United India Insurance Company

Key Features


Claim Settlement Ratio 78.03%

Renewability 100%

Claim Settlement Facility 100%

COVID-19 Cover Yes

Network Hospitals 7000

Incurred Claim Ratio 110.51%

United India health insurance plans

Eligibility

Any person aged between 18 years and 65 years can take the policy. The policy can be taken on an individual or family floater basis. Beyond 65 years, only renewals without any break are allowed.

Mid term inclusions

The midterm inclusion of family members is allowed on payment of pro rata premium. Mid term inclusions is possible only in case of occurrence of an event such as marriage or child birth.

Sum Insured

The minimum and maximum sum insured under the plan is Rs.3 lakhs and Rs.25 lakhs.

Sub-limits

The policy has a sub limit in respect of the cataract surgery where the expenses are limited to 10% of the sum insured subject to a maximum of Rs.5k per eye. The sub limit for mental illness cover is up to 25% of the basic sum insured subject to a maximum of Rs.3 lakhs per year.

Pre & Post Hospitalization expenses

The pre and post hospitalization expenses are covered up to 30 days prior to hospitalization and 60 days after the hospitalization. The maximum limit of coverage under this is a maximum of 10% of sum insured.

Ayush

The policy covers the expenses for alternate treatments such as Ayurveda, Yoga, Unani, Siddha and Homeopathy up to the limits mentioned under the policy.

Donor expenses cover

The policy covers the expenses incurred for an organ donor’s treatment for harvesting the organ donated up to the sum insured. In case of the insured being the donor a maximum of 10% of the sum insured would be made as lump sum payment.

Road ambulance cover

The policy covers the emergency ambulance expenses up to 0.5% of the sum insured subject to a maximum of Rs.2500 per event and up to 1% of the sum insured subject to a maximum of Rs.5000 per policy period.

Health checkup:

The United India health insurance plan covers the expenses incurred towards health checkup costs up to 1% of the average sum insured of preceding 3 years subject to a maximum of Rs.10000.

Co-payment

There would be a co-payment applicable for people with more than 60 years at the time of entry. A maximum of 10% of co-payment would be applicable on the treatments availed under the policy.

Zone based premium

For the calculation of premium the cities in India are divided into zones and the premium is charged accordingly. The premium would be high in Zone 1 which includes the Metro cities and other big cities.