United India Health Insurance

About United India Health Insurance

United India Insurance Company is one of the leading insurance providers in India. The company has 14000 employees which are spread across 2275 offices. The company offers a wide range of health insurance plans such as family medicare, united india gold health policy, etc to assist the insured in the hour of need.

Highlights of United India Health Insurance

Network hospitals	7000+
Incurred claim ratio	109.40%
Waiting period	4 years
Numbers of the issued policy	1182067
Renewability	Lifelong
Grievances solved	96.59%

Table Data updated on 28-05-2020

Types of United India Health Insurance Plans

United Health Insurance company has come out with a wide range of health insurance products to serve its customers better. Below is the list of all such plans in detail.

1. Family Medicare 2014 Policy

Family medicare is a family health insurance plan that offers the required financial cover to all family members under a single sum assured. Under the plan, you can cover self, spouse and dependent children. The age of the primary member should be between 18 and 80 years.

Key Features

Hospitalization Cover: The plan offers coverage against hospitalisation expenses that includes:

• Room, nursing expenses, nursing care, RMO charges, fluids/blood transfusion/injection administration charges and associated expenses.
• If the insured or any member gets admitted to the ICU unit, the plan will pay up to 2% of the Sum Insured per day or actual amount.
• Anaesthetist, surgeon, medical practitioner, specialists fees, consultants, blood, operation theatre charges, oxygen, surgical appliances, medicines & drugs, dialysis, radiotherapy, chemotherapy, cost of artificial limbs, cost of prosthetic devices implanted during surgical procedure like a pacemaker, infra cardiac valve replacements, orthopaedic implants, relevant laboratory diagnostic tests, X-ray, vascular stents, and related expenses which are required for the treatment.
• The plan offers cover against all hospitalisation expenses (excluding the cost of organ, if any) incurred for the donor in respect of organ transplant to the insured.

Pre and Post-Hospitalization: The plan also offers the required financial cover against pre-hospitalization (30 days before the hospitalization) and post-hospitalization (60 days after getting discharged). This is great to get cover for all associated expenses of the treatment.

Second Opinion: In case the insured requires the second opinion, the plan will also provide coverage for the same.

Daycare Treatment: The plan is great at offering coverage against day care procedures which do not require 24 hours hospitalization.

Ayurvedic Treatment: It covers ayurvedic treatment that takes place at any government hospital or in any institute which is recognized by the government and/or accredited by the Quality Council of India/National Accreditation Board on Health.

No-Claim Bonus: No claim discount of 3% to 15 % will be there on every claim-free year.

Free Look Period: The plan comes out with a free look period of 15 days under which you can cancel the plan if you have any issues with it.

Eligibility Criteria

2. United India Gold Health Insurance Policy

The United India Gold plan covers hospitalization expenses that occur out of the treatment of illness/disease sustained by the insured during the policy tenure.

Key Features

Hospitalization Expenses: The plan offers coverage against all hospitalization expenses associated with your treatment. It offers coverage against-

• Room, nursing expenses and boarding charges which are not exceeding 1% of the sum assured or the actual cost.
• ICU expenses which are not exceeding 2% of the sum assured or the actual price.
• Surgeon, consultant, medical practitioner, anaesthetist and specialist’s fees.
• Expenses associated with anaesthetic, oxygen, blood, OT charges, medicines, surgical appliances, drugs, dialysis, chemotherapy, radiotherapy, etc

Domiciliary Hospitalization: The plan covers all expenses that occur when the policyholder opts to get the required treatment at home. It can be done on the advice of the doctor as well.

Pre and Post-Hospitalization: The plan also covers all pre and post-hospitalization. 30 days before hospitalisation and 60 days after getting discharged are the tenures which will be liable to get the required financial cover.

Daycare Treatment: Under the same, the insured will get the required cover against daycare procedures which do not require 24 hours hospitalization.

Ayush Treatment: All Ayush treatments which include ayurvedic, yoga, unani, sidha, and homoeopathy will be liable to get the cover under the same.

Ambulance Charge: Ambulance charges up to Rs.2,500 (per policy period) will get the required cover.

Hospital Cash Benefits: The plan comes out with the hospital cash benefit of Rs.250 or Rs.500 per day subject to a maximum of Rs.2,000 or Rs.5,000 per hospitalisation.

Eligibility Criteria

3. Individual Health Insurance Policy

Individual health insurance policy is designed to offer the required financial cover to a single person. It is a comprehensive health insurance policy that offers a cover of up to 10 lacs. The plan also allows the insured to enhance the chosen sum assured.

Key Features

• Hospitalization Cover: The plan comes out with the helpful financial cover against hospitalization expenses. Such expenses include inpatient hospitalisation expenses such as room, nursing costs (up to 1% of the chosen sum assured), ICU charges (up to 2% of the chosen sum assured), expenses associated with treating medical professionals, supplies, consumables, OT and other rooms, tests, equipment etc. up to the chosen sum assured.
• Organ Transplant: If the insured requires an organ transplant treatment, the plan will cover the same as well.
• Daycare Procedures: The plan offers the required cover against daycare procedures that do not ask for 24 hours hospitalization.
• Pre and Post-Hospitalization: The plan comes out with the pre and post hospitalization cover. It means all expenses that occur 30 days before the hospitalization and 60 days after the hospitalization will be liable to get the required cover.

