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Universal Sompo Health Insurance

Being a private-public organization, Universal Sompo General Insurance Company's a joint venture of Sompo Japan Nipponkoa Insurance Inc., Dabur Investment Corp, Karnataka Bank Ltd., Indian Overseas Bank & Allahabad Bank. It has its headquarters in Mumbai. Together Universal Sompo pioneers on the list of the first ever companies to form a private-public partnership Universal Sompo is the first general insurance private-public partnership in the insurance world.

Universal Sompo has an extensive array of products in general insurance. These products take care of the needs of various heterogenous segments of the Indian landscape. These products include home, travel, vehicle & health insurance. However, the product that tops their list is their health insurance product. It is simple & quite reasonable in terms of pricing. It is also available on a family and individual basis. Universa Sompo's health products are designed in a way that they cover multiple health aspects due to their advanced cover features. In a nutshell, health insurance products keep you from burning all of your savings during a medical emergency.

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Reliance General Insurer
Amount Covered: ₹ 1 Lakh
Deal Price: ₹ 2,094 / Year
Waiting period: 4 yrs

Universal Sompo Company Overview

Universal Sompo is a joint venture organization of several top notch companies. These include Sompo Japan Insurance, Dabur Investments, Karnataka Bank, Indian Overseas Bank & Indian Bank.

The company’s paid-up capital is Rs 368.18 Cr; Shareholders’ Net worth is over Rs. 1,129 Cr ; Gross Written Premium Rs. 3,487 Cr ; Assets Under Management (AUM) Rs. 3,741 Cr; Solvency at 1.92 times.

The company is headquartered in Mumbai and has 117 offices countrywide with representation through its digitally enabled employees. It has a strong distribution network of Agents, Point of salespersons, Bank Branches, Automobile Dealers, Brokers, Common Service Centres, and Digital Platforms.

The company offers 205 IRDA-approved products and 1494 Add-on covers, ranging from Motor, Accident & Health, Home for Individuals, Shopkeepers Package, Crop and other non-life packages for SMEs, Fire, Marine, Engineering, Employee’s Benefit, Project Insurance, Liability, and other special products for Corporates. Micro insurance covers the rural segment.

The company maintains its Claims settlement ratio at 98.27% and has robust technology architecture to serve its customers nationwide

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5 Lakh Health Insurance Cover 10 Lakh Health Insurance Cover 20 Lakh Health Insurance Cover 1 Cr Health Insurance Cover

Highlights of Universal Health Insurance

  • Offices – 117

  • Employees – 1600+

  • No. of Products – 205

  • Claim Settlement Ratio Year of 2022 – 113.39%

  • Cashless Network Hospitals – 5500+

  • 24x7 Call centre

  • AI-assisted intimation and claim settlement with a self-survey module

  • In-house claims management to ensure faster health claims settlement Toll Free Numbers: 1-800-22-4030/ 200-4030

Interesting Facts About Universal Sompo

  • The company’s paid-up capital is Rs 368.18 Cr.
  • The company is being promoted by three leading banks in India and its Assets Under Management (AUM) Rs. 3,741 Cr which shows that the insurance provider has a firm base.
  • Licensed in 2007 - a company of 15 years vintage now
  • Universal Sompo possesses 117 branch offices. It even has 17 offices at a zonal level across India.
  • The company’s bagged a premium i.e. Gross Written Premium which is close to 3,487 Cr in FY 2021-2022.
  • Sompo also has an extensive variety of insurance policies which can be easily modified as per the needs & requirements of individuals, large corporations & even SMEs.

Why Universal Sompo Health Insurance?

  • 5500 Plus Network Hospitals: Universal Sompo has a huge list of network hospitals where you can get cashless treatment whether it’s a planned hospitalization or an emergency.
  • 24x7 Customer Support: There’s 24x7 customer support available on the company’s helpline number. You can also chat live with the executives & even receive important information about your claims through an AI supported claim intimation element.
  • High Claim Settlement Ratio: The Company has a whopping high claim settlement ratio of 98.27% as of FY 2021-2022. This is a sign that the insurer has a customer friendly claim support system.
  • IRDAI Approved Products: The Company has a strong foothold in the insurance domain as it has 205 products that are approved by IRDAI.
  • In-House Claims Process: Universal Sompo has an in-house claim settlement process that enhances their customer service during claim settlement.

Features - Universal Sompo Health Insurance

  • Renewal : All the offered plans comes with lifelong renewable option. Thus, once the plan is opted can be renewed at same premium throughout the life.

  • Hospitalization Cover : Covers pre, post, in-patient hospitalization and other medical expenses.

  • Cashless Hospitalization Service : Offers cashless claim hospitalization services across the India.

  • Free Look-up Period : Offers free look up period, during which the policyholder can review the policy, and if the policyholder disagree with any of the terms and conditions can cancel the policy. However, the premium paid might be refunded after a deduction.

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Benefits - Universal Sompo Health Insurance

  • Discounts : Universal Sompo Health Insurance provides a discount for multi-year plans.

  • Coverage : Offers coverage to cover whole family in a single policy.

  • Flexibility : Offers flexibility to make the premium payments, sum insured, coverage and plans.

  • No Claim Bonus : Offers no claim bonus for a claim-free year. The bonus is cumulative and can increases with the number of claim-free years.

