What is the Difference Between Top-up and Super Top-up Health Plans?

A health insurance policy of at least Rs 20 lakh is necessary to get adequate coverage in today’s time. But doing so would mean super expensive premiums. The only way to get high coverage and pay low premiums is by buying a top-up or super top-up health plan. However, most people get confused between the two. Read on to learn the difference between top-up and super top-up plans.

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      The insurance benefits provided under the Super Top-up health insurance plans are similar to Top-up health plans. Both are used to provide higher insurance coverage while keeping the total premium low. The major difference lies in the fact that a Super Top-up Plan offers coverage for complete hospitalization bills above the threshold limit, whereas a top-up policy only covers a single hospitalization claim above the threshold limit (i.e. the Deductible amount).

      So, if you are planning to buy a top-up health plan or a Super top-up health plan, and want to know the difference between a Super Top-up plan and Top-up plan then you are at the right place:

      To-up and Super Top-up Difference Table

      The difference between Top-up and Super Top-up health insurance plans are given below:

       

      Top-up Health Plan

      Super Top-up Health Plan

      Meaning

      Health insurance cover above the threshold limit or deductibles

      Health insurance cover above the threshold limit or deductibles

      Number of Claims

      Single claim above the deductible limit

      Cumulative bills during a policy term once it exceeds the deductibles

      Deductible Paid

      On every claim

      Once during a policy year

      Example

      Sum Insured

      10 lakh

      10 lakh

      Deductible

      2 lakh

      2 lakh

      Claim 1

      5 lakh

      5 lakh

      Insured Pays

      2 lakh

      2 lakh

      Insurance Company Pays (Claim- Deductible amount)

      3 lakh

      3 lakh

      Claim 2

      6 lakh

      6 lakh

      Deductible

      2 lakh

      -

      Insured Pays

      2 lakh

      -

      Insurance Company Pays (Claim- Deductible amount)

      4 lakh

      6 lakh

      In the above table, both Top-up and Super Top-up plans had a sum insured of Rs 10 lakh. The deductible chosen is Rs 2 lakh. The amount claimed was Rs 5 lakh. And in both the plans the insurance companies paid Rs 5 lakh to the policyholder.

      When the second claim was filed it was Rs 6 lakh. In that case, anyone with a top-up health plan had to pay the deductible amount of Rs 2 lakh and the remaining Rs 4 lakh was paid by the insurer. Super top-up health insurance holders had to pay nothing and the complete claim amount i.e. Rs 6 lakh was paid by the medical insurance company.

      This is where a Super-Top up plan has a slight edge over a Top-up health plan.

      What is a Deductible in Top-up/Super Top-up Plans?

      Deductibles refer to the limit set by the Health Insurance companies. It acts as a safety net for the insurance company and prevents people from filing frequent and trivial medical claims.

      This amount needs to be borne by the policyholder. Deductibles are not covered by health insurance providers. They only pay the amount over and above the deductibles. Basically, the amount of deductibles need to be paid by you and the remaining amount i.e. the excess is paid by the insurer up to the sum insured limit.

      Here is an example to make it clear for you

      Let say your base health insurance policy is Rs 10 lakh and you buy a Super top-up of Rs 5 lakh on top of the base amount. And the deductible is Rs 2 lakh, then the insurance company will pay the bills exceeding Rs 2 lakh and up to Rs 10 lakh. The deductible amount can vary from one plan to another.

      Selecting the Best Option

      According to the experts, to cover the risk of chronic ailments requiring more than one hospitalization in a year, then a Super top-up plan should be your choice. Also, the cost of the premium is low in comparison to buying a separate health plan with higher coverage amount. Moreover, it is suitable for senior citizens, who tend to undergo medical procedures frequently. Super top-up plans with cumulative coverage can be quite beneficial here. To buy a top-up plan or a Super top-up medical plan you can write to us at care@policybazaar.com and call us at 1800-708-8787.

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      Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

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