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    can you apply for health super top even if you are covered under the health policy of your company?

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    get can you apply for health super top even if you are covered under the health policy of your company? from screen.

    How a super top

    A super top-up health insurance policy could be a cost-effective strategy to protect yourself from repeated treatments while also beating medical inflation.

    Why policyholders should know about super top-up Option

    A super top-up health insurance policy could be a cost-effective strategy to protect yourself from repeated treatments while also beating medical inflation.

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    How a super top-up health insurance plan can help you

    Medical inflation is an unfortunate reality of the health care industry right now. The cost of quality health care is rising rapidly with each passing year. Recent world events ushered in by the coronavirus pandemic have ensured that this rise in prices will continue for the near future. In such a situation, having a comprehensive health insurance plan is extremely important as they provide considerable protection against significant financial burden that could be caused by rising medical expenses.

    But often, the sum insured offered by your health insurance plan is nowhere near enough to meet the medical needs of you and your family. This gap between your needs and the means can be filled using a super top-up plan. These kinds of health insurance plans are a cost-effective way to get financial coverage for medical emergencies that you might have to face.

    What is Super Top-Up Health Insurance?

    The concept of a super top-up health insurance plan is much more straightforward than it sounds. Essentially, a super top-up plan will provide financial coverage for the entire hospital bill after it has reached a minimum amount- this minimum amount is called the deductible. Once you pay the deductible amount, you can claim the rest of the bill amount through the super top-up policy.

    Here is the first advantage of a super top-up plan in comparison to a regular top-up plan. If you have a super top-up health insurance plan, you can make multiple cumulative claims. While in a standard top-up plan, you can only make a single claim after the deductible amount is reached. This is a very significant advantage to have when you or your family members must endure long-term treatment for your ailments.

    The deductible amount is pre-determined, and you can use your existing health care insurance plan to pay for it. How does this work? Well, the answer is simple. For example, if you have a super-top plan of ₹8 lakhs with a deductible amount of ₹1.5 lakh. So, if you have a hospital bill of ₹5 lakhs, you and your existing health insurance will pay for the deductible amount. Once the ₹1.5 lakh is paid, the super top-up insurer will pay the rest of the bill up to the insured sum.

    Some Key Benefits of Super Top-up Health Care Insurance Plans

    These are benefits you need to keep in mind when you are considering the merit of a super top-up plan for you and your family: -

    The deductible needs to be paid only once! Yes, you read that correctly. This is a one-time payment. The insurer will pay for any other accumulated medical expenses.

    The super-top plans also provide you with the facility of cashless treatment. This is particularly handy when you consider the large sums of money that medical bills may demand.

    Many super top-ups plans also offer the option of purchase through online platforms. This makes renewal and purchase of these plans super simple, especially in medical emergencies - when these services are most needed.

    Since this is a provision designed to be used during emergencies, COVID-19 treatment is also covered. This is a substantial advantage for many people during the current times.

    Why Should You Purchase a Super Top-up Health Plan?

    There are many reasons why a super top-up health plan can be advantageous for you and your family. Here is a list of possible scenarios in which a super top-up plan can be life-saving: -

    Often people have health insurance coverage through their employer. This can give you access to a standard health care insurance plan. The sum insured and the financial and medical coverage provided by these plans are generally not very expansive. Super top-up plans are a practical choice for upgrading your employer's health plan when you are in need.

    As one's age increases, the cost of premiums and the need for quality health care also increase. Super top-up plans are the cheaper option for many senior citizens. The only real drawback to this strategy is that you still pay the deductible amount - which is not insignificant.

    Overall, no matter your situation, do you need an immediate increase in your coverage because your current health plan is insufficient? Super top-up plans are the answer to your problems. In emergencies procuring a comprehensive health plan is not an option. Those take time to get approval for and are often not effective immediately. A super top-up plan will help you cover the medical expenses you accrue in the meantime.

    A Comprehensive List of the Features and Benefits of a Super Top-up Health Care Insurance Plan

    There are several benefits and features of a super top-up plan that you should familiarize yourself with before purchasing one of these plans. Here is an itemized list to make it easier for you to peruse: -

    COVID-19 treatment is covered. Many health insurance plans will not provide coverage for treatment for COVID-19 unless you have specific policies or add-ons. Super top-up plans cover COVID-19 along with other illnesses.

    स्रोत : www.naviinsurance.com

    Top Up Health Insurance vs Super Top Up Plans: Differences

    Differences between top-up plan and super top-up plan in health insurance. Check ✓ How Does it Work ✓ Sum Insured Amount ✓ Threshold/deductible limit.

    Differences between top-up health insurance vs super top-up plans

    Team AckoAug 18, 2022

    A booster to your health insurance policy in the form of a top-up and super top-up health insurance plan comes to your rescue when the sum insured amount is comparatively low. Both these plans increase the sum insured over and above your primary health insurance plan. But, how are the top-up and super top-up health insurance different? Read on to find out.

