Universal Sompo is one of the renowned names in the Indian insurance market. The insurer is popular for its products especially health insurance. And its individual health insurance is worth your money.
Individual health insurance coming with three variants namely Basis, Essential and Privilege is designed to cater to the needs of every individual. The policy can be availed as floater basis as well, where the sum insured can be availed from Rs 1 lakh to Rs.10 lakh. In this article, we will discuss one of its variants, Individual Essential Plan. Let’s take a look at how this policy works and benefits you:
The policy comes with the below features
The minimum eligibility to avail this policy include:
Age at Entry |
Policy Term |
Premium Payment Frequency |
||
|
Minimum |
Maximum |
1 to 3 years
|
Single premium
|
Adults |
18 years |
70 years |
||
Dependent Children |
91 days |
25 years |
||
Children under floater plan |
from day 1 |
25 years |
Under Universal Sompo Individual Essential Plan, you are covered for the following:
The policy becomes inactive under certain situations including:
The policy can be claimed either for cashless hospitalisation or reimbursement of expense facility in the following ways:
Cashless Claim |
Reimbursement Claim |
Inform the insurer immediately |
Pay the hospital bills on your own |
Fill the cashless request form along with the relevant document and submit to the insurer |
Collect all original bills, receipts and other related documents |
the TPA will guide you and help you initiate the process further. |
Submit all along with the filled claim form to the insurer to the address mentioned in the policy document |
The insurer will either approve or reject the request. Avail the treatment if the cashless request is accepted. The hospital bill will be settled directly |
The insurer will reimburse the amount up to an admissible limit, considering the policy terms and conditions |
*Note: 72 hours of prior notice is required in case of planned hospitalisation. On the other hand, you’ll require to notify the insurer within 24 hours of hospitalisation if it is an emergency hospitalisation case.
All health insurance plans of Universal Sompo come with lifetime renewal benefit. So there is no maximum age limit to claim the policy benefits. However, you need to renew the policy once the first policy term ends. However, the insurer provides a grace period of 30 days, in case you miss the actual renewal date. However, you have to renew the policy within these days, either online or offline.
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