Universal Sompo Complete Healthcare Insurance

Here is the list of the key features and benefits of the Complete Healthcare Insurance Policy by Universal Sompo.

• In-Patient Treatment

When an insured person needs to be admitted as an inpatient to a hospital during the policy period due to a disease, illness, or injury, the policy will pay the associated hospitalisation costs. Payable medical costs would be those directly associated with the hospital stay.

• Restore Benefit

It is agreed that a Restore Sum Insured (equal to 100% of the Base Sum Insured) will be automatically available for the specific Policy Year if the base Sum Insured and No Claim Bonus (if any) are depleted as a result of claims made and paid during the Policy Year or made during the Policy Year and accepted by the company as payable.

• Convalescence Benefit

If the insured person stays in the hospital for a minimum of 10 consecutive days, a lump sum payment as shown in the policy schedule is due.

• Domiciliary Treatment

The medical costs incurred by an insured person for receiving treatment at home when a hospital stay would have been necessary. In the event of a hospitalization at home, the policy will also pay for pre- and post-hospitalization costs.

• Ambulance Cover

The cost of the insured person’s ambulance transportation from one hospital to the closest hospital that is willing to admit them and offer the required medical care is covered by the insurance. If a hospital where the insured person is located cannot satisfactorily provide these medical services, transportation may be ordered if necessary by a medical professional.

• Pre-Hospitalization

The Medical Expenses incurred within 30 days of the Insured Person’s hospitalisation date will be reimbursed.

• Post-Hospitalization

The Medical Expenses incurred within 60 days of the Insured Person’s hospital discharge date will be covered.

• Health Checkup

Up to the limits outlined below by the plan of the insured person who was covered during the prior policy year, the policy will cover the cost of a preventive health check-up.

• Critical Illness

The company will pay you the Sum Insured as stated in your Policy Schedule if you choose to use this option and are diagnosed with one of the covered Critical Illnesses or undergo one of the covered Surgical Procedures for the first time in your life.

• Free Look Period

The Free Look Period shall only apply to new individual health insurance policies; it shall not apply to renewals or when a policy is ported or moved. Following receipt of the policy document, the insured person has fifteen (15) days to review the terms and conditions and return the document if they are not satisfactory.

• Loyalty Discount

Existing policyholders holding any retail policy of the company are eligible for a 5% discount on the applicable premium. When this proposed policy was introduced, the previous one shouldn’t have gone into effect.

• Family Discount

Discount on the applicable premium if more than two family members are insured under the same policy on an individual sum insured basis. Both purchasing a new policy and renewing an existing one are eligible for this discount.