‘Beauty lies in the eyes of the beholder.’ - Plato
This is the reason you should protect your eyes at any cost.
The eyes are one of the most sensitive organs that we human beings have. We can’t even imagine our lives without eyes. Who knows, if someone’s eyesight becomes blurry due to an accident and their life becomes difficult? Many people need various special eyewear including spectacles, lenses and sunglasses to get a clear vision and continue their day-to-day activities normally.
There are thousands of health insurance policies out there, but no company gives coverage for protecting your eye-related accessories. Here comes the golden part of a company like Universal Sompo Health Insurance that provides coverage options for eyewear.
The Universal Sompo Eyewear Insurance Plan gives you the freedom to maintain the health of your eyes. As you know, there has been an increased strain on our vision due to elongated screen time and working on devices like laptops & desktops. Resultantly, more people have started wearing fancy sunglasses to protect their eyes from hyperultraviolet rays like advanced sunglasses (with blue/chromatic filter) and lenses to reduce eye straining.
The Universal Sompo Eye Wear Insurance Policy makes sure you get covered for vision needs such as spectacles, sunglasses, lenses and all kinds of glasses that are required for eye protection. Not only this, you get extended coverage if your optical item/s (which you have got coverage for) have gone through a loss/damage/theft/etc. This page discusses all the coverage benefits, inclusions and exclusions, the process of claiming the policy, the company’s contact addresses and details, etc.
Sum Insured
The Sum Insured would be as per the insured’s choice or the invoice value, whichever is lower; The minimum SI is INR 500 The maximum SI is INR 50,000
Plan Type
Individual/Group policy
Policy Term
1 Year
Coverage for (specifications)
Spectacles, Lenses & Sunglasses
Where is the coverage available
Within India and abroad (as per the specifications of your plan)
Where to get the Jurisdiction
Within India only
Universal Sompo Eyewear Plan Specifications
To understand Universal Sompo Eyewear Plan Insurance in detail, take a look at the below table:
Entry Age
NA
Policy Type
Individual
Sum Insured
500 | 50000
Initial Waiting Period*
Covered from Day 1 Days
Renewability
NA
Policy Term
1 year
*Initial Waiting Period is the time period between the
issuance of the policy and the time it starts actively. During this period, a
policyholder has to wait to avail of the benefits offered under a health insurance
plan.
Read more specifications in the brochure.
Choose Your Universal Sompo Eyewear Plan
With wide coverage options available, Universal Sompo Eyewear Plan Insurance Plan
allows you to
choose your ideal coverage as per your family’s health requirements. Take a look at the
coverage under every SI option available and choose your ideal coverage:
In-patient & Out-patient coverage
Room Rent
Not Covered
ICU Charges
Not Covered
Pre-Hospitalization
Not Covered
Post-Hospitalization
Not Covered
Domiciliary Hospitalization
Not Covered
Daycare Treatment
Not Covered
OPD Charges
Not Covered
Coverage
Terms
COVID-19 Treatment
Not Covered
Cataract
Not Covered
No Claim Bonus
Not Covered
Automatic Restoration
Not Covered
Daily Hospital Cash
Not Covered
Organ Donor
Not Covered
Maternity Cover
Not Covered
New Born Baby Cover
Not Covered
Alternative
Treatments
AYUSH Treatment
Not Covered
IVF Treatment
Not Covered
Modern Treatment
Not Covered
Emergency
Coverage
Ambulance
Not Covered
Air Ambulance
Not Covered
Compassionate Travel
Not Covered
Global Coverage
Not Covered
Wellness
Programmes
E-Consultation
Not Covered
Health Check-Up
Not Covered
Second Medical Opinion
Not Covered
Vaccination
Not Covered
Limitations
Co-payment
Not Covered
Sub-limits
Not Covered
What
is Room Rent?
The room rent limit is the maximum bed charge you can claim if you are hospitalised. Common Room categories covered under room rent are all kinds of rooms including single, private and AC rooms (except suite).
What
are ICU Charges?
It is a special hospital department where patients with serious medical conditions are treated.
What
is Pre Hospitalization?
Medical expenses incurred before hospitalisation of the policyholder.
What
is Post Hospitalization?
Medical expenses incurred after the discharge of the policyholder from the hospital.
What
is Domiciliary Hospitalization?
Domiciliary hospitalization or home care treatments are the arrangements for an insured individual due to the unavailability of medical amenities in hospitals, or in a case where an insured member can not be admitted to the hospital due to an inability. The treatment should last equal to or more than 72 hours to get financial coverage.
What
is Daycare Treatment?
Treatments that can be completed within 24 hours of hospitalization like blood dialysis, cataracts, etc.
What
are OPD charges?