    Contents

    Types of top-up health insurance plans in India

    What is top-up health insurance?

    How does top-up health insurance work?

    Super top-up plans in health insurance

    How does super top-up health insurance work?

    Importance of buying super top-up and top-up health insurance - Additional cushioning at lower costs

    Eligibility criteria for top-up and super top-up medical insurance plan

    Who should opt for the top-up/super top-up health insurance?

    Inclusions in super and top-up health insurance plans

    Exclusions in super and top-up health insurance plans

    Role of top-up and super top-up plans in senior citizen health insurance plans

    Difference between top-up plan and super top-up plan in health insurance

    Which one to choose?

    Frequently asked questions

    Types of top-up health insurance plans in India

    There are two types of top-up health insurance policies in India. Here are the details.

    Top-up plan: The top-up insurance plan provides insurance coverage by replenishing the sum insured up to a certain amount. Once the medical expenses cross the deductible limit, the top-up plan gets activated.Super top-up plan: This top-up plan provides additional insurance coverage after the medical costs exceed the threshold limit. While the top-up plan considers the threshold limit/deductible for every claim, the super top-up plan considers all the claims put together in a policy period.

    In both plans, if the illness relapses within 45 days of discharge from the hospital, it is usually considered a single illness. However, if the illness relapses after 45 days from discharge, it is generally considered a fresh illness.

    What is top-up health insurance?

    A top-up health insurance plan enhances your existing health insurance policy’s sum insured amount. It provides financial coverage after you have utilised the maximum claim amount. When the set sum insured amount is exhausted, it acts as an additional layer of financial protection and backup to your primary health insurance plan.

    For example, it was not until 1904 that a spare tyre was added to the car so that if the tyre got punctured, you have the backup in the form of a spare tyre. Top-up plans work in the same fashion as a spare tyre does to the car.

    With advancements in healthcare infrastructure and technology, medical costs are always on the rise. Therefore it is essential to have a health insurance plan that comprehensively covers you against all types of medical emergencies.

    When your medical expenses exceed the limit of your base health plan, top-up plans act as a safety net.

    How does top-up health insurance work?

    The primary health insurance plan covers medical bills up to the sum insured, while a top-up plan provides coverage after the sum insured has exhausted as per policy. Please note, the mandatory deductible is payable as per the terms and conditions of the policy.

    For example: Suppose you have opted for a health insurance plan with a sum insured of Rs. 5 lakhs and enhanced the existing plan with a top-up insurance plan of Rs. 10 lakhs. Thus, the total sum insured amount is Rs. 15 lakhs with a set threshold limit of Rs. 5 lakhs.

    If your medical bill is Rs. 8 lakhs, your insurer will pay Rs. 5 lakhs from your base plan and Rs. 3 from your top-up plan. Here is the example in a table for your reference.

    Factors Top-up plan Without a top-up plan (Base plan)

    Base plan (Sum insured of the base health policy) Rs. 5 lakhs Rs. 5 lakhs

    Top-up plan Rs. 10 lakhs NA

    Total sum insured (Base plan + top-up plan) Rs. 15 lakhs Rs. 5 lakhs

    Threshold limit Rs. 5 lakhs NA

    1st claim of the year Rs. 8 lakhs Rs. 8 lakhs

    What the insurer pays Rs. 8 lakhs (Rs. 5 lakhs from the base plan and Rs. 3 lakhs from the top-up plan) Rs. 5 lakhs

    What you pay Nothing Rs. 3 lakhs

    Super top-up plans in health insurance

    Super top-up plans are similar to top-up plans that enhance your health insurance sum insured. However, the difference is that super top-up plans work on the total medical expenses incurred during the policy year and not on a per claim basis.

    Unlike the regular top-up health insurance plan that only covers claims when a single claim surpasses the threshold limit, the super top-up plan covers claims when the overall claims during the policy period are above the threshold limit.

    In the recent past, there has been a massive improvement in healthcare infrastructure and pharmaceuticals. This improvement has resulted in an increase in healthcare expenses. Therefore, you must be well-protected with a health insurance plan that has the benefit of a super top-up plan and avoids higher out-of-pocket expenses.

    How does super top-up health insurance work?

    The base health insurance policy covers medical expenses up to the sum insured amount. In contrast, the super top-up health insurance plan provides financial cover after you exhaust the sum insured amount. Similar to the top-up plan, the super top-up plan covers expenses of the cumulative claim amount that exceeds the threshold limit.

    स्रोत : www.acko.com

    Cashless treatment at preferred hospital under health insurance policy to get easier: Here's why

    The top-up plan will come to your rescue in case your medical insurance claim crosses a threshold limit (also known as a deductible). What this means is that the top-up plan becomes active only when the claim amount is higher than the top-up deductible.