Eligibility Criteria

4. United India Individual Health Insurance Platinum Policy

United India Individual Health Insurance Platinum Policy is a comprehensive and inpatient health insurance plan that offers helpful financial cover to deal with multiple injuries and illnesses. The plan comes out with a host of benefits such as free health checkup, family discount and many others.

Key Features

• Hospitalization Cover: The plan will provide coverage against hospitalization expenses such as boarding, nursing, room expenses (maximum of 1% of the sum assured or actual cost) and ICU expenses are covered (up to 2% of the sum assured or actual).
• Pre and Post Hospitalization: The plan comes out with the pre and post-hospitalization. Under the same, all expenses associated with pre-hospitalisation (30 days before the hospitalization) and post-hospitalization (60 days after getting discharged) are covered.
• Daycare Treatment: The plan covers daycare procedures which do not require 24 hours hospitalization.
• Pre-Existing Diseases: After completing 4 years of the policy, the insured will be liable to get the required financial cover against pre-existing diseases.
• Tax Benefits: The plan allows you to avail tax benefits under section 80D of the Income Tax Act, 1961.

Eligibility Criteria

5. United Health Senior Citizen Policy

United Health Senior Citizen Plan is specially designed to support old age people (60 years and above) in case of an unwanted emergency.

Key Features

• Hospitalization Cover: The plan offers the required financial cover against all hospitalization expenses which includes boarding, nursing, and room expenses (maximum up to 1% of the sum assured or actual cost), surgeon’s fee, specialist’s fee, medical practitioner’s fee, anaesthetist and consultant fees among others.
• Pre and Post Hospitalization: The plan covers pre-hospitalization expenses (30 days before getting admitted) and the post hospitalisation expenses (60 days after getting discharged).
• Cashless Facility: The plan allows the insured to grab the cashless facility under which he/she doesn’t have to pay anything from their pocket while getting the required treatment. All expenses will get settled directly by the insurance company.
• Associated Expenses: All expenses for treatments in hospitals or institutes recognised by the government and/or recognised by the National Accreditation Board on Health / Quality Council of India are covered.

Eligibility Criteria

6. United Health Super Top-up Policy

United Health Super Top-up Plan is a top-up policy under which the insured will be liable to get the extra cover once his/her basic plan meets the deadline. This is the ideal plan for those who are looking for a sum assured of Rs.3 lakhs to Rs.50 lakhs.

Key Features

• Multiple Options: The plan can be bought on the individual, family floater or group basis.
• Hospitalization Cover: The plan offers coverage against boarding, nursing, and room expenses. It even covers expenses associated with the surgeon, specialist, medical practitioner, anaesthetist, consultant fees, anaesthetic, surgical appliances, oxygen, blood, drugs, operation theatre fees, and medicines.
• Cashless Facility: The plan offers the needful cashless facility under which the insured doesn’t have to pay anything from his/her pocket to get the required treatment.

Eligibility Criteria

7. United Health Top-up Policy

United Health Top-up Plan is again a top-up health insurance plan that offers the extra cover when the limit of the basic health plan meets the threshold. It offers a sum assured of Rs.3 lakhs to 15 lakhs.

Key Features

• Flexibility To Choose: The plan comes out with the flexibility to choose the different sum assured as per their needs.
• Hospitalization Expense: The plan will be there to cover all hospitalization expenses which includes room, boarding, nursing, IV fluids, blood transmission, injection administration, RMO charges, etc.
• Pre And Post-Hospitalization Cover: The plan will come out with a pre hospitalisation cover for 30 days and post hospitalisation cover for 60 days.

Eligibility Criteria

8. United Health Criticare Policy

United Health Criticare is exclusively designed for specific critical diseases which are not liable to get the required insurance coverage under a basic plan.

Key Features

• Flexibility: The plan offers the flexibility to choose sum assured as per your own convenience.
• Cover Against 11 Critical Diseases: The plan is liable to offer the coverage against 11 critical diseases that includes cancer of specified severity, coma of specified severity, first heart attack, kidney failure, coronary artery surgery, heart valve replacement, stroke resulting in permanent symptoms, major organ or bone marrow transplant, multiple sclerosis, permanent limbs paralysis and motor neuron disease.
• Cashless Hospitalization: The plan allows the insured to avail cashless hospitalization. Under the same, the insured does not have to pay anything from their own pocket to settle the bills at the hospital. The insurance company or TPA will do the same.
• Waiting Period: Unlike other plans where the waiting period is usually of 3 or 4 years, this insurance plan comes out with a waiting period of 90 days only after which you will be liable to get the required cover in case of need.
• Lifelong Renewability: The plan offers lifelong renewability options to the insured.

