When you wish to buy a health insurance plan, don’t forget to remember that you need to look into suitable coverage for you and your family members. There are exclusions of certain diseases which you must be mindful of, in order to include them in your insurance plan. With the inclusion of pre-existing diseases, you are covered fully, otherwise, if the illness is on account of pre-existing diseases that are not included, settlement for the same will be refused by the insurance company. This is one major restriction on the way towards getting suitable insurance coverage.
There are other restrictions too such as in case of a corporate health insurance policy. Corporate medical insurance does not offer full coverage and it may not contain accident coverage. To correct the same, you must buy additional coverage over and above the coverage provided by a corporate insurance policy. If needed, you may go for top-up and super-top up plans too.
These top-ups and super-top ups are additional or supplementary health insurance plans for an employee’s corporate health insurance policy. It is advised that you should prefer a top-up or super-top up to an enhancement plan. Enhancing the policy will be more expensive compared to top-ups because the premiums will be higher. A top-up or super-top up comes with higher deductibility. If you are buying health insurance from the best health insurance company in India, you will have these options for top-ups.
It may so happen that during treatment or hospitalization you have exhausted your sum insured. Now, you have to pay from your pocket for an additional cost that is not covered by the policy. Now the top-up cover will be handy. You should choose a deductible for a top-up when the existing sum insured of your policy is liable to be insufficient in a particular scenario. This amount is to be paid by the insurer before the top-up cover gets activated. The amount in excess of the deductible limit is paid for through the top-up plan that you have chosen.
A super-top up plan is relatively better compared to a top-up. In a top-up plan, if a single claim exceeds the deductible amount, the top-up will be activated. If the claims are from two different hospitalizations and the bills together exceed the deductible amount, the top-up plan will not be activated and you have to pay the additional amount from your pocket. It happens because there are two separate bills from two separate hospitalizations and individually, they don’t exceed the deductible limit. But in a super-top up plan, even if there is a consolidated amount from two different hospitalizations, this amount will be treated as eligible for payments from the insurer. This is the reason why you should opt for a super-deductible plan. Apart from this, a policyholder gets limited coverage when there are pre- and post-hospitalization expenses incurred. In case of super-top up plans, you are covered for pre-hospitalization and post-hospitalization expenses including expenses incurred for the treatment of pre-existing diseases.
Online Information Hub 