A top-up health insurance policy is additional coverage for individuals with an existing individual plan. It is for reimbursement of expenses which emerges out of a single illness past the limit of the current cover.
When you are hospitalized, the insurer will settle up to the set total insured limit. The top-up, then again, will kick in solely after a specific sum, like, say, Rs.2 lakh, has been crossed. It will pay for the claim sum well beyond it.
Top up insurance plans are reasonable and more efficient than basic health coverage. These can likewise be brought with the health coverage provided by your employer. Many people get confused about top-up and the riders as the same. Health insurance companies top-up plans are just reimbursement schemes with a regular cover.
Regardless of whether your ongoing health coverage policy gets exhausted while filing a claim, you can, in any case, feel and partake in your inner peace as you are covered for the remaining term.
We propose that you get a health coverage plan with an insured sum equal to the deductibles.
You get a choice to enhance your policy coverage while renewing your ongoing policy.
Also, you can purchase a Top-Up Plan regardless of whether you have a basic health policy.
Top up insurance plans are reasonable and more efficient than basic health coverage. These can likewise be brought with the health coverage provided by your employer. Many people get confused about top-up and the riders as the same. Health insurance companies top-up plans are just reimbursement schemes with a regular cover.
Essentially, top-up coverage resembles a reimbursement plan, which gives the same advantages as a basic reimbursement health insurance plan.
The main distinction is the expense of deductibles that make these policies affordable. Also, pre-medical screening is not needed for up to 55 years in a top-up plan. Also, in a large portion of the other basic health insurance policies, it becomes mandatory after 45 years old.
If your basic plan arrives at the limit, the claim for both top-up and individual health plans can be filed together. What is more, without much of a stretch, you can get the two of them from different insurance providers, who will be responsible for taking care of the part of their claims.
The higher the deductible, the less expensive will be the policy. Yet, top-up health plans are intended to overcome any barrier between existing policies and actual expenses. The thought is not to duplicate yet purchase the additional cover at a sensible cost. Exclusions, such as daycare and dental treatment, wont have a significant effect as your base health policy will deal with them.
Also, remember to check the deductible criteria for single illness, waiting period for existing diseases, limits comprehensive of donor expenses, and pre-and post-hospitalization costs.
Typically, a single hospitalization cover is given in top-up health insurance plans. Your top-up plan becomes effective when your hospital bill surpasses the deductible limit (during the hospitalization).
In this way, if you make two claims in a year of Rs. 1 Lakh and 2 Lakh, your top-up plan has a threshold limit of Rs. 3 Lakh, then it wont be set off. The same is the situation in a family floater plan where two individuals are hospitalized. The medical clinic bill is Rs. 2 Lakh each.
If the ailment is relapsed in no less than 45 days of discharge, then it will be considered a single illness. Furthermore, if there is re-hospitalization after 45 days of discharge, it will be regarded as a fresh illness. You can avail the benefits of a top-up health plan if the deductible limit is surpassed.
Quick answers to common questions.
What is the right age to buy health insurance?
Health Insurance coverage can be given from Infant to any Age as per Product entry Age. Health Insurance covers Accident as well as Ill Health, hence everyone has to avail as early as possible. Health Insurance comes with timely waiting periods, hence it is better to avail early and cross the waiting periods when Healthy.
Will I get coverage for pre-existing diseases?
Yes, all health insurance plans cover pre-existing diseases. They are covered after a waiting period of 1, 2, 3 & 4 consecutive years depending on the Product selected. To know about the waiting period, please check Policy documents carefully.
Does health insurance policy cover healthcare expenses related to COVID-19?
Yes indeed, health insurance plans cover COVID-19 hospitalization costs. Specialized Products related to COVID-19 health plans like Corona Kavach and Corona Rakshak are available. It also includes the expense of consumable things like PPE packs, ventilators, etc.
Do health insurance covers robotic surgery & modern treatments?
A few health insurance plans in India do cover the expense of robotic surgery and modern treatments. It’s advised to read the policy wordings to check if it covers robotic surgery and modern treatments.
What if the insurance company refuses to settle my claim and I want to file a complaint?
To monitor the grievances of policyholders, IRDAI has carried out the Integrated Grievance Management System (IGMS). It is a platform where policyholders can register their complaints with insurance companies first and whenever required; it tends to be escalated to IRDA Grievance Cells. Insured can reach IRDA Grievance Call Center (IGCC) by calling toll-free number 155255 or by emailing complaints@irda.gov.in.
Registration ID: CA0690ISNP
Permission Ref: IRDAI/INT/ISNP/2021/97
Dated: 02/07/2021
