About Top-up Health Insurance
Top-up health insurance plans are add-on covers that provide additional protection to you and your family at the time of a medical emergency. These plans come to your rescue in case your existing health insurance is not enough to meet the medical bills. In other words, they prove to be useful when the basic threshold limit of your existing health plan is breached. However, they apply to a single hospitalization.
For example- you have a health cover of Rs. 5 lakhs. With your growing age and the soaring cost of healthcare facilities, you know that it won't be enough to cover a medical emergency in the future. Rather than buying a separate health policy or upgrading your existing health plan, you can simply buy a top-up plan that would enhance your cover and won't burden your pocket.
What Are The Features Of A Top-up Health Plan?
A top-up health plan is a must-have in your arsenal due to the following reasons-
- It offers additional financial coverage in case your base policy is exhausted.
- Such plans are available at affordable premiums, which is a blessing to our wallets.
- By paying regular premiums for this plan, you can avail of tax benefits, thanks to Section 80D of the Income Tax Act, 1961.
What Is A Super Top-up Health Plan?
Just like a top-up health plan, a super top-up health plan is also an extension of your basic health plan. But these plans are eligible to cover multiple claims for cumulative medical expenses (over the threshold limit) within a policy year (once your base cover is exhausted). These plans ensure that the policyholder gets the treatment without any restrictions or limitations.
For example- you have regular health insurance of Rs. 5 lakhs and you decide to buy a super top-up health policy of Rs. 10 lakhs, which comes with a deductible of Rs. 5 lakhs. During the year, you are hospitalized 3 times, where the bill was Rs. 3 lakhs during the first time, Rs. 4 lakhs during the second time, and Rs. 5 lakhs during the third time.
You will get coverage under your regular health policy for your first hospitalization, but it will not cover your second hospitalization in full, as you've already claimed Rs. 3 lakhs against your first hospitalization. In such a case, your regular health policy will cover Rs. 2 lakhs, and the remaining Rs. 2 lakhs claim will be settled by the super top-up health policy.
In your third hospitalization, a super top-up plan will settle the entire bill amount.
What Are The Features Of Super Top-up Health Plans?
Also known as the 'Big Brother' of top-up health plans, below are the following reasons for the popularity of super top-up health plans.
- One can claim multiple times in a year by paying the deductible amount only once.
- You can choose your deductible and sum insured amount as per our needs and requirements.
- A policyholder can avail of tax benefits for the premiums paid for a super top-up health plan under Section 80D of the Income Tax Act, 1961.
Top-up Plans Vs Super Top-up Plans
| Parameters|| Top-up Health Plans|| Super Top-up Health Plans|
|Working Criteria||Top-up health plans work only for one claim during the policy term.||Super top-up health plans allow multiple claims during the policy term.|
|Lapsation||These plans lapse once the cover for 1st claim is provided.||These plans lapse when the entire cover is exhausted.|
|Premium||The plan comes with a lower amount of premium.||Premiums are proportionately higher than top-up health policy.|
**Last Updated on 31-03-2021
How Top-up and Super Top-Up Works?
Let's understand the functioning of both the plans with an example:
Amar and Vinay are good friends working together in the same company. Both have standard health insurance of Rs. 5 lakhs each. After considering his family's history of Cancer, Vinay purchases a super top-up health plan of Rs. 10 lakhs, with a deductible of Rs. 5 lakhs. Considering the idea of additional protection, Amar purchases a top-up plan of Rs. 10 lakhs, with a deductible of Rs. 5 lakhs. After 6 months, both were travelling together, met with an accident, and hospitalized for multiple surgeries.
