Universal Sompo Health Insurance vs Oriental Health Insurance

Sometimes, it is easy to take your health for granted and postpone taking preventive action. But waiting until the last minute or until a crisis strikes is never a good idea. Besides, why postpone something and put yourself and your loved ones at risk. Get health insurance to secure those who matter to you in the face of an unforeseen health eventuality. Get covered against several illnesses, unfortunate accidents, stubborn lifestyle diseases, and much more with health insurance. To get started on your purchasing journey and take prompt action, read this comparative guide of Universal Sompo Health Insurance and Oriental Health Insurance. 

Universal Sompo Health Insurance vs Oriental Health Insurance – Overview 

Parameter Universal Sompo Health InsuranceOriental Health Insurance
No. of health insurance policies20+10+
E-servicesPolicy salePolicy renewalClaim settlementOnline consultationBranch locator 24×7 customer supportPolicy salePolicy renewalClaim settlementOnline consultationBranch locator 24×7 customer service
Branches861000+
Claim settlement ratio (CSR)90%94.28%
Cashless claim settlement time 72 hoursUnspecified
Network Hospitals 4000+4,300+

*Source: The Annual Report of the Insurance Regulatory and Development Authority of India (IRDAI) –years 2019-20. 

Health Insurance Policies: Universal Sompo Health Insurance vs Oriental Health Insurance

Anyone can find the health insurance policy they are looking for at Universal Sompo Health Insurance and Oriental Health Insurance. The two insurers offer policies for individuals, families, senior citizens, corporate groups and Indians traveling abroad and can have you covered against various eventualities. 

Family Floater Policy: 

Universal Sompo’s Family Floater Policy called Complete Healthcare provides: 

  • Sum insured (SI) amounts up to Rs. 10,00,000
  • Coverage for:
  • Pre and post-hospitalization expenses 
  • In-patient hospitalization expenses 
  • Domiciliary hospitalization 
  • Non-allopathic treatments 
  • 141 daycare procedures 
  • Organ donor expenses 
  • Bariatric surgery for obesity treatment 
  • Maternity needs (including pre and post-natal care)
  • Newborn baby care needs 
  • Dental treatment needed due to an accident 
  • Out-patient departmental consultations 
  • Diagnostic and pharmacy services 
  • Vaccination expenses needed due to an animal bite 
  • Road ambulance charges and daily hospital cash allowances 
  • Spectacles, contact lenses, and hearing aids 
  • Convalescence benefits of Rs. 10,000
  • 100% restoration of the SI on exhaustion of the base SI 
  • Renewal benefits 

Oriental Health Insurance’s Happy Family Floater Policy provides:

  • 3 sub-policy options – Silver, Gold and Diamond 
  • SI amounts up to Rs. 20,00,000
  • Coverage for: 
  • Pre and post-hospitalization expenses 
  • In-patient hospitalization expenses 
  • Domiciliary hospitalization 
  • Non-allopathic treatments 
  • Daycare procedures 
  • Organ donor expenses 
  • HIV/ AIDS treatment 
  • Mental illnesses and their treatment  
  • Maternity and newborn baby needs 
  • Advanced technology treatments 
  • Second medical opinion for critical illnesses 
  • Telemedicine consultation expenses 
  • 100% restoration of the SI on exhaustion  of the base SI 

Daily Hospital Cash Policy: 

Universal Sompo’s Daily Hospital Cash Policy provides:

  • Daily cash benefits between Rs. 500 and Rs. 3,000 for up to 180 days 
  • Twice the benefit amount on hospitalization of the insured in the ICU 
  • Convalescence benefits up to Rs. 10,000 
  • 5% discounts on premiums 

Oriental Health Insurance’s Daily Hospital Cash Policy provides:   

  • Daily cash benefits up to Rs. 3,000 for up to 60 days 
  • Convalescence benefits  in case of extended hospitalization 
  • 25% increase in the benefit amount for female policyholders 
  • Up to 10% discounts on premiums 

Pravasi Bhartiya Bima Yojana Policy:  

The Pravasi Bhartiya Bima Yojana Policy is a standard insurance policy offered by most insurance providers across India, including Universal Sompo Health Insurance and Oriental Health Insurance.  It is specially designed for emigrated Indians who travel outside India for gainful employment. 

The policy provides: 

  • SI amounts up to Rs. 10,00,000
  • Rs. 10,00,000 for the personal accident of the insured emigrant 
  • Rs. 10,00,000 for the loss of overseas employment due to a permanent total disability caused by the accident 
  • Up to Rs. 50,000 for hospitalization expenses of the insured’s family back in India 
  • Up to Rs. 1,00,000 for hospitalization expenses of the insured 
  • Up to Rs. 50,000 for maternity expenses to a female insured 
  • Coverage for: 
  • Telemedicine 
  • Repatriation 
  • Airfare and transportation 
  • Legal services 
  • HIV/ AIDS treatment 
  • Mental illness healthcare

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