The health insurance market remains abuzz with new introductions to policy features and types from which different customer segments can benefit. Varying benefits and coverage options enable individuals and families to tailor their coverage requirements and choose a plan accordingly. One such interesting and useful coverage option introduced recently is the super top up health insurance cover. Taking healthcare coverage a step ahead of top-up plans, these policy types provide the much-needed assurance of financial coverage when healthcare expenses exceed a certain limit.
Today, various general insurance companies in India offer super top up medical insurance with varying benefits. As such, obtaining a quote can help one know about all aspects related to this policy, including the coverage types, the extent of coverage, the benefits available, and the like. Here, we bring a detailed guide to help you find the right quote for super top up health coverage, which you can buy easily, starting with the meaning and scope of insurance.
Let's take a look.
Meaning of Super Top Up Health Insurance
Super top up health insurance coverage is a type of health insurance policy extension that provides coverage for medical expenses over and above certain specified limits. These coverage options activate only when the medical bills of hospitalisation and covered health care exceed the said limit.
The claims under these coverage options can be availed multiple times a year and within the policy duration, depending on the required healthcare assistance. These plans can be availed without necessarily needing a basic health insurance plan. As such, any increase in medical costs beyond the set limit can be covered under the policy.
However, the inclusion of deductibles in the policy implies that the insured must pay a certain percentage as deductible for the policy coverage to begin. Such deductible is payable when making a claim, and the remaining claim amount is reimbursed to the insured after payment of the specified deductible.
Top Inclusions to Look for In a Super Top Up Coverage Under Health Insurance
When assessing an insurer quote under a super top up health insurance policy, the following are the top inclusions to look out for.
- Pre and post-hospitalisation expenses
- Daycare expenses
- Coverage for emergency/planned hospitalisation
- Ambulance cost (reimbursement for multiple trips available)
- Expenses related to organ donation
- Cost of emergency evacuation
- Domiciliary treatment
- COVID-19 treatment
- AYUSH treatment
The list may include or exclude one or more coverage depending on the policy and insurer selected.
Payability of Deductibles Under Super Top Up Health Coverage
While contributions to deductibles are a must to avail coverage under a super top up health insurance policy, payability of these deductibles can vary. You can select an insurance quote that suits you. The payability of these deductibles is available in the following three types.
- Payment of deductible through one's own pocket
- Treating payment made under a pre-existing health insurance policy as deductible and claiming the exceeding amount under a super top up plan
- Treating payment made under a group health cover as deductible and claiming the remaining amount of expenses under the super top up policy
Exclusions to the Coverage
The top exclusions you must look out for in these policies are mentioned below. The list is inclusive and can have more exclusions depending on the policy selected, which you must check when assessing the quote.
- Mishappenings or emergency healthcare issues related to and resulting from participating in adventurous sports
- Procedures undertaken as a part of cosmetics surgeries, except those recommended as a necessary procedure as a result of burns or injuries
- Expenses related to sexually transmitted diseases
- Healthcare costs arising out of self-harm attempts
Unlike health insurance policies, which are a necessity today from the perspective of financial prudence, the suitability of super top up health insurance goes well with certain groups only. It means that opting for these additional coverage benefits may not be needed for all. The benefits of these policies extend specifically extensively to certain people only. They can be typically identified as those with a high risk of developing health complications, such as senior citizens and people who work in high-risk jobs.
