Universal Sompo Network Hospital List in Gurugram

Universal Sompo General Insurance provides you coverage against medical expenses with its health insurance plans. With these plans, you’ll get access to 4,000+ network hospitals for cashless treatment of the covered illness/injury. The insurer shall pay your bills if you receive treatment at a network hospital. If you are in Gurugram, 60+ such hospitals will provide you cashless facilities. Read this page and know about the Universal Sompo Network Hospital List in Gurugram.

Let’s Check the Universal Sompo Network Hospital List in Gurugram

Universal Sompo provides you cashless facility at the below-mentioned hospitals in Gurugram –

Cashless Process at the Universal Sompo Network Hospital in Gurugram

You can receive cashless treatment at the above-mentioned network hospitals by following the below-mentioned steps –

• Notify the insurer about the claim by calling the helpline number. You need to inform them within 24 hours of emergency admission and 48 hours before a planned hospitalization.
• Visit the hospital and show your health ID card along with a valid ID proof
• Collect the ‘Cashless Request Form’ from the hospital insurance help desk, fill it and submit the same.
• Later, the hospital will verify the details and send your duly filled ‘Cashless Request Form’ to the insurer by fax at 1800 200 9134
• Upon receiving the documents, the insurer will review the same and communicate its decision to you and the hospital.

Cashless Claim at the Universal Sompo Network Hospital through TPA

You can avail of the cashless treatment at the network hospital through TPA by following the steps below –

• Notify TPA about the claim by calling the helpline number or visiting the insurer/TPA website
• Submit the following details while intimating the claim – contact details, policy number and membership ID number, name of the insured person, nature of sickness/accident, date and time of death (in case of an accident), commencement date of the symptom of disease in case of an illness, location and place of death.

What if Universal Sompo Network Hospitals aren’t Near You?

You can receive treatment at a non-network hospital if there are no network hospitals near your home/the place of the accident. On your discharge, collect the hospital bills and the necessary payment receipts. Now, apply for a reimbursement claim by following the steps shown below –

• Notify the insurer about the claim by calling the helpline number or sending an email to healthserve@universalsompo.com. You need to notify within 24 hours of the emergency hospitalization and 48 hours prior to a planned hospitalization.
• Submit your duly filled claim form along with the required documents to the insurer

List of Documents Required for a Reimbursement Claim

• Duly filled claim form
• Information and evidence from the attending Medical Practitioner, Hospital, Chemist, Laboratory as required
• Original hospital bills, receipts and discharge certificate/card
  Original bills from chemists supported by the prescription

You need to submit the documents to the below address –

Universal Sompo General Insurance Company Limited Health Claims Management Office 5th Floor, Assotech One C-20/1 A, Block- C Sector- 62, Noida Uttar Pradesh, Pin Code:201309.

When the insurer receives the above documents, they will start processing your claim request and communicate its decision to you.