A top-up insurance plan is an indemnified program that adds healthcare security to customers who already have health insurance or an employer’s medical insurance. It enables customers to get their hospital bills reimbursed even though their standard health coverage plan’s total assured has been exceeded. A top-up plan, on the other hand, has mandated deductibles and only offers coverage when the policyholder has settled the deductibles.
If the individual’s existing insurance has an amount insured limitation of Rs. 5 lakh and they receive an Rs. 7 lakh top-up policy. When your current amount insured is depleted, they may activate the top-up policy. Thus, if users file a request for Rs. 8 lakh, the basic amount insured of Rs. 5 lakh would be utilized, and the remainder Rs.3 lakh would be deducted from any top-up policy. So if the sum claimed exceeds 12 lakh, they must pay the difference out of their personal money.
Top-up health coverage policies are generally more inexpensive and cost-effective than basic medical protection plans. They can be used in conjunction with the employer’s medical insurance. Many people are perplexed when they perceive top-up and riders to be interchangeable. In reality, medical insurance providers’ top-up plans are just compensation programs with constant coverage.
Norms for Top-up Plans
Besides having a hefty premium, a top-up plan typically only insures singular occurrence hospitalizations. If only the medical expenditure surpasses the baseline throughout a given hospitalization you may utilize the top-up option.
For example, if an individual possesses top-up insurance of Rs. 3 lakh barrier and is hospitalized twice in a period with costs of Rs 2.5 lakh and Rs 2 lakh, the top-up plan would not be invoked. The same is true for a floating policy wherein 2 policyholders are hospitalized and each incurs a charge of Rs 2.5 lakh.
There could also be a single ailment provision along with precise rules on what constitutes a single ailment.
Benefits of Top-up Insurance Plans
- Even though the existing medical insurance plan is expired when submitting claims, customers can still rest assured and experience a sense of security since they are protected for the remainder of the period.
- When extending your current insurance, you have the option of expanding your plan limits.
- But even if they do not possess basic health insurance, anyone may purchase top-Up Insurance.
- Nevertheless, it is recommended to obtain a health insurance policy with a total covered equivalent to the premiums.
- Simple to change to a basic health insurance plan
- When both the father and mother of the kids are insured, they can enroll their kids in the same plan.
- There are no limitations or sub-limits on hospitalization charges such as healthcare specialist charges, room fees, physician charges, and so on.
- Many packages additionally include a group rate. Up to a certain extent, it covers the insured individual, spouses, dependant parents, and kids. A secondary family floating insurance will protect parents.
- Policyholders may take advantage of a compounding incentive on the total sum covered for each claim-free year.
- There’s also a 15-day free trial period after the day of insurance registration.
- Until a certain age, no pre-medical examination is necessary.
- There is a possibility for perpetual renewal.
- Section 80/D of the Income Tax Act provides tax breaks on medical premiums made.