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Popular Top up Health Insurance Plans

A financial safety net for medical costs is what health insurance is like. When you get sick or hurt, a health insurance company helps pay for your medical care in exchange for a monthly premium. It reduces the amount of money you spend out of pocket for prescription drugs, hospital stays, doctor visits, and other healthcare services. Selecting a plan that meets your demands and budget is critical because coverage levels and prices vary.

However, a Top-Up health insurance plan is an added coverage to your health insurance plan. It provides you with extra protection over your base health insurance policy. You can also purchase a Top-Up Health Insurance without having a base policy, however the costs till the deductible amount is exhausted will be your responsibility.

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5 Lac coverage starting from only ₹257/Month*
5 Lac coverage starting from only ₹257/Month*
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**Tax benefits are subject to changes in Income Tax Act.

What is Top Up Health Insurance?

You can purchase top-up health insurance as an extra layer of protection over your base policy. It comes into action as soon as the standard insurance coverage limit is reached. Top-Up Health Insurance provides an extra layer of protection and is also affordable. Compared to a base health insurance plan, the top-up plan has a lower premium but only pays for expenses exceeding a set amount (deductible). This plan guarantees you sufficient coverage without having to pay for more insurance than you require by offering financial protection against unforeseen medical crises or hospitalisation costs beyond your primary policy's coverage limitations.

What is Super Top-Up Health Insurance?

Super top-up health insurance provides an additional layer of coverage over your base health insurance. You can only access the coverage for your medical expenses once the deductible amount has been exceeded, protecting against excessive bills that exceed base insurance coverage. Insurers offer cumulative bonuses each year for policyholders who exceed their deductible level. However, only one claim can be made over each policy year, providing crucial financial protection against major medical expenses and helping in cost management.

Key Features of Top-Up Insurance Plans

The key features of buying a top-up health insurance plan are as follows:

  • Affordable Premiums: Increasing coverage limitations without collecting significant fees is affordable with top-up health insurance as its premiums are less than those of comprehensive health plans.
  • Customisable: You can adjust the coverage amount to suit your needs, making sure you only pay for the insurance you need to cover any unexpected medical costs above and beyond your main insurance.
  • Flexibility in Coverage: It gives you the freedom to select coverage regardless of your current health insurance, enabling you to improve your medical coverage to your individual needs.
  • Individuals and Family Plans: Top-up insurance provides extra financial security for unforeseen medical costs beyond what your base insurance covers and it is accessible to both individuals and families.
  • No Claim Bonus: Certain top-up policies provide a no-claim bonus, which motivates you to maintain good health by giving you a discount or more coverage if you have not filed any claims during the policy period.

Difference in Top Up- Super Top Health Insurance Plan

The table below shows the differences between top-up and super top-up health insurance:

Super Top-Up Health Insurance

Top-Up Health Insurance

Cumulative bills are provided to policyholders during a policy term once they exceed the deductibles.

Policyholders can only make a single claim above the deductible limit in a policy year.

Policyholders have to pay deductibles once during a policy year.

Policyholders have to pay the deductible on every claim they make during the policy year.

How Does Top-Up Health Insurance Work?

Customers select a top-up package if they need more coverage for their medical expenses. But once the initial deductible on your plan has been paid in full, this plan comes into effect. Every plan has a different deductible according to their plan terms and condition. It is not necessary to have a base health insurance plan to purchase a top-up plan, but you will be responsible for paying the costs up to the deductible amount out of pocket. If you do not have a base policy that pays for your medical expenses, it becomes necessary to cover the amount out of pocket till the deductible to activate your top-up plan.

