What Are The Benefits Of Health Insurance Top-up Plan?


If you are wondering what is top up in health insurance, then know that top-up health insurance plans are indemnity policies that supplement existing health insurance or employer mediclaim policies. It covers medical bills after a health insurance policy’s sum insured is exhausted. A top-up plan requires the insured to pay a deductible before coverage begins.

Top-up health insurance benefits –

  • Simple conversion to primary health insurance
  • You can enroll your children in the same plan if both parents are covered.
  • There are no restrictions or sub-limits on hospitalisation* expenses such as medical practitioner fees, room rent, doctor fees, etc.
  • Some plans also offer a family reward. A separate family floater plan will cover parents.
  • Receive a cumulative bonus on the sum insured for each claim-free year (up to a certain percentage).
  • From the date of policy purchase, there is a 15-day free-look period.
  • A policy can be issued for a period of one to two years (depending on the insurer)
  • There is only a need for pre-medical screening at a certain age.
  • A lifetime renewal option is available.
  • Tax breaks on insurance premiums paid under section 80/D of the ITA. Tax benefit is subject to change in prevalent tax laws.

Top-up health insurance plan coverages

  • The plan varies depending on the health insurance top up However, you can usually obtain the following advantages: Compensation for in-patient hospitalisation* expenses, such as nursing and boarding charges, room rent charges, doctor’s fees, OT charges etc.,
  • Pre-hospitalisation* expenses incurred 60 days before hospitalisation *
  • Post-hospitalisation* costs will be covered for 90 days following hospitalisation*.
  • Daycare procedures that do not necessitate more than a single day in the hospital
  • Some plans cover the costs of organ donors.
  • Emergency ambulance expenses will be covered up to a certain amount.
  • Some insurers also offer a cumulative bonus upon policy renewal.
  • Expenses for domiciliary treatment, as recommended by the doctor.

What does a top-up health insurance plan provide?

Health insurance top up plans cover almost all hospitalisation* costs. However, combine them with something other than a rider’s benefit. Rider benefits such as personal accident insurance, hospital cash, and so on cover only a few significant illnesses. A rider plan can only be purchased with a base plan; however, a top-up plan can be purchased regardless of the base plan.

Top-up health insurance is like an indemnity plan that provides the same benefits as a basic reimbursement health insurance plan. The only difference is the cost of deductibles, which makes these plans inexpensive.

If your basic plan meets the threshold, you can file a claim for the top-up and the individual health plan. And you can quickly obtain both concurrently from different health insurance top up plan providers, who will be obligated to pay off a portion of their claims.

To sum up!

Top-up health insurance plans will undoubtedly assist in filling the gap between actual hospitalisation* and your ongoing policies. A top-up medical policy is also a viable option for people who are covered by an individual or group health insurance policy.

“As Insurance is a matter of solicitation its recommended to obtain complete information about the exclusions, benefits, terms & conditions and limitations of the insurance. Kindly carefully go through the sales policy/brochure before opting for any Insurance.”

*As per the IRDAI Insurance plan, all savings are provided only by the insurer. Standard Terms & Conditions apply.

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