Universal Sompo Health Insurance vs Raheja QBE Health Insurance

Healthcare costs in India rise each year and get more expensive for the average citizen. The average cost of heart surgery in metropolitan cities of India ranges between Rs. 2,75,000 to Rs. 3,25,000. If you add up administrative costs, outpatient departmental charges, and more – this number can pile up. In fact, the costs for a day of COVID-19 treatment were around Rs. 10,000 a day last year. Add up the shortage of hospital rooms, and the situation seems direr. Thus, now would be a good time to get health insurance from a trusted insurance provider. Take Universal Sompo Health Insurance and Raheja QBE Health Insurance for instance and check the scope of benefits they provide in this comparative brief. 

Universal Sompo Health Insurance vs Raheja QBE Health Insurance – Overview 

Parameter Universal Sompo Health InsuranceRaheja QBE Health Insurance
No. of health insurance policies20+14
E-servicesPolicy salePolicy renewalClaim settlementOnline consultationBranch locator 24×7 customer supportPolicy salePolicy renewalClaim settlementOnline consultationBranch locator 24×7 customer help
Branches8612+
Claim settlement ratio (CSR)90%83.49%
Cashless claim settlement time 72 hoursUnspecified
Network Hospitals 4000+5,000+

*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 Raheja QBE Health Insurance

Universal Sompo Health Insurance and Raheja QBE Health Insurance offer various health insurance policies. These policies cater to the needs of individuals, families, senior citizens, and corporate groups, among others. They cover eventualities such as accidents, terminal diseases, lifestyle ailments, and more. 

Group Health Insurance Policy: 

Universal Sompo’s Group Health Insurance Policy offers:

  • Indemnification of: 
  • Pre and post-hospitalization expenses
  • In-patient hospitalization expenses
  • Domiciliary hospitalization expenses
  • Charges towards daycare procedures 
  • Costs for Ayurveda, Unani, Siddha and Homeopathy (AYUSH) treatments 
  • Coverage and waiver of the waiting period on the payment of additional premium for: 
  • Pre-existing diseases
  • Maternity and newborn baby needs
  • Sterility/infertility treatment 
  • Cosmetic/plastic surgery
  • Bariatric/weight-loss surgeries 
  • Injury due to engaging in adventure sports
  • OPD expenses
  • Non-medical items 

Raheja QBE’s Group Health Insurance Policy offers: 

  • SI amounts up to Rs. 1,00,00,000
  • Coverage for: 
  • Pre and post-hospitalization expenses
  • In-patient hospitalization expenses 
  • Domiciliary hospitalization 
  • 140 daycare procedures
  • AYUSH treatments 
  • Advanced treatments 
  • Organ donor expenses 
  • Newborn vaccination expenses 
  • Maternity and newborn baby needs 
  • Pre-existing diseases after 36 months 
  • Injury due to engaging in adventure sports 
  • Bariatric surgery 
  • Ambulance charges 

Individual Personal Accident Policy: 

Universal Sompo’s Personal Accident Policy offers: 

  • Full payout of the SI for accidental death
  • Full payout of the SI for permanent total disability
  • Up to 50% payout of the SI for permanent partial disability 
  • Rs. 5,000 per week for temporary total disability (for a maximum of 104 weeks) 
  • Up to Rs. 15,000 towards an education fund for the insured’s dependent children
  • Up to Rs. 25,000 in case the insured faces loss of employment due to the accident 
  • Up to Rs. 2,500 for funeral and transportation costs 
  • Ambulance charges up to Rs. 1,000
  • Up to Rs. 1,000 for damaged clothing 

Raheja QBE’s Individual Personal Accident Policy gives: 

  • Full payout of the SI for accidental death
  • Full payout of the SI for permanent total disability 
  • Up to 75% of the SI for permanent partial disability 
  • Rs. 5,000 per week for temporary total disability (for a maximum of 104 weeks)
  • Rs. 5,000 towards an education fund for the insured’s dependent children 
  • Rs. 2,500 for funeral expenses
  • Rs. 1,000 for transportation expenses 
  • Compensation in case the insured faces job loss due to a permanent total disability 
  • Reimbursement of in-patient hospitalization expenses 
  • Up to Rs. 1,000 for damaged clothing 
  • Daily hospital cash benefits of Rs. 500 

Arogya Sanjeevani Policy: 

The Arogya Sanjeevani Policy is a standard and affordable insurance policy. It is offered by all insurers across India, including Universal Sompo Health Insurance and Raheja QBE Health Insurance. It shares similar features and offers:  

  • SI amounts up to Rs. 5,00,000 
  • Coverage for: 
  • Pre and post-hospitalization
  • In-patient hospitalization 
  • Domiciliary hospitalization 
  • Daycare procedures
  • AYUSH treatments 
  • Ambulance costs up to Rs. 2,000 per hospitalization 
  • Daily hospital cash benefits 
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