Universal Sompo Health Insurance

Universal Sompo Health Insurance

  • 14,000+ Network Hospitals
  • 99.06% Claim Settlement Ratio
  • 24x7 Claim Assistance

Universal Sompo Health Insurance

Universal Sompo Health Insurance plans are the promising products offered by Universal Sompo General Insurance. The policies ensure a financial cushion for those covered in case of medical emergencies.

Universal Sompo is a private-public joint venture of Indian Bank, Indian Overseas Bank, Karnataka Bank Ltd., Dabur Investment Corporation, and Sompo Japan Insurance Inc., a leading general insurer from Japan.

Universal Sompo Health Insurance is headquartered in Mumbai and provides world-class insurance services from its 109 offices across the nation. The company has a wide product portfolio in various fields, including motor, retail, health, rural, SME, and corporate customer segments. Their plans are designed to meet the medical requirements of individuals, families, and senior citizens.

Universal Sompo General Insurance follows a customer-centric approach and has an efficient claim settlement process. The plans can be customized to meet medical needs and provide financial assistance in basic or advanced medical situations, including critical illness, maternity cover, COVID, etc. Working tirelessly to provide excellent customer service, the company has received many awards and recognitions, including the following:

  • Universal Sompo Health Insurance received ‘Best BFSI Brands of 2023’ by the Economic Times.
  • Universal Sompo Health Insurance received an award for ‘Customer Service- Insurance Alertss INDIA’ in 2020-21.
  • Universal Sompo Health Insurance won ‘Best Technology for Good Project’ in 2020-21.
  • Universal Sompo Health Insurance won the ‘FM Stars of the Industry-Excellence in General Insurance’.
  • Universal Sompo Health Insurance won ‘Insurance Summit- Best Customer Service Provider of the Year’ in 2017-18.
  • Universal Sompo Health Insurance won the ‘Fintelekt Leadership in Claim Service’ award.

Universal Sompo Health Insurance Company Specifications

Here are the key specifications of Universal Sompo Health Insurance plans you can consider to get a clear picture of the company's service and performance:

Particulars Specifications
Network Hospitals 11,800+
YTD Claim Settlement Ratio (2022-23) 97%
Claims Paid (less than 3 months in 2022-23) 91.58%
Number of Offices 109
Solvency Ratio (2022-23) 1.73

*Data has been taken from the IRDAI 2022-23 annual report and data as available on the official website of Universal Sompo General Insurance Company.

Key Features of Universal Sompo Health Insurance

Look at the features below that make Universal Sompo Health Insurance a suitable choice for individuals:


Network Hospitals

Universal Sompo Health Insurance has a widespread network of more than 11,800 cashless network hospitals. At the time of medical treatment (whether an emergency or planned), the insured can get admitted to any listed hospital and get treatment without worrying about the arrangement of funds. You can download the Universal Sompo Health Insurance network hospital list from the official website.


Lifetime Renewability

Some Universal Sompo Health Insurance plans offer lifetime renewability. You do not need to buy a new plan every year but can renew the existing one without an age barrier. If you need additional coverage, you can take advantage of optional benefits to extend your medical coverage.


Customer First Approach

Universal Sompo Health Insurance keeps its valuable customers at the forefront. The company has introduced a customer awareness programme to streamline the process further and enhance customer satisfaction. They have initiated an instant health insurance e-card and claim communication letter facility on SMS to provide real-time information to customers.


Multiple Plan Options

Universal Sompo Health Insurance has many plans available for individuals, groups, families, and senior citizens, according to their medical needs and requirements. Also, top-up plans are available that you can add to your existing plan to cover your changed requirements.


24/7 Assistance

Universal Sompo Health Insurance has a 24/7 available customer care support team to provide extended assistance. You can contact the insurer at the helpline number to get claim-related help. Also, the live chat facility is available to solve your queries in no time.


Quick Claim Process

Universal Sompo Health Insurance's claim settlement ratio was 97% for the financial year 2022-23. The company has set up an in-house claim settlement process to streamline the process even faster.

Health Insurance Policies Offered by Universal Sompo Health Insurance

Universal Sompo General Insurance Company offers various health policies, including individual health insurance, family health insurance, health insurance for COVID, group health insurance, top-up health insurance, etc., to meet the unique needs of individuals, families, and senior citizens. These policies provide a financial cushion for the insured during sudden or planned hospitalisation. To provide you with a quick overview, below is the list of offline and online Universal Sompo Health Insurance plans with their coverage benefits and eligibility criteria:

Online Plans

Individual and Family Health Insurance Plan

Offline Plans

Individual and Family Health Insurance Plan

Group Health Insurance Plan

Universal Sompo Health Insurance Premium Calculation

Universal Sompo Health Insurance premium is a lump sum or an instalment amount the policyholder pays to avail of the benefits of their medical insurance. At the time of the plan purchase, you can select different payment modes, i.e. monthly, quarterly, half-yearly, or yearly, to compare and get an estimate of the premium rates for your shortlisted plan. You can also use their health insurance premium calculator to calculate the amount.

