: Inform the insurer as soon as possible. In case of planned hospitalisation, notify them at least 48 hours prior to the hospitalisation. In case of emergency hospitalisation, the insurer needs to be informed within 24 hours post admission.
      • Step 2: A pre-authorisation letter has to be signed and submitted to the insurer seeking permission for cashless services. Submit the application along with relevant ID proof.
      • Step 3: If the insurer approves the request, avail cashless treatment immediately. Pay the related bills which are not covered by the insurer. The rest of the total hospital bill is settled directly with the hospital authority by the insurer.
      • Step 4: In case the insurer rejects the cashless request due to any reason, pay the hospital bills on your own. Collect the original bills, medical reports and discharge summary. Register a reimbursement claim with Universal Sompo. The insurer will verify the claim and reimburse the claim up to an admissible amount.

      Universal Sompo Individual Basic Plan Renewal Process

      To ensure contentious policy benefits timely renewal of health insurance is essential. You can renew Universal Sompo health insurance online or offline. However, online renewal is the most convenient way of doing so. To renew the policy online:

      • Visit the official website of Universal Sompo
      • Go to the ‘Policy Renewal’ option
      • Select the type of policy you want to renew
      • Provide the necessary information i.e. policy number, personal details, renewal due date etc.
      • Premiums to be paid will appear accordingly. You can compare the premiums online with other insurers.
      • If it suits you, pay the premiums through net banking or credit/debit card.
      • A renewal notification will be sent instantly once the amount is debited from your account.
      • The insurer will send the soft copy of the renewed policy to your registered email ID. You can download the policy anytime.
      Policybazaar exclusive benefits
      • 30 minutes claim support*(In 120+ cities)
      • Relationship manager For every customer
      • 24*7 claims assistance In 30 mins. guaranteed*
      • Instant policy issuance No medical tests*
      Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

      Health insurance articles

      Recent Articles
      Popular Articles
      Everything about the Activ One Plan by Aditya Birla Health Insurance

      05 Dec 2023

      In a time when increasing healthcare costs can create a
      Read more
      10 Reasons Why Your Health Insurance Claim Can Get Rejected

      01 Dec 2023

      Health insurance plans add a layer of invisible protection against
      Read more
      Knee Replacement Surgery Cost in India

      30 Nov 2023

      Knee pain has become a very common ailment in India, with over 15
      Read more
      Kidney Transplant Cost in India

      30 Nov 2023

      Kidney disease has been growing at an alarming rate in India. As
      Read more
      How Can NRIs Save Taxes on Health Insurance in India?

      24 Nov 2023

      Health insurance is an essential buy for people in India as well
      Read more
      How to Apply for Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)?
      Ayushman Bharat Yojana is a flagship health insurance scheme launched by the Government of India to offer universal
      Read more
      Best Health Insurance Plans for Senior Citizens in 2023
      Senior citizens are the most prone to diseases. Considering the medical inflation in India, buying health insurance
      Read more
      10 Major Benefits of Ayushman Bharat Yojana
      Pradhan Mantri Jan Arogya Yojana (PM-JAY) is the second component under Ayushman Bharat Scheme. PM Narendra Modi
      Read more
      Does Health Insurance Provide Coverage for LASIK Eye Surgery?
      A vast majority of the Indian population is suffering from vision problems. For some of them, LASIK eye surgery is
      Read more
      Pre-Existing Disease (PED) Cover from Day One
      Pre-existing diseases (PED) are mostly expensive to treat as they are chronic in nature. Unfortunately, most health
      Read more

      top
      Close
      Download the Policybazaar app
      to manage all your insurance needs.
      INSTALL