Top-up health insurance plans play the role of Stepney (in a car). It supports the indemnity cover in case you exhaust the basic sum insured. When a regular health insurance policy indemnifies up to the chose sum insured, a top-up policy comes in handy when a certain threshold is reached.
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Often, the cost of health insurance goes up over time but the policy cover remains the same. In such a case, instead of going for higher coverage, you can opt for any of the types of top-up policy.
Top-up policies offer the benefit of higher insurance coverage at a lesser premium, as compared to a new sum insured. Let’s know more about this.
You may be a part of an organised business sector where all your medical needs are taken care of through an employer’s own health insurance. This policy may extend the coverage to your family as well. But have you ever wondered what if after you resign the organisation or once you retire from the job? For your knowledge, employers health insurance offers coverage until you’re associated with the organisation. The day you resign, the coverage also ceases to exist. In such a case, if you’re not sufficiently insured, a hefty medical bill will be on you. Moreover, even if you are covered, is there any guarantee that the sum insured wouldn’t fall sort in case of a serious medical condition. So, top-up plan is the perfect way to prepare for your retirement days.
Top-up plans can be categorised into two covers:
In case of regular top-up policy, the deductible limit is calculated on each hospitalisation. Let’s say, you own Apollo Munich health insurance of Rs. 3 lakhs with a top-up cover of Rs. 5lakhs. You can set a deductible up to Rs. 3 lakh, as the basic policy will pay up to this limit. In case of hospitalisation, if medical expenses come around Rs. 7 lakhs, the expenses up to Rs. 3 lakhs will be paid by the basic health insurance and above that, the remaining amount will be covered by your top-up policy. Moreover, in case you don’t have basic health insurance, the initial amount will be borne by you, up to the deductible of the top-up plan.
The second type of top-up policy is Super Top-up policy, where the threshold limit is applied to the total expenses spent during the policy tenure. Taking the above example with the same sum insured of Rs, 3 lakh for regular policy and Rs. 5 lakhs as top-up cover. Here, if you hospitalised twice with hospitalisation costs amounting to Rs. 2.5 lakhs for the first time and Rs. 2 lakhs for the second time, the super-top-up plan can be used for the second time. Because the total expenses (Rs. 4.5 lakhs) cross the threshold amount which is Rs. 2 lakhs. With this policy, you are indemnified for Rs. 1.5 lakhs which is the amount exceeding the deductible. Adding a super-top-up policy with your regular health insurance can be a wise decision. Just in case you own health insurance from Apollo Munich, you can add a super-top plan at the time of Apollo Munich health insurance renewal as well.
Let’s know certain facts related to top-up plans:
Disclaimer : *Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.
Top-up plans are considered as the most suitable supplementary option that comes with dual benefit of low premium and higher sum insured. It is a boon for those who fall under the category of senior citizens, the age when the chances of getting sick are quite higher or the medical expense are bound to rise. Even if you are covered by an employer’s health insurance, you can consider a separate top-up plan to support the basic cover. Hence, a top-up plan is a perfect match for anyone who is looking for a higher sum insured at an affordable rate.