Covers the cost of doctor consultations and prescribed medical tests that may not require hospitalization.
.
What
is COVID-19 Treatment?
It includes the treatment cost for COVID-19 with a confirmative diagnosis from a government-approved centre.
What
is Cataract Treatment?
A common eye condition in which your vision gets blurred due to cloudy formation in your eyes.
What
is a No-Claim Bonus?
For every claim-free year, insurance companies reward policyholders with an increase in the sum insured amount as a no-claim bonus or cumulative bonus on policy renewal. However, in the case of a claim, this bonus amount either lapses or is reduced by a certain percentage varying from one plan to the other.
What
is Automatic Restoration?
It is a benefit in which an insurance company restores the amount of sum insured completely or up to a certain percentage after it gets fully exhausted in treatments. This restoration amount may vary from one plan to the other.
What
is Daily Hospital Cash?
Daily hospital cash or Hospicash is a cash amount that you receive each day during the time of hospitalization to cover your non-medical expenses.
What
is an Organ Donor Cover?
It is a cover that includes the cost of the procedure for removing the damaged or malfunctioning organs from the body. In most of the cases, the insurer pays for the hospitalization and transplant expenses for both the parties i.e. the donor and the receiver.
What
is a Maternity Cover?
It refers to the cover that includes expenses for normal and c-section deliveries.
What
is a New Born Baby Cover?
It takes care of the medical expenses that arise due to the hospitalisation of the newborn baby in case of any childbirth complications, medical challenges, and so on. Some of the common treatments that are covered under the newborn cover and these common treatments can vary from plan to plan:
Congenital anomaly (conditions since birth)
Acute condition
Chronic condition
Premature delivery
Birth asphyxia
Daycare treatment
What
is AYUSH Treatment?
Refers to the cost of medicines and procedures used under AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy) treatment.
What
is IVF Treatment?
In Vitro Fertilization (IVF) is a method of assisted reproductive technology. The common expenses incurred under IVF and infertility treatments are settled or reimbursed for:
Full infertility
No fertility
Infertility diagnosis
Infertility diagnosis and limited fertility treatment
Medication (which may or may not include fertility drug prescriptions)
What
is a Modern Treatment?
Medical treatments that demand the use of modern technology and advanced machinery such as robotic surgeries, stem cell therapy, etc.
What
is an Ambulance Cover?
An ambulance is used to move the patient from home to the hospital, transfer them to another hospital, and take them for different tests outside the hospital.
What
is an Air Ambulance?
Air ambulances are specially prepared planes that transfer the patient from one place to another in case of a health emergency.
What
is Compassionate Travel?
Refers to the travelling expenses of a family member who’s visiting the hospital to look after the patient when the policyholder gets admitted to a hospital outside his/her residential city.
What
is Global Coverage?
Any kind of medical/health emergency when you are outside of India is covered for hospitalization expenses, modern and specific treatments, etc.
What
is E-Consultation?
If a policy offers e-consultation it allows policyholders to connect with a doctor for medical consultation through video chat, audio call, or chatbot.
What
is a Health Checkup?
A facility where the policyholder can avail of free health check-ups after fulfilling the company's eligibility criteria. In most cases, the insured member/s gets an annual health check-up cover.
What
is a Second Medical Opinion?
If the policyholder wants, they may opt for a second medical opinion wherein the policyholder can consult another doctor within the company’s network of medical practitioners.
What
is Vaccination cover?
Coverage against the expenses incurred on vaccinations of either the newborn baby, for an animal bite, etc is provided by the insurance companies.
What
is Co-payment?
In the co-payment clause, policyholders have to pay a preset amount (either compulsorily or voluntarily) of the hospitalisation expense on their own and the insurer will pay the rest of the medical bill amount.
What
is the Sub limit?
Sub limit is a condition in which the insurer will have to pay the medical expense up to a certain percentage and the remaining amount will have to be paid by the policyholder.
For instance, if your policy covers room rent for upto 20% of the sum insured, but the expense of the same is more than 25%, you will have to pay the rest amount, i.e. 5%, for your room rent.
What is the depreciation(s) percentage of the Universal Sompo Eyewear plan?
The depreciation amount of your policy applies to every article (separately) covered under the policy, specifications (in age and %) are mentioned here:
Age
Depreciation %
0-3 months
10%
3-6 months
20%
6-9 months
30%
9-12 months
40%
Exceeding 12 months
50%
Universal Sompo Eyewear Plan Network Hospital List
Universal Sompo Eyewear Plan Network Hospitals are present in 31
states
nationwide. With a wide network of hospitals, Universal Sompo Eyewear Plan ensures
that you are
medically secured, irrespective of the city you reside in.
