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In India, medical costs are on a steep increase over the last few years. The prices of new medical technologies and super-specialty equipment are eventually passed on to patients. Today, even a minor surgery that requires hospitalization can lead to a bill of a few lakhs of rupees. If you feel that the sum assured by your current health plan is not adequate, you have two choices to increase the coverage.
You can opt to purchase a new health plan. This way, the total coverage is the total of both sums assured. For example, if the sum assured by your current health policy is Rs. 3 lakhs, you can take another health plan for Rs. 3 lakhs. This way, the total sum assured is Rs. 6 lakhs, thereby increasing your overall coverage.
However, the one major drawback is that taking a new health plan can be expensive, especially if you're older and have pre-existing diseases. This brings us to the next option.
A top-up health plan is a type of health insurance policy designed to supplement your primary health plan. It helps you increase your health insurance coverage at affordable premiums.
Here's how top-up health plans work: Let's say you have a basic health plan of Rs. 3 lakhs. You can take a top-up health plan with a sum assured of Rs. 5 lakhs. This brings your total coverage to Rs. 8 lakhs. If the hospital bill is Rs. 3 lakhs, it would be paid from the basic plan. If the hospital bill is Rs. 5 lakhs, Rs. 3 lakhs is borne by the basic plan, and the remaining Rs. 2 lakh is paid by the top-up insurer.
The threshold of Rs. 3 lakhs is known as the deductible, and the top-up plan kicks in only when the claim amount goes beyond the threshold level.
Top-up plans are a great way to enhance your coverage. They are inexpensive because of the deducible (threshold level). The higher the deductible, the lower is the premium of the top-up plan. Additionally, top-up plans do not require medical check-ups for individuals up to the age of 55 years. Whereas, when you take another health plan to supplement your basic cover, you have to undergo the mandatory health check-up if you’re 45 years or older.
Increasing the sum assured in a health plan is easy. Evaluate both the options listed here and choose the right one that suits your pocket.
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