  • Mediclaim settlement : Offers quick and hassle-free claim settlement services

  • Tax benefits : Save tax as per the Section 80C under the Income Tax Act.

Product Offered – Universal Sompo Health Insurance

  • Universal Sompo Individual Health Insurance Plans

  • Complete Health Insurance Plans

  • Hospital Cash Insurance Policy

  • Critical Illness Insurance Policy

  • Group Health Insurance Policy

  • Group Personal Accident Policy

  • Janta Personal Accident Policy

Universal Sompo Health Insurance - Claim Process

Step One:

  • Call on their helpline no. 1800 200 5142
  • Inform them about the claim within a time period of 24 hours for an emergency admission
  • For planned hospitalization, inform 48 hours before the admission.

Step Two:

  • Go to the respective Network hospital
  • Meet the admin & show them Sompo’s Health Serve Card
  • Also, show your appropriate Photo ID proof
  • After this, get the form for ‘Cashless Request’. You can get this from the hospital’s Insurance helpdesk

Step Three

Fill your appropriate information in the form for ‘Cashless Request’ Submit the form to the helpdesk for insurance

Step Four

The hospital then conducts the verification of the details related to the patient It then sends a duly filled form for Cashless Request to Universal Sompo’s Health Office via fax

Step Five

Universal Sompo will then conduct a review of your Cashless Request. This review will be conducted in alignment with the policy’s pre-mentioned terms and conditions In case of an approval, the company will let you know about it. However, you will have to pay for only those costs which fall under the category of non-payable items as per your policy’s terms and conditions

Reimbursement Claim Procedure

Step One

Call on their helpline no. 1800 200 5142 or email on healthserve@universalsompo.com Inform them about the claim within a time period of 24 hours for an emergency admission For planned hospitalization, inform 48 hours before the admission.

Step Two

Get admitted to the hospital & undergo the required hospital treatment. Pay your hospital expenses & clear your bill Post discharge, take all the original copies of your hospitalization & make a file

Step Three

Fill all your details in the claim form for Reimbursement

Provide the original documents’ file to the below mentioned address of Sompo’s office for reimbursement purposes.

  • Universal Sompo General Insurance Company Ltd.
  • Health Claims Management Office,
  • Assotech One, 5th Floor,
  • Block C, C-20/1 A,
  • Sector 62 Noida,
  • UP, Pin code - 201309

Step Four

After Sompo receives your original documents’ file, it will conduct the proceeding of your claim in accordance with the policy’s terms and conditions.

You will be informed about the same.

Distribution Network of Universal Sompo General Insurance

Universal Sompo functions with the assistance of 117 plus offices. Additionally, it offers easy, accessible channels to its insurance products via its 24x7 customer care call centre & website to its customers.

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Review of Universal Sompo Health Insurance

Universal Sompo Health Insurance offers a wide range of health insurance policies. policies are pocket-friendly and at the same time ensures you stay covered. You can customised plan with respect premium and coverage. It’s time to shield yourself and your family against the increasing medical treatment costs. Unless found the claim to be a fraud case, Universal Sompo ensures that every claim that is lodged is settled. Universal Sompo could be in your preferred option when you are scouting for an insurer on the basis of pre and post sales services.

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Frequently Asked Questions

  • Q. What is the claim settlement ratio of Universal Sompo Health Insurance?
    • The claim settlement ratio of Universal Sompo Health Insurance is 70.75%.

  • Q. Is Universal Sompo Health Insurance a government or privately owned company?
    • Universal Sompo is the first private company in the Indian Insurance industry.

  • Q. Is Universal Sompo Health Insurance cashless?
    • Yes, Universal Sompo Health insurance is cashless and you can avail cashless claims facility at over 4000+ network hospitals.

  • Q. How do I claim Universal Sompo Health Insurance?
    • You can claim for Universal Sompo Health insurance by calling to their toll free number at 1800-200-5142 or email at healthserve@universalsompo.com

  • Q. Who is the owner of Universal Sompo General Insurance?
    • The CEO of Universal Sompo General Insurance is Mr. Sharad Mathur

  • Q. Why choose Universal Sompo Health Insurance?
    • Here are a few reasons you should choose Universal Sompo Health Insurance

      • Quick claims process
      • PAN India presence
      • 24*7 assistance
  • Q. What are the healthcare plans offered by Universal Sompo Health Insurance?
    • Universal Sompo Health Insurance offers you the below healthcare plans:

      • Complete healthcare insurance
      • Super healthcare insurance
      • Arogya Sanjeevani insurance
      • Saral Suraksha Bima
  • Q. What are the plan highlights of Universal Sompo Health Insurance?
    • Given below are the plan highlights of Universal Sompo Health Insurance:

      • Inpatient hospitalization
      • Mother and child care benefit
      • Restoration benefit
      • Outpatient dental treatment
      • Vaccination
  • Q. What is not covered under Universal Sompo Health Insurance?
    • Given below are a few medical conditions that are not covered under Universal Sompo Health Insurance:

      • Cosmetic treatment
      • Unproven treatments
      • Addiction and substance abuse
      • Hazardous or adventure sports activities
  • Q. What is the renewability of Universal Sompo Health Insurance?
    • Universal Sompo Health Insurance offers lifetime renewability option

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