Universal Sompo health insurance premium calculator is available on the insurer’s official website. Certain factors decide the insurance premium rates, including:

  • Individual or family floater option selected
  • Sum assured amount
  • Click ‘Buy New Policy/ Get Quote’ from any policy option.
  • Age of the insured
  • Lifestyle habits
  • Location
  • Medical history
  • Choice of plan variant (basic/ premium)

The premium calculator only estimates the premium. For detailed information regarding the plan and premium, we recommend you contact Universal Sompo Health Insurance customer care or a RenewBuy Advisor.

Why Buy Universal Sompo Health Insurance Plans?

Universal Sompo Health Insurance plans are designed to cater to every individual's needs, ensuring that they remain financially protected against medical inflation. Moreover, the company focuses on providing excellent claim support. Below are some of the reasons why you should buy their health Insurance plans:

  • Customer-first approach
  • PAN India presence with over 11,800+ network hospital
  • Online and offline plans to reach every customer type
  • Medical expenses incurred under multiple treatments, including AYUSH and critical illnesses
  • Global treatments are covered
  • 100% auto restoration of the sum insured in case of partial utilisation
  • 24/7 available customer support

Universal Sompo Health Insurance Exclusions

Universal Sompo Health Insurance offers comprehensive coverage against multiple treatments and surgeries as per the plan opted for. However, certain healthcare expenses are not covered under their medical Insurance, including (but not limited to) the following:

  • Addictions and substance abuse
  • Injuries caused due to self-harm
  • Any injuries due to participation in adventure sports and activities
  • Injuries attributed to war
  • HIV and or related health conditions
  • Specific benefits claimed before the expiry of the waiting period
  • All kinds of alternate treatment
  • Obesity or weight control treatment
  • Cosmetic or plastic surgery

Except for the above-mentioned exclusions, some other conditions may not be covered under Universal Sompo Health Insurance, depending on the selected policy.

Universal Sompo Health Insurance Buying Process

You can purchase Universal Sompo Health Insurance plans directly from the insurer’s official website or via trusted advisors at RenewBuy. Follow the step-by-guide to buy a Universal Sompo Health Insurance plan from your preferred option:

Buy from "RenewBuy.com"

  • Visit the official website of "RenewBuy".
  • Click on the "Health Insurance Plan" tab.
  • Select the desired plan.
  • Fill in all the required details.
  • Click on the "Buy Now" button.
  • Make payment.
  • We will send the policy documents to your registered email ID.

Buy from the Official Website of Universal Sompo Health Insurance

  • Visit the official website of Universal Sompo Health Insurance.
  • Click on the ‘Products’ tab and explore the ‘Health’ category.
  • Check the details of health insurance plans per your needs.
  • Provide the required details and click ‘Submit’.
  • Check the coverage and click on the ‘Buy’ button.
  • Complete payment using the preferred payment mode.
  • Upon successful payment, the health insurer issues the policy and sends the documents to your email address.

Factors to Consider While Buying Universal Sompo Health Insurance

When selecting a Universal Sompo health insurance plan, several factors are crucial to ensure you choose one that meets your needs and offers good value for money. Here's a comprehensive list of factors that you can take into account to make a wise decision:


Coverage Options

Assess what medical services are covered under the plan, including hospitalisation, maternity care, and preventive care. Ensure the plan covers the specific treatments and services to secure a financial shield against specific diseases.


Costs and Premiums

Evaluate the premium costs, deductibles, copayments, and coinsurance associated with the Universal Sompo health insurance plan. Determine how much premium you can pay upfront without straining your pocket.


Pre-existing Conditions Coverage

If you have pre-existing medical conditions, confirm that the chosen plan provides adequate coverage without imposing waiting periods or exclusions.


Exclusions and Limitations

Review all the inclusions and exclusions under the plan to understand what benefits you can avail yourself of when a medical emergency hits the path of life.


Additional Benefits and Services

Explore any additional benefits or wellness programs the plan offers, such as telemedicine support or discounts on health-related products and services. This keeps you a step ahead to enjoy the benefits without spending additional costs.

