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icon Health Insurance icon United India Insurance Health Insurance Plans icon Gold Plan
  • Overivew
  • Features
  • Covered
  • Not Covered
  • Claim Settelment
  • Do's And Don't
  • Conclusion

United India Health Insurance Gold Plan

The health insurance sector is witnessing a boom with so many players and hundreds of insurance plans in the market. It is good to have so many choices but it makes it difficult to choose one plan that suits your needs best. Hence you should do your homework first, to understand your own requirements and research well to find plans that fulfil those requirements. To help you in choosing the best health insurance plan, this article presents United India Gold Plan in detail with all its features and benefits.

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Reliance General Insurer
Amount Covered: ₹ 1 Lakh
Deal Price: ₹ 2,094 / Year
Waiting period: 4 yrs
5 Lakh Health Insurance Cover 10 Lakh Health Insurance Cover 20 Lakh Health Insurance Cover 1 Cr Health Insurance Cover

Company Overview

United India Insurance Company is one of the oldest insurance companies in India with 84 years of experience. The company was incorporated in 1938 and is a pioneer in the large-level implementation of the Universal Health Insurance Program Of the Government of India. The company offers a variety of insurance solutions for different segments ranging from rural to space technology. With a presence in more than 1000 towns and villages in India, it has 1992 offices and 8000+ network hospitals all across the country. There are various types of United India Health Insurance Plans available in the market. Let us discuss United India Health Insurance Gold Plan offered by the company

Feature of United India Health Insurance Gold Plan

  • Entry Age - 36 to 60 years
  • Family Coverage - The plan can be taken for self, spouse, children, and parents on an individual sum insured basis.
  • Sum Insured - ₹ 2 lakhs, ₹ 3 lakhs, ₹ 5 lakhs, ₹ 8 lakhs, ₹ 10 lakhs
  • Policy Term - One year with the facility to renew lifelong
  • Renewal Benefits -

    A) For every 3 claim-free years, the insured is entitled to health check-ups up to 1 % of the average sum insured subject to a maximum of ₹ 5000.

    B) A 10% discount is offered if the original policy is purchased online and all renewals are made online. Family Discount - A family discount of 5 % is available if 2 or more members are covered in the same policy.

What Does Policy Cover?

United India Health Insurance Gold Plan provides two types of covers: Base cover and Optional Cover. Base cover includes the default coverage under the plan while optional covers are available on payment of an additional premium.

Base Cover:

The base coverage under the policy is provided on the written advice of a medical practitioner and is available for medically necessary treatments only.

In-patient Hospitalisation Cover

  • It includes all hospitalisation expenses like room, boarding, and nursing upto 1 % of the sum insured per day
  • ICU/ICCU charges up to 2% of the sum insured
  • Fees Charged by treating medical practitioners, surgeons, specialists, consultants, and anaesthetists.
  • OT charges
  • Organ donor hospitalisation expenses
  • Dental treatment needed due to an injury
  • Plastic surgery only needed for reconstruction purposes due to a disease or injury
  • Day care treatments
  • Cataract surgery up to 25 % of the sum insured or ₹ 40,000 per whichever is less
  • Specified diseases/procedure up to 70 % of the sum insured
  • Pre-hospitalisation and Post-hospitalisation Expenses are covered for 30 and 60 days respectively up to 10% of the sum insured
  • Domiciliary hospitalisation is covered on a reimbursement basis. There are certain specified diseases for which domiciliary treatment benefit is not available.
  • AYUSH treatment
  • Modern advanced treatments

Optional Covers

  • Road Ambulance Cover upto ₹2500 per person per policy period for an injury or illness which occurred during the policy period. Daily cash Allowance on Hospitalisation for continuous and completed 24 hours of hospitalisation as per the policy terms.

  • Daily cash Allowance on Hospitalisation for continuous and completed 24 hours of hospitalisation as per the policy terms.

What Policy Does Not Cover?

Waiting Periods

The company does not provide any coverage under the policy till the end of the waiting periods given below.

  • Pre-existing diseases are not covered till the expiry of 48 months after the date of inception of the policy.
  • Specific listed diseases or procedures are not covered till the expiry of 24 /48 months as per the policy terms.
  • Any illness is not covered within the first 30 days from the policy commencement.