Eligibility Criteria

9. UNI Group Health Insurance Policy

UNI Group Health Insurance Policy is specially designed to offer coverage to a group of people. It will cover all the expenses associated with the treatment mentioned by a medical practitioner.

Key Features

• Inpatient Hospitalization Cover: The plan offers the required hospitalisation cover that will deal with the hospital bills in case of the treatment.
• Daycare Treatment: It offers the financial cover in case of daycare procedures which do not ask for 24 hours hospitalization.
• Pre and Post-Hospitalisation Cover: The plan is liable to cover pre-hospitalisation expenses (30 days before getting admitted to the hospital) and post-hospitalization (60 days after getting discharge) expenses.
• Domiciliary Hospitalisation Cover: The plan will offer coverage against medical expenses (up to the limit specified in the policy document) incurred for the policyholder’s domiciliary hospitalization during the policy tenure. Under the same, the insured is allowed to take the treatment at their home only with all the required equipment. However, there should be a genuine reason to avail domiciliary hospitalisation to get the cover.
• Donor Expenses Cover: The plan will cover all expenses incurred due to an organ donor’s treatment during the policy tenure for the harvesting of the organ donated up to a certain limit of under the chosen sum assured.

10. Workmen Medicare Policy

Workmen Medicare Policy is designed for factory owners, contractors or commercial institutions. It will offer cover against hospitalization expenses that occur due to the workmen suffering an accident at the time of work.

Key Features

• Hospitalization Expenses: It will include coverage against room expenses, boarding expenses, nursing expenses up to 1% of daily sum assured or actual cost. The plan will also cover specialist, practitioner, anesthetist or surgeon payments.
• Flexible Sum Insured: The plan comes out with the flexible sum insured options- Rs.50,000, Rs.1 lakh & Rs.1.5 lakhs.
• Ambulance Charges: The plan will cover ambulance charges (maximum Rs.2,500) for carrying the policyholder from the spot of the accident to the hospital/nursing home.

Eligibility Criteria

What United Health Insurance Plans Doesn't Cover?

• Suicide and self-injury are not liable to get the cover.
• Injuries that occur because of war, the act of a foreign enemy, invasion, hostilities, rebellion, revolution, civil war, insurrection, etc
• If the insured is involved in any criminal acts or any illegal activity which leads to any injury or death.

How Can You Buy a United India Health Insurance Plan?

If you want to invest in United India Health Insurance Plan, there are two modes through which you buy the same - offline and online. Let's discuss them in detail.

Offline: You have to visit the nearest branch of the United India Health Insurance Company. Ask for an application form and discuss the further steps with the representative.

Note- Don't forget to bring your documents.

Online: PolicyX.com allows the customer to buy United India Health Insurance with a simple process.

• Scroll up to the top of this page and fill the form at the right side corner.
• Click on ‘Proceed’.
• All the required details of the plan will be available on your screen.
• Select the desired United health plan and click on ‘Buy’.
• Make the payment.
• You will get the soft copy of the plan on your registered email id

United Health Insurance: Renewal Process

PolicyX.com has come out with an online process which allows you to renew your policy from the comfort of your home. This process is mentioned below.

• Click on - https://www.policyx.com/renew.php.
• Select the insurance company, click on ‘Renew Now’ and it will directly take you to the official website of the chosen company.
• You need to click on the ‘Renew’ tab present on the health insurance page.
• Submit basic details such as policy number and expiry date.
• Check your policy details and premium.
• Pay the premium and you will receive the renewal documents on your registered e-mail address.

Claim Process

United India Insurance understands the need for claim settlement in the hour of need. Hence the team offers a simple and hassle-free claim process. It has come out with two different ways of claim settlement- Cashless and Reimbursement. Let's discuss them in detail.

Cashless: Here the insured can avail the required treatment at the network hospital without paying anything from his/her pocket. The insurance company or the TPA will deal with all the costs associated with the treatment and pay to the hospital directly. The insured can relax and focus on the treatment only.

Time-limit: You have to inform the company within 48 hours of emergency hospitalization and three days before in case of the planned one.

Reimbursement: The other process is called reimbursement under which you have to deal with all the medical bills associated with the treatment at the first space. Then after getting treated, you can easily file for the claim and can get the reimbursement. The company first examines all the documents and checks the authenticity of the claim and as per the procedure, it will settle the claim and inform you through call, letter or an e-mail. In case the company rejects your application, you will get a document or email stating the reason behind the same. In case of approval, the company will directly transfer the amount in your registered bank account.

Time-limit: You need to inform the company as soon as you get discharged and have all the required documents with you.

Documents Required For Filing A Claim

You have to submit below-mentioned documents to file a claim.

• Discharge card/documents provided by the hospital/ nursing home from where you have got the treatment.
• Along with the same, you have to provide the doctor's consultations reports, prescriptions, hospital bills and cash memos among others.
• You need to submit a summary of your medical history. You can get the same from the hospital only.
• Pathological and other associated reports from a certified pathologist/radiologist.
• Previous policies details.
• Additional documents as on request.