Inclusions of Universal Sompo Eyewear Insurance Policy
Here’s a section illustrating the inclusions (what’s covered) under the Universal Sompo Eye Wear Health Insurance plan:
The company will provide coverage for the damage caused to your eyewear under specified conditions/events like
Fire and allied perils
Fire
Lightning
Explosion/Implosion
Aircraft damage
Riot, Strike and Malicious Damage
Storm, Cyclone, Typhoon, Tempest, Hurricane, Tornado, Flood and Inundation
Impact damage by any Rail/ Road vehicle or animal by direct contact not belonging to or owned by the insured
Exploding/overflowing of Water Tanks, Water Apparatus and Water Pipes
Subsidence and Landslide including Rock slide
Missile testing damage and loss due to leakage from Automatic Sprinkler Installations
Bush Fire
Accidental Damage
Burglary including theft
Exclusions of Universal Sompo Eyewear Insurance Plan
Read here the Exclusions (What’s not covered) under the Universal Sompo Eyewear Insurance:
Eyewear that is older than a year or agreed by your insurer.
Any damage due to mishandling or negligence to carry the article on the user’s side.
Any defects from the end of the manufacturer or supplier.
Raising a claim that comes from improper handling, dismantling, fitting, adjustment, repair, alteration, or replacement performed by another agent or retail owner other than the manufacturer entitled to it.
Overheating/due to chemical reactions.
Replacement of the spectacles/lens on a changed prescription.
A damage that is caused by keeping the article in an inappropriate environment that does not align with the manufacturer’s guidelines.
Sports glasses, accessories & any embedded valuable/jewellery along with eyewear won’t be covered.
Losses within the scope of the manufacturer’s warranty are not covered.
Transferring the policy to someone else’s interest is not possible.
Loss registered from normal usage.
External damages that do not impact the item’s functionality, including but not limited to dents, scratches, polish damage, or broken plastic on ports and antennae.
An unexplained or mysteriously disappeared item that was insured is excluded.
Infidelity of employees, servants, or household staff of the insured will be not covered.
Damage due to moths, rats, mildew/moisture damage or inherent defect, damage due to regular usage, gradually operating cause, etc.
Loss of the article due to theft from an unattended vehicle/s.
Loss due to theft in ignorance of the insured or their family members.
Direct or indirect loss due to the consequences of war, invasion act of a foreign enemy, hostilities (whether war be declared or not), Civil war, rebellion, revolution, insurrection, Military or usurped power, Confiscation, nationalisation, or likewise.
Loss/damage caused by the action from public authority.
Nuclear and nuclear group of perils.
Cosmetic repairs, scratching, discolouration, wear and tear or gradual deterioration of the eyewear, with effect to any cause or a claim rising due to a willful act.
Consequential loss of any kind.
Terrorism is not covered from the coverage scope unless concerning the insurer.
Note: The list of inclusions and exclusions is taken from the policy prospectus of the Universal Sompo Eye Wear Insurance Policy which is subject to variability. You must check through the relevant policy wordings/schedules on your own.
Deductible clauses with the Universal Sompo Eyewear plan
According to the policy schedule, the policyholder can opt for a specific percentage (excess) of the deductible to avail of a certain percentage of the guaranteed discount. The specifications of the discount are given below:
Excess
Discount on premium
5% of the claim amount
5%
10% of the claim amount
10%
15% of the claim amount
15%
20% of the claim amount
20%
25% of the claim amount
25%
How to buy Universal Sompo Eye Wear Insurance Plan?
You can buy this plan from the official website of Universal Sompo General Insurance. Or you can directly reach out to the company’s customer care given below.
If you feel stuck anywhere in the buying process of this policy, give us a call at 1800 4200 269 and get to learn more about the same.
How to raise a claim for the Universal Sompo Eye Wear Insurance Plan?
The steps to follow for proceeding with the grievance redressal of the policy:
Step 1 Reach out to the USGICL to lodge your claim against the policy.
Step 2 The redressal officer of the grievance will address the claim file and proceed with it.
Step 3 In case of any negligence regarding the claim, you can reach out to the insurance ombudsman of the Universal Sompo health insurance company to accelerate the claim proceedings.
Contact details and Grievance redressal of Universal Sompo Insurance policy
Universal Sompo General Insurance Co. Ltd, Unit No- 601 & 602 A Wing, 6th Floor, Reliable Tech Park, Cloud City Campus; Thane- Belapur Road, Airoli- 400708 OR Registered & Corporate Office: Office No 103, First Floor, Ackruti Star, MIDC Central Road, Andheri (East), Mumbai-400093, Maharashtra
Grievance Cell
grievance@universalsompo.com
Learn about the company’s Insurance Ombudsman Offices and Jurisdiction Click here
Documents that you need to submit at the time of raising a claim
Filled and undersigned claim form
Image/photographs that approve of the loss of claimed item(s)
Copy of FIR that mentions the case of theft/burglary/riot/strike
Proof of alleged product purchase/invoice of the commodity with payment receipts
Estimation of repair/purchase cost on the report suggestion of an expert
Indemnity letter authorized by the notary against a loss of more than INR 1 Lakh
Bank mandate form, KYC documents, copy of the cancelled cheque
Others, requested at the time of raising a claim.
