What is Top Up Health Insurance Policy? How Does It Work?
What is Top-up Health Insurance Plan?
How does it Top-Up Health Insurance Policy work?
- Scenario 1: He makes a claim for Rs.4 lac. Expenses will be reimbursed by basic health plan which covers him up to Rs.5 lac.
- Scenario 2: He makes a claim for Rs.9 lac. In this case, Rs.5 lac will be reimbursed by his regular health plan and the rest Rs.4 lac will be covered by the top-up plan.
- Scenario 3: Claim amount is Rs. 11 lac. In this case, first 5 lac will be covered by his basic plan and another Rs.5 lac (Rs.10 lac – deductibles of Rs.5 lac) will be covered by the top-up plan. The rest Rs.1 lac has to be paid out of his pocket.
- Both your basic health plan and top-up health plan can be claimed together for a single incidence of hospitalization. Also, you can have your basic health plan and Top-up plans from two different insurers. There is no application of contribution clause; each insurer will settle his part of claim separately.