Universal Sompo General Insurance (USGI) is one of the first Private partnerships in the Indian General Insurance Industry, This joint venture is being capitalized with shareholders' funds of over Rs. 230 crore, including the share premium. Sompo Japan Insurance Inc. is headquartered in Tokyo and is a Fortune 500 Company with a capital of around 70 billion yen.
Universal Sompo General Insurance offers Health & Critical Illness, Personal Accident & Disability, Home, Motor, and Property insurance. The Company received the Licence and Certificate of Registration from IRDA as recently as November 2007.
The company has a whopping and impressive set of 12 health insurance policies, of course catering to various requirements of individuals in the Indian household and beyond. USGI has an impressive product portfolio catering to individuals, SMEs and large corporates. Their numerous health insurance policies are customised to suit the requirements of both individuals and their families. These basic plans can be topped-up to make coverage more comprehensive with add-on covers.
There are two situations that may occur when claiming health insurance. The cashless treatment is one that allows the policyholder to use the insurance as money to seek their treatment without having to pay any money upfront for treatment. The other scenario that is possible is in the case that the treatment has been already done and paid for but claim settlement requires to be made to allow the individual to be returned the money spent for treatment.
Cashless treatment is basically treatment for a disease or illness, which is covered by the insurer including medical expenses for the treatment but on an individual basis, regardless whether the patient is a part of a group health insurance or a family insurance plan. The patient requiring the treatment claim for a cashless facility at any of the network hospitals enlisted by USGI on their website, or policy brochure, across the country.
Procedure to File a Claim (Planned/Emergency Hospitalisation).
Here is all that you have to file a cashless claim.
Claims Process: Here is how the claim process for USGI health insurance works:
USGI will then approve or reject it based on the policy in place.
Here is what you need to do to file a claim for reimbursement of medical bills through your mediclaim:
The following documents need to be submitted to USGI
Note: You may be asked for further documentation for the claim approval.
Claims Process: The claim will be approved or rejected based on the policy as well as documentation provided.
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