Exclusions

The following conditions/diseases are not covered under the policy.

  • Expenses caused by a warlike operation
  • Any illness caused by nuclear radiation
  • Stem cell treatments
  • Congenital external diseases
  • Sterility and infertility treatments or procedures
  • Maternity treatment expenses
  • Preventive health checkups
  • Diagnostic and evaluation purpose expenses
  • Unproven treatments
  • Gender change treatments
  • Plastic surgery
  • Vaccination post animal bite
  • Artificial life maintenance

Claim Settlement

Claims can be settled in 2 ways, either at a cashless facility at a network hospital or as reimbursement of claim.

  • Cashless treatment at a network hospitalisation is subject to pre-authorization by the TPA. Call TPA for claim intimation and provide your health card ID number. On admission, produce your health ID card to get a cashless request form. Fill out the form and sent it to the TPA. TPA then verifies your request and sends the pre-authorization letter to the hospital. A the time of discharge, the insured verifies and signs the discharge papers and the bill is settled directly with the hospital by the company.

  • Reimbursement of claims is done when treatment is taken in a non-network hospital provided all the necessary documents are submitted to the TPA within the prescribed time limit. The claim needs to be supported with certain documents like a completed claim form, doctor’s certificate and prescription regarding diagnosis, medical history of the insured, bills and payment receipts, discharge summary, payment bills from the doctors, surgeons, diagnostic centre and chemist.

Notice of Claim

In case an event gives rise to a claim under the policy, a notice with full details should be sent to the TPA immediately. In case of emergency hospitalisation, notice should be sent within 24 hours of hospitalisation and for planned hospitalisation notice should be sent 48 hrs prior to the hospitalisation. All supporting documents relating to the claim should be submitted to the TPA within 15 days from the date of discharge. For post-hospitalisation, documents should be provided within 7 days after completion of the treatment.

Do’s and Don’ts While Buying a United India Health Insurance Plan

While purchasing a United India health insurance plan, there are certain things you should keep in mind and there are certain mistakes that you avoid.

Do’s:

  • Fill out the proposal form correctly. The information provided by you in the form is used by the company to assess your risk. If the information is not correct, your claim may get rejected in the future.
  • Before buying the policy, understand what is covered and what is excluded from the plan. Completely know all the benefits and conditions of the policy.
  • Choose sufficient coverage for all your medical needs. The sum insured you choose should be enough to cover your medical bills.
  • Keep your policy document safe so that you can easily access it when needed especially at the time of claim.
  • In case of a change in address or any other contact detail, update the policy document immediately.
  • Enhance your coverage with add-on covers if you need them.
  • Understand the claim process beforehand, and know whom to contact when you need to file a claim. It will help you get your claims settled easily.
  • Do check the list of network hospitals and locate the nearest network hospital so that you can avail of cashless treatment whenever needed.

Don’t’s:

  • Do not hide any information like pre-existing diseases. Declare all the information correctly to get the maximum benefit of your insurance policy.
  • Include all your family members in the health insurance policy so that you do not have to incur any medical costs.
  • Do not let your policy expire. Always renew the policy on time so that you get continuous coverage and benefits available for continuous coverage.
  • Do not miss the discounts offered by the company while renewing or buying a policy
  • Do not miss the claim filing deadlines to get easy and fast claim settlements.
  • Do not hesitate in clearing your doubts and raising queries. The company offers 24/7 customer support.

Conclusion

Health insurance plans are available in multiple variants. The type that fulfils your requirements is the best plan for you. Many plans offer similar coverage but who is eligible to purchase that plan makes the difference. Most employers provide insurance to their employees but is that enough to cover your entire family? Therefore, to avoid any financial risk, it is a must to have comprehensive health insurance coverage.

An individual health plan can provide coverage in addition to your employer's insurance plan. Consolidated health coverage will not only shield you against medical emergencies but will also offer multiple benefits. United India Gold Plan is the ideal choice if you are looking for individual health plans. The plan offers coverage that can enhance your existing employer health insurance policy and you can enjoy a family discount also.

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