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Individual Privilege

Individual Privilege

  12/29/2017 4:53:09 AM
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Insured Amount: 600000
Policy Amount: 9399.00
 
Children: 1
Adult:2
 
Pre Hospitalization: Medical expenses that are incurred in 30 days before hospitalisation are covered
Post Hospitalization:Medical expenses after hospitalization for upto 60 days covered
 
Pre-existing Disease:
Co-Pay:
 
Hospital Room :  
Treatments:  
Ambulance Charges: Co-Pay:  
Bonus on No Claim:  
Covered Networks: Co-Pay:0 
Tax Benifit:  
Renewability:  
Organ Donar:  
Daily Allowance:  
Second Opinion:  
Minimum Age: 21 
Maximum Age: 65 

Day Care Treatments
141 listed treatments that take less than 24 hours of hospitalization due to technological advancement but otherwise would have needed a day are covered

Hospitalization at Home
Treatments done at home due to patient condition or unavailability of hospital bed are all covered upto sum insured

Hospital Room Eligibility
There are no sublimits on availing rooms under hospitalization; total payment up to Sum Insured permitted

Alternate Medicine
Coverage upto full sum insured for utilizing ayurveda, unani or other alternate medicine methods

Share Claim Payments
Full claims payment by Insurer; Customer doesn't bear any part of claim payments, for lifetime

Bonus on No Claim
Incremental cover up to Rs 60K added for every claim free year up to a cumulative maximum of Rs 3 Lacs; reduction by Rs 70K of base sum insured if there is a claim

Restoration of Cover
Sum Insured will be reinstated for a non-related illness if the original sum insured + no claim bonus gets exhausted in a year

Pre existing conditions
There is a waiting period of 3 years for coverage on conditions declared and existing at the time of first purchase

Ambulance Charges
Up to Rs 3,000 per hospitalization offered for utilizing ambulance services; payable with hospitalization claim

Worldwide Emergency
No coverage provided outside India even under emergency

Domestic Evacuation
No coverage to utilize any emergency services for evacuation within India

Maternity
Up to Rs 25,000 for normal delivery; up to Rs 50,000 for Caesarean; Waiting Period of 3 years before claim is accepted

Health Checkups
Up to two 15% discount coupons provided for health check-ups once every 2 continuous claim-free years, in designated network

Doctor-on-Call Service
Complimentary access to a doctor, through both phone and chat, is provided to every customer

Health Assessment
This plan doesn''t provide any complimentary access to a Health Assessment Report

Wellness Factors
This plan provides vouchers to access certain defined health services and products within the specified network

Network Hospitals Covered
Sompo has a list of 3333 hospitals that offer cashless hospitalization

Universal Sompo General Insurance is the first Public - Private
Partnership in the Indian General Insurance Industry, formed in the year
2007. It is a company headquartered in Mumbai, Maharashtra, India and
is a joint venture between Allahabad Bank, Karnataka Bank, Indian
Overseas Bank, Dabur Investments, and Sompo Japan Insurance.Three of the
Indian partners are banks with a combined asset base of Rs. 3,14,071
crores and over 4000 branches and distribution centers while the 4th
India partner is also the fourth largest FMCG company in India with over
1.5 million retail outlets. On the other hand, Sompo Japan Insurance
Inc., headquartered in Tokyo, is a Fortune 500 Company with a capital of
70 billion yen, and is present in 27 countries, has over 15,000
employees and 69,028 agents. It is the largest property and casualty
insurance company in Japan. Universal Sompo is present across almost all
product lines, classified into five major classes: Property, Marine,
General Accident, Workmen Compensation and Motor.

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