Now let's check how both plans function at the time of claims-
| Claims Made|| Amar (Top-up Plan)|| Vinay (Super Top-up)|
|1st claim of the policy year- Rs. 5 lakhs||The claim is covered by the standard health plan.||The claim is covered by the standard health plan.|
|2nd claim of the policy year-Rs. 2 lakhs||Amar will pay the entire amount as he has exhausted his standard health insurance coverage. Also, as the claim doesn't exceed the deductible amount, his top-up plan won't be useful.||Vinay has also exhausted his standard health insurance coverage, but his super top-up policy will cover the treatment expenses.|
|3rd claim of the policy year- Rs. 6 lakhs||Rs. 1 lakh will be covered by the top-up plan as this is the extra amount over his base health insurance coverage amount. However, the rest has to be borne by Amar.||Super top-up will pay the entire medical expenses.|
**Last Updated on 31-03-2021
What Is Not Covered Under Top-up and Super Top-up Plans?
The following are a few conditions, which aren't covered under such plans-
- Pre-existing diseases before the waiting period is over.
- Pre-natal and post-natal medical expenses, unless hospitalization is required.
- Any condition you get hospitalized for that doesn't match with the doctor's prescription.
- No claim until the standard health insurance coverage is exhausted or the listed deductible is spent.
To get more details about them, please speak (1800-4200-269) with the experts of PolicyX.com.
Who Should Buy Top-up and Super Top-up Health Plans?
Individuals falling into the below categories should consider buying these plans. Let's learn about them.
Working in an organization, your company may have provided you with health insurance, but the sum insured may not be enough. In such a case, you should buy an additional cover that would protect you and your family at the time of medical emergencies.
With growing age, you get vulnerable to health-related issues. And to treat those issues, you may be stuck in a situation where your base coverage is not enough and you are required to pay from your wallet. To avoid such a possibility, consider buying these add-on plans.
Low Coverage Holders
Many people go for low coverage plans as they don't have the budget to pay higher premiums. But in their hearts, they know that such coverage is not enough to meet future medical needs. If you are one of them, consider going for top/super-top plans. They will give you additional coverage at cheaper rates.
Top-up and Super Top-up Health Insurance Plans Of 2021
Finding a suitable top-up/super top-up health insurance is a tedious task. Some health insurance companies may offer quality benefits but charge a high premium, while others ask for low premiums but the benefits offered are not worthwhile. Out of 15 top health insurance companies, we at PolicyX.com have mentioned 3 top-up and super top-up plans (each) based on the low premium for the sum insured of Rs.10 Lakhs. Have a look:
Super Top-Up Plans
| Plan Name|| Premium Amount*|| Entry Age|| Maximum Sum Insured|
|Max Bupa Health Recharge||Rs.1094||NA||Rs.95 Lakhs|
|HDFC ERGO My health Medisure Super Top-up||Rs.1817||18-65 years||Rs.20 Lakhs|
|Care Enhance Super Top-Up Plan||Rs.3087||18 years-no limit||Rs.30 Lakhs|
**Last Updated on 31-03-2021
Let's Learn more about the above-mentioned Super Top-up plans:
With the coverage offered upto 95 Lakhs, Max Bupa Health Recharge is an affordable super top-up plan that helps you in the time where you need additional support. With the availability of several benefits, the plan ensures to look after your medical needs even if your base coverage is exhausted.
- The plan comes with a feature of lifetime renewability with no extra loadings based on your claim history.
- The plan offers the optional benefits such as personal accident cover, critical illness cover and helps you to enhance your overall coverage.
With HDFC ERGO My Health Medisure Super top-up plan, you can ensure that your and your family's healthcare needs will be looked after even if your base coverage is exhausted.One can avail discounts of 5% on the premiums if they opt for a long-term policy of 2 years, and can avail further 10 % discount if they choose to cover more than 2 members on individual Sum Insured basis.
- The plan offers comprehensive coverage that covers pre and post hospitalisation expenses and day care procedures without any sub limits.
- One can avail this policy without undergoing any pre-medical check up, provided he/she is under 55 years of age.
Care Enhance Super Top-Up Plan allows the policyholder to avail medical care even when their basic insurance plan falls short. The plan enhances your health cover to overcome the uncertainties of life at a comparatively lower premium amount.