Considering these factors and comparing multiple Universal Sompo medical insurance plans can help you make an informed decision. We recommend you review your health insurance coverage periodically and adjust your plan as necessary to accommodate changes in your health or lifestyle.

Why Buy United India Health Plans From RenewBuy?

RenewBuy brings you the best deals on United India Health Insurance plans across the market. The key reasons for you to consider us are as follows:

  • IRDAI Certified
  • Get Insured by a leading Insurer
  • Discounted Premiums
  • Compare Various Health Plans in Just a few Clicks
  • Simple & Easy Buying Process
  • 24x7 Claim Assistance.

How to Renew Universal Sompo Health Insurance?

Medical emergencies may sometimes leave you a financial burden if your health insurance policy is not up-to-date. Renew your Universal Sompo Health Insurance policy on time to avoid the inconvenience. The policy renewal is required before the end of your selected policy term (1/ 2/ 3 years).

You can renew your Universal Sompo health insurance policy online by following the steps given below and avail of uninterrupted benefits.

  1. Visit the official website of Universal Sompo Health Insurance.

  2. Select the ‘Renew’ tab from the top menu bar.

  3. Click on ‘Renew Now’ from the selected plan.

  4. Provide the required details on the field and click ‘Continue’.

  5. Next, you will see all the policy details and the premium amount payable to renew the policy.

  6. Proceed for payment using the preferred payment mode.

  7. Upon successful payment, the updated policy documents will be sent to your over-registered email address.

How to Claim Universal Sompo Health Insurance?

Universal Sompo Health Insurance offers a quick and hassle-free claim settlement process. The policy mainly raises two types of claims: cashless hospitalisation claims and reimbursement claims. Follow the below step-by-step guide to claim under the Universal Sompo Health Insurance policy:

Cashless Hospitalisation Claim Process

Under the cashless facility, the health insurer directly settles the medical bill with the network hospital, provided the cashless/ pre-authorisation is approved. Here is the process to avail of cashless hospitalisation claim:

  • Intimate the health insurer about the claim within 24 hours in case of emergency admission and 48 hours prior to admission for a planned treatment.
  • Reach any of the network hospitals and show your Health Serve Card with valid identity proof at the desk.
  • Fill out the received ‘Cashless Request Form’ and submit it at the hospital helpdesk.
  • After verification, the hospital sends the ‘Cashless Request Form’ to Universal Sompo General Insurance Company.
  • The insurer will review the claim and communicate with the hospital about the admissibility of the cashless request.
  • After discharge, the health insurer directly settles the claim with the network hospital. Moreover, the insured had to bear the expenses that are payable per the policy's terms and conditions.

Reimbursement Claim Process

Reimbursement claims are filed when the insured directly settles the bill from their pocket. Later, the insured claims to reimburse the hospital bill from the insurer. Follow the given steps to file your reimbursement claim under the Universal Sompo Health Insurance policy:

  • Intimate the health insurer about the claim within 24 hours in case of emergency claim and 48 hours before hospitalisation in case of planned admission.
  • Get hospitalised for the treatment. At the time of discharge, settle your bill and collect all the bills with the original treatment documents.
  • Fill out the reimbursement claim form and submit/ send all the reimbursement documents to the address below. (Universal Sompo General Insurance Company Ltd. 1st Floor, Plot No. C 56 A/13 Block C, Sector 62, Noida, Uttar Pradesh- 201309)
  • The health insurer will review the request and process the claim per the policy's terms and conditions.
  • The applicable amount is sent to the provided bank account of the insured.

Required Documents to Avail of Claim

  • Name of the insured
  • Duly filled claim form
  • Policy number or membership ID number
  • Nature of sickness/ accident
  • Consultation documents by the doctor
  • Hospital details
  • Details of the doctor treating
  • Date of admission and expected discharge
  • Original bills, discharge summary, and receipts
  • Original bill from the chemist with doctor's prescription
  • Date & time of the loss (in case of accident)
  • Date from when the first symptoms of the disease were noticed (in case of sickness)
  • Place and contact details of the insured
  • Any other documents as required by the insurer

Universal Sompo Health Insurance Customer Care

In case you need guidance to buy a Universal Sompo Health Insurance policy or have any queries regarding health insurance claims, connect with the 24/7 active customer care team at the given contact details:

24/7 Available Helpline 1800 22 4030, 1800 200 4030
Toll-Free Number 022 41659800, 022 41659900
Email ID contactus@universalsompo.com contactclaims@universalsompo.com
Registered Address Universal Sompo General Insurance Co. Ltd. Unit No. 103, 1st Floor, Ackruti Star, MIDC, Andheri (E), Mumbai 400093, Maharashtra, India