Universal Sompo Hospital Cash Insurance Plan

Eligibility age

Min – 18 years

Max – 70 years

Children within 6 months to 25 years can also be covered as dependents

Basis

Individual

Premium

Single Premium – Rs.188 to Rs.43,000

Annual premium amounts are as follows (as per daily allowance limit chosen):

For daily allowance of Rs.500

For daily allowance of Rs.1,000

For daily allowance of Rs.1,500

For daily allowance of Rs.2,000

For daily allowance of Rs.2,500

For daily allowance of Rs.3,000

Sum assured

For Hospital Confinement Benefit

For Intensive Care benefit

• 2 times Hospital Confinement Benefit

For Convalescence Benefit

• Rs.X once during policy tenure provided you were hospitalized for more than 21 days

Policy term

1 year

Renewability

Lifetime renewability option

Cover offered

Hospital Confinement Benefit – Daily Allowance to help support financial requirements arising out of hospitalization

Intensive Care Benefit – Twice the Daily Allowance amount for intensive care unit admissions

Convalescence Benefit – When hospitalization extends for more than 21 days, this benefit is paid out as per the policy schedule

Discount

• 2 year premium payment as advance will attract 10% discount
• 3 year premium payment in advance will attract 15% discount
• 5% discount on family enrolment

Benefits

• No medical screening till 55 years, post which 50% of screening costs will be reimbursed.
• Cashless hospitalization in any of the network hospitals.
• Tax exemptions as per Section 80D of the Income Tax Act, 1961.
• 6 flexible options for deciding cover and daily allowance limits.

Exclusions

The following exclusions are in effect:

• Pre-existing diseases not covered for the first 48 months of continuous policy coverage. The time period may be scrapped or reduced if the insured already has continuous health coverage from other Indian general insurers.
• Treatment of diseases like cataract, hernia, arthritis, stones, joint replacements, tonsil or sinus surgery, piles, gastric and duodenal ulcers etc. within the 1^st policy year.
• Sickness classified as epidemic.
• Domiciliary or general hospitalization within 30 days of initiation of insurance cover on account of illness.
• Circumcision unless for treatment of a disease.
• Dental surgery or treatment that didn’t arise out of accidental injury.
• Intentional self-injury, venereal diseases and alcohol/drug use.
• AIDS and related treatments.
• Pregnancy and childbirth related losses.
• Alternative treatments, etc.