With medical inflation soaring as high as 15%, you can never predict the amount of money you will have to spend on unexpected hospitalization bills. Therefore, you avail a Health Insurance for yourself and your loved ones. There are a number of Health Insurance Plans that you can buy, like Individual Health Insurance Plan, Family Floater Health Insurance Plan, Group Health Insurance Plan, etc.
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Nevertheless, sometimes, you might end up underestimating your medical needs. In such times, your Health Insurance coverage might be inadequate. Therefore, it is advisable that if you have the slightest doubt about the sufficiency of your medical cover, it is good to enhance your existing health coverage. You have the following options:
Super top-up plan
These plans help extend the coverage of individual or group health insurance plans after you have exhausted the sum insured of an existing Health Insurance plan.
Say Mr X has a Health Insurance policy with a sum insured of Rs 5 Lakhs. He will be reimbursed for the hospitalization bills only up to Rs 5 Lakhs. What happens if X exhausts the limit? In such cases he will have three options:
Thus, availing a top-up plan enhances his existing health plan coverage at a lower cost.
SEE ALSO: Exclusions of Health Insurance Policy
Unlike a Top-up plan, a Super Top-up covers hospitalization expenses over and above the threshold limit of the sum insured in multiple hospitalizations.For example, let’s say that Mr X suffers a second heart attack after 6 months post-treatment for his first heart attack. The bills come up to Rs 7 Lakhs. Here, the relapse happens after 45 days. Hence, even if his top-up plan has a balance sum insured, he cannot use it. Had Mr X opted for a Super Top-up plan instead, with a cover of Rs 8 Lakh and a threshold of Rs 5 lakh, this plan would cover the additional sum of 2 Lakh for him.
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