    Super top-up health insurance plan vs top-up plan: What policyholders should know

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    Super top-up health insurance plan vs top-up plan: What policyholders should know

    By Navneet Dubey, ET OnlineLast Updated: Jan 17, 2022, 01:05 PM IST

    SHARE FONT SIZE SAVE PRINT 4 COMMENT Synopsis

    The top-up plan will come to your rescue in case your medical insurance claim crosses a threshold limit (also known as a deductible). What this means is that the top-up plan becomes active only when the claim amount is higher than the top-up deductible.

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    Both super top-up and top-up plans, and base health policies work on the 'claim payable basis'.

    If you have a health insurance policy with a comparatively low sum assured, you can consider buying a top-up insurance plan. A top up plan increases the insurance coverage over and above your existing base policy at a comparatively lower cost as compared to increasing the sum assured in the base policy.

    The top-up plan will come to your rescue in case your medical insurance claim crosses a threshold limit (also known as a deductible). What this means is that the top up plan becomes active only when the claim amount is higher than the top-up deductible.

    Under a top-up plan, a deductible is the limit up to which the healthcare costs are borne by the insured or the policyholder depending upon the type of insurance policy.

    Types of top-up plans

    "There are two types of top-up plans. One where deductible is applied on each medical insurance claim separately. The second type, known as a super top-up plan, is where the deductible is applied on the total admissible claims in one year. People should be careful with what they are buying - per claim deductible or annual total based deductible," Biresh Giri, Appointed Actuary, Head of Product Development & CRO, Acko General Insurance said.

    Regular top-up plan: This type of plan offers additional coverage beyond the deductible/threshold limit. The deductible in a top up plan is often/usually kept equal to the existing health insurance policy. In such top-up plans, the deductible is applied on single hospitalisation or per claim basis in a year, that is, a top-up plan covers only a single claim above the deductible. So, if your first, second or any subsequent hospitalisation bills do not exceed the deductible, the top-up plan will not help you get the claim settled for those medical expenses.How regular top-up plan worksWhen you claim from a base health policy and a basic/regular top-up plan

    Here, your insurer generally links the top-up plan deductible with your base health policy (as per the policy terms and conditions).

    For instance, if you bought a top-up plan with a maximum sum insured of Rs 10 lakh which has a deductible of Rs 5 lakh, and you also have a base health policy of Rs 5 lakh. You were then hospitalised for which the medical bill came up to Rs 5 lakh. Out of Rs 5 lakh, the insurer only settled a claim of Rs 3.5 lakh from the base health policy (assuming that the insurer did not pay for proportionate deduction, co-pay, sub limits and other non-medical expenses amount)." Giri explains, in such a situation, consider the following scenarios:

    "First, you cannot use your top-up plan to settle the balance amount of your medical bills, as the claim amount is less than the top-up deductible. Now, if a second claim of Rs 4 lakh is triggered in the same year, it will again not pe paid under the top-up policy since the sum insured under the base health policy is not exhausted. This way if a second claim arises, it will have to be lodged under the base health policy first," Giri said.

    Moreover, since again the second claim amount is less than the top-up deductible, the balance amount will not be paid under the top-up plan.

    Super-top up plan: A super top-up plan covers the total of all hospitalisation bills (up to the super top-up plan limit) above the deductible amount, that is, the deductible is applied to the total claims in one year. Hence, once the deductible is paid, the plan becomes active for subsequent claims.How super top-up plan works

    When you claim from a base health policy and super top-up plan

    As mentioned above, the super top-up plan comes with a certain deductible. The insured/policyholder has to choose the deductible limit above which the super top-up plan would become active (as per the policy terms and conditions).

    Let us say you bought a super top-up plan with a maximum sum insured of Rs 10 lakh which has a deductible of Rs 5 lakh, and you also have a base health policy of Rs 5 lakh. You were then hospitalised for which the medical bill came up to Rs 5 lakh. Out of Rs 5 lakh, the insurer only settled a claim of Rs 3.5 lakh from the base health policy (assuming that the insurer did not pay for proportionate deduction, co-pay, sub limits and other non-medical expenses amount). In such a situation, you cannot use your super top-up plan for the first claim as the medical bill did not exceed the deductible. However, you can use the super top-up plan for subsequent claims.

    "If you have a super top-up plan, it will provide coverage for subsequent claims, as total Rs 5 lakh of medical expenses have been incurred by the insured. It doesn't matter who paid for these expenses (base health policy or the patient)," said Chandan D. S. Dang, Executive Director, SecureNow.in, a Delhi-based online insurance broking firm.

    स्रोत : economictimes.indiatimes.com

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