A Health Insurance is a type of coverage that covers all medical expenses that occurred due to illness of an insured individual or a family that is covered under family floater.
Why Do I need Top Up / Super Top Up Policy When I Have A Health Insurance ?
Some times Medical costs may go beyond the insured value of your normal health insurance and at that time a Top Up / Super Top Up policy stands as an additional cover to the expenses arised.
A big thing is premiums will be low and sum assured amount will be high for eg. If your basic health insurance for 2 lakhs costs around 2000 rs, at the same cost you may get these Top Up, Super Top Up plans for 10 lakhs (figures mentioned here are not accurate, just for illustration purpose only).
What is Top Up Health Insurance
It is an additional coverage for people having an existing individual plan or family floater or a Mediclaim from the employer.
Also read : Is Worth Buying Health Insurance, How Will I Benefited Taking Health Insurance In India?
How Top Up Health Policy Works :
Assume a person took health insurance of 2 lakhs and Top-Up of 8 lakhs with the threshold limit of Rs 2 Lakhs
Scenario 1 : Year 1 With Single Claim of 2 lakhs : Amount will be paid from his Health Policy.
Scenario 2 : Year 1 With Single Claim of 5 lakhs : 2 lakhs amount will be paid from his Health Policy and 3 lakhs will be paid by top-up.
Scenario 3 : Year 1 With Double Claim (A & B) : Here in this scenario a person is hospitalised for 2 times in a year.
-> A : Claim of 4 lakhs : 2 lakhs amount will be paid from his Health Policy and 2 lakhs will be paid by top-up.
-> B : Claim of 5 lakhs : As you have already claimed 2 lakhs amount from your Health Policy so you have to pay 2 lakhs from your pocket and remaining 3 lakhs will be paid by top-up.
Scenario 4 : Year 1 With Tripple Claim (A, B & C) : Here in this scenario a person is hospitalised for 3 times in a year
-> A : Claim of 3 lakhs : 2 lakhs amount will be paid from his Health Policy and 1 lakh will be paid by top-up.
-> B : Claim of 2 lakhs : As you have already claimed 2 lakhs amount from your Health Policy so you have to pay 2 lakhs from your pocket
-> C : Claim of 5 lakhs : As you have already claimed 2 lakhs amount from your Health Policy so you have to pay 2 lakhs from your pocket and remaining 1 lakh will be paid by top-up.
What is Super Top Up Health Insurance
It is an additional coverage for people having an existing individual plan or family floater or a mediclaim from the employer. It is similar to top-up but has additional feature
How Super Top Up Health Insurance Works :
Assume a person took health insurance of 2 lakhs and Super Top Up of 8 lakhs with the threshold limit of Rs 2 Lakhs
Scenario 1 : Year 1 With Single Claim of 2 lakhs : Amount will be paid from his Health Policy.
Scenario 2 : Year 1 With Single Claim of 5 lakhs : 2 lakhs amount will be paid from his Health Policy and 3 lakhs will be paid by super top up.
Scenario 3 : Year 1 With Double Claim (A & B) : Here in this scenario a person is hospitalised for 2 times in a year
-> A : Claim of 4 lakhs : 2 lakhs amount will be paid from his Health Policy and 2 lakhs will be paid by super top up.
-> B : Claim of 5 lakhs : As you have already claimed 2 lakhs amount from your Health Policy so 5 lakhs will be paid by super top.
Scenario 4 : Year 1 With Tripple Claim (A, B & C) : Here in this scenario a person is hospitalized for 3 times in a year
-> A : Claim of 3 lakhs : 2 lakhs amount will be paid from his Health Policy and 1 lakh will be paid by super top up.
-> B : Claim of 2 lakhs : As you have already claimed 2 lakhs amount from your Health Policy so 2 lakhs will be paid by super top up.
-> C : Claim of 5 lakhs : As you have already claimed 2 lakhs amount from your Health Policy so 5 lakhs will be paid by super top up.
Is There Any Difference In Top Up and Super Top Up?
As mentioned above both Top Up and Super Top Up acts as an additional coverage to your health Insurance, major difference is each time you get hospitalized in an year top up health insurance excludes the threshold limit but this will not happen in super top up health insurance
Based on the above explanations you think which policy suits you best. We suggest you to take super top Up.
What Is Threshold Limit ?
Threshold Limit is the limit after which Top Up / Super Top Up policy covers.
For Eg:
If you have a health insurance of 2 lakhs then 2 lakhs will be Threshold Limit
If you have a health insurance of 3 lakhs then 3 lakhs will be Threshold Limit
If you have a health insurance of 4 lakhs then 4 lakhs will be Threshold Limit
Do We Need To Take Health Insurance And Top Up / Super Top Up Policy With The Same Insurance Provider?
No, there is no rule that you have to take all policies with the same insurance company, if there is rule as per IRDA then all insurance providers should intimate you when you are opting it.
Note : Basic Health Insurance policy is a must before taking Top Up / Super Top Up Health Policy.