Cancellation information for Universal Sompo eyewear policy
The policyholder needs to inform the company 15 days before starting the process of policy cancellation. If you cancel the policy, a pro-rata refund will be credited to you against the overall premiums paid by you. The fact is, there will be no full refund in case of cancellation. Here’s the tenure for which your policy remains active and the % of a refund at the annual rate that you’ll receive on the policy’s cancellation.
Time for which the Policy is in force
Refund of Premium
For a period not exceeding 15 days
90% of the Annual rate
For a period not exceeding 1 Month
85% of the Annual rate
For a period not exceeding 2 Months
70% of the Annual rate
For a period not exceeding 3 Months
60% of the Annual rate
For a period not exceeding 4 Months
50% of the Annual rate
For a period not exceeding 5 Months
40% of the Annual rate
For a period not exceeding 6 Months
30% of the Annual rate
For a period not exceeding 7 Months
25% of the Annual rate
For a period not exceeding 8 Months
20% of the Annual rate
For a period not exceeding 9 Months
15% of the Annual rate
For a period exceeding 9 Months
Nil
Long story short
Are you worried about getting blurred vision in the future due to extended exposure to screens? Not anymore! Universal Sompo Eyewear insurance is here to cover you against expensive eye/vision protection articles like eye lenses, sunglasses, chromatic filter glasses, and so on.
Hope this page helped you get all the information in one place! Got more doubts? Reach out to our experts who will guide you through the thick and thins of the plan. Ring us at 1800 4200 269 or ping us on WhatsApp to learn more. You can also ‘get a quote’ to get more details of the best health insurance plans at PolicyX.
Explore other Universal Sompo Health Insurance
To cater to the different medical needs of an individual & their family,
Universal Sompo Health Insurance offers
several Health Plans ranging from senior citizen plans to specialized plans for
autistic
children, to health insurance for cardiac patients, and many more.Take a look below
to Universal Sompo Health Insurance plans
explore more:
‘Beauty lies in the eyes of the beholder.’ - Plato
This is the reason you should protect your eyes at any cost.
The eyes are one of the mo...
Unique Features
Special Eyewear Coverage
Discounts on Premiums
Deductibles Available
Universal Sompo Eyewear Plan (Pros)
Fire and allied perils
Accidental Damage
Burglary including theft
Universal Sompo Eyewear Plan (Cons)
Damage due to mishandling
Defect in manufacturing
Replacement of the spectacles/lens
Universal Sompo Eyewear Plan (Other
Benefits)
Spectacles
Lenses & Sunglasses cover
Cover within India & Abroad
Universal Sompo Eyewear Plan (Eligibility
Criteria)
Universal Sompo Complete Healthcare Insurance is a comprehensive health insurance plan that takes care of your medical bills during the time of hospi...
1. What are the coverage benefits of the Universal Sompo eyewear insurance policy?
The plan widely covers eye protection articles such as - Spectacles, Lenses & Sunglasses.
2. Who should buy this eyewear insurance from Universal Sompo?
Anyone who wants this policy as an Individual or a Group can buy it. Group policy is also applicable on the Employer-Employee and Non-Employer-Employee basis.
3. Can I cancel my Universal Sompo Eye Wear insurance plan?
Yes, you can get your policy cancelled 15 days after informing the insurer about your policy’s cancellation.
4. What is the condition of reinstatement of the Universal Sompo eyewear plan’s sum insured?
In case of a claim against a partial loss, the value of the sum insured will be reinstated as the original sum insured on making a payment of an additional premium. However, in case of a claim against total loss (of any one item), the coverage (of the same) will be ceased and there won’t be a chance of a refund against an overall premium that you’ve paid for that policy tenure.
5. I already use lenses prescribed by an eye specialist. Can I also buy this policy?
Yes, anyone can buy this plan.
6. What is the premium of the Universal Sompo eyewear plan?
You need to pay barely 100 rupees if your eye article costs somewhere around INR 10,000 (Though it depends on your requirements).
Simran has an experience of 3 years in insurance content writing. She transitioned from hospitality to the insurance industry after her emerging interest in how vast insurance is. With her ability to write complex insurance concepts in a simple, relatable manner she keeps her audience hooked and solves their doubts smoothly.
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