Benefits of Top-Up Health Insurance Plans

The advantages of purchasing a Top-Up Health Insurance are given below:

  • Cost Effective: When compared to updating your base health insurance plan, top-up health insurance offers more affordable options by offering additional coverage beyond your base plan at an affordable rate, saving your money and guaranteeing complete protection.
  • Additional Security: Top-Up plan offers extra security by paying for medical costs that exceed your base health insurance which helps you save money during any medical emergency.
  • Higher Sum Insured: It offers financial security for expensive hospital stays and medical procedures without the need for a new health insurance plan. It offers wide healthcare coverage for unforeseen medical needs, providing comfort and efficient cost control.
  • Cashless Treatment: To ensure hassle-free access to healthcare, many top-up plans offer cashless treatment facilities. This means that you can get medical care without having to pay upfront because the insurer will settle bills directly with the hospital within the given coverage limits.
  • Wide Coverage: Beyond basic medical needs, top-up health insurance offers complete coverage for a variety of medical issues beyond what your base health insurance covers. This includes critical illnesses or specialised treatments.

Who Should Consider Top-Up & Super Top-Up Plans?

Several people who wish to improve their current health coverage without having to make significant financial sacrifices can benefit greatly from top-up health insurance. The following individuals ought to think about acquiring a supplemental health insurance plan:

  • Policyholders of Basic Health Plans: A top-up policy can offer further financial security if your Basic Health Plan offers limited coverage. Covering medical costs above and beyond what your base plan pays, takes effect when your primary insurance limit is reached.
  • High Risk of Medical Expenses: If you anticipate needing costly medical operations or hospital stays that may exceed your current insurance limitations, a top-up coverage ensures you're adequately protected without having to pay a sizable sum out of cash.
  • Cost-Concious People: Top-up insurance is a more cost-effective approach to boost coverage for people who wish to efficiently control healthcare costs than buying a brand-new comprehensive health plan. In this manner, you might obtain longer coverage at a reduced rate.
  • Families: Adding top-up insurance to a family's plan helps safeguard members' finances against unanticipated medical emergencies. It protects every member of the household by ensuring comprehensive coverage above and beyond what a single health insurance plan may provide.
  • Retirees: Retirees may have greater medical demands and frequently encounter restrictions with employer-sponsored health plans. Increasing their coverage and controlling healthcare costs in retirement may be more affordable with top-up insurance.

These people and organisations can guarantee complete protection against unanticipated medical costs while controlling their healthcare costs by taking into account top-up health insurance. Without the high premiums associated with full health policies, it offers financial security and peace of mind.

Eligibility to Buy Top-Up and Super Top-Up Plans

The eligibility criteria for a Top-Up may vary from insurer to insurer and plan to plan. However, the common age to purchase top-up health insurance is 18 years- 65 years.

Top-Up Plans are available as both individual and family floater plans. This helps an individual not only cover himself but also their loved ones. A child can be added to the plan as well, however the minimum entry age may differ with every insurer.

How to Buy Top-Up Health Insurance?

You can purchase the Top-Up plan through online and offline mode with InsuranceDekho. Follow the steps given below to purchase a top-up plan from InsuranceDekho:

Online

Step 1: Visit the InsuranceDekho’s official website.

Step 2: Click on the Insurance tab to view the drop-down menu.

Step 3: Select the Health Insurance option in the drop-down menu.

Step 4: Fill in the details on the new page that opens.

Step 5: Click on the View Plans option to view the plans available for you.

Step 6: Select the best top-up health insurance plan for you to proceed forward.

Offline

You can contact InsuranceDekho’s experts/ advisors at +91-7551196989, support@insurancedekho.com or Girnar Insurance Brokers Private Limited,

Plot no.301, Phase-2, Udyog Vihar, Gurugram-122022, Haryana, India. Our advisors provide customers with at-home services, they help you understand the plan and choose the best top-up plan that fulfils all your needs and requirements.

Factors to consider while choosing Top Up Health Insurance

Consider the following factors while choosing the best top-up health insurance plan:

  • Deductible: Purchasing a top-up plan increases your coverage, but to access it, you must first exceed your deductible amount. Customers usually choose a greater deductible since it results in a cheaper premium. The size of the deductible, however, must be chosen carefully and by the customer's medical necessity.
  • Benefits: There are numerous perks associated with each plan, however, customers should prioritise selecting a top-up plan that best suits their medical needs. It is important to understand your needs and customise the plan accordingly. Ensuring that the top-up you select satisfies all of your needs and provides proper coverage