- The plan offers a free health check-up to the policyholder, regardless of the claim history.
- One can avail an add-on benefit of Expert Opinion, where an expert opinion of a specialist medical professional is provided to the policyholder.
| Plan Name|| Premium Amount (10 Lac SI)*|| Entry Age|| Maximum Sum Insured|
|SBI Arogya Top-Up||Rs.1034||3 months-65 years||Rs.50 Lakhs|
|Future Advantage Top-up||Rs.3191||18 years-no limit||Rs.1 Crore|
|Star Super Surplus Insurance Policyp||Rs.2204||18 years-65 years||Rs.25 Lakhs|
**Last Updated on 31-03-2021
Let's Learn more about the above-mentioned Top-up plans
SBI Arogya Top-Up plan supplements your existing health insurance in case where you have exhausted the basic sum insured. One can avail the benefits of this plan without undergoing any medical check-ups upto the age of 55.
- The plan covers the maternity expenses after the waiting period of 9 months.
- Ambulance expenses up to Rs. 5000 is covered per hospitalisation
Future Advantage Top-up Plan
Future Advantage Top-Up plan comes with high sum insured options and provides extra coverage at low premiums as compared to any traditional health insurance plan.Loaded with several benefits, the plan makes sure that you and your family healthcare needs are completely looked after.
- The plan offers 2 different variants- Supreme & Elite, and lets you choose the plan as per your requirements.
- The plan offers a 2.5% of loyalty discount if the policyholders already has a separate Health insurance policy from the company.
This top up plan offered by Star Health is an affordable way to extend your healthcare coverage. With several benefits, Star Super Surplus ensures that you don't have to compromise on your healthcare needs.One can avail this policy without undergoing a pre-acceptance medical check-up.
- The plan comes in two variants- Silver & Gold, and allows you to choose one as per your needs and requirements.
- The plan covers the Air Ambulance expenses up to 10% of the sum insured.
*The premium may vary on the basis of chosen threshold limit/deductible amount, age & other factors.
How To Buy With PolicyX.com?
Buying a policy online helps to save your precious time and money. Though there is a risk of fraud, it can be avoided if you buy from a trusted buyer- PolicyX.com. Here are the steps-
Fill Up Form
Go on the top of this page, and fill up a form 'Get Quotes from Top Insurers'.
On the next page, compare all the quotes from different insurance companies.
Choose the plan as per your needs and requirements and proceed to buy.
Pay the premium online and the policy will be shared on your email address.
Note: You can also buy the top-up/super top-up policy from the respective insurance provider.
If you buy these health plan from your existing provider of standard health insurance, then you won't have to submit the documents. But if you decide to buy it from another provider, you need to submit the following documents-
- Age Proof- 10th or 12th mark sheet, Driving License, Birth Certificate, Passport, Voter ID, etc.
- Identity Proof- Passport, Voter ID, Driving License, PAN Card, or Aadhar Card, which proves one's citizenship.
- Address Proof- Electricity Bill, Telephone Bill, Ration Card, Driving License or Passport should mention the permanent address.
- Passport-size photographs.
- Others requested by the insurance company.
How To File A Claim For Top-up/Super Top-up Health Insurance?
Generally, there are two ways of filing claims for such plans. Let's learn about them.
For cashless claim (can be opted only at the network hospitals):
- Intimate your insurance company about hospitalization.
- Provide your health card and ID proof and fill the pre-authorization form.
- The hospital will send your form with your medical records, which will be verified by your insurance company.
- Once approved, the company will directly pay all the bills at the network hospital.
For reimbursement claim:
- Intimate your insurance company about the hospitalization as soon as possible.
- Get treated, pay all the expenses and file for reimbursement.
- At the time of getting discharged, collect all the necessary documents and bills, and submit them to your insurance company.
- After assessing and verifying the documents, the amount will be transferred to your registered bank account, provided the claim is approved.
Note- The above steps may vary from one insurance company to another. Please take note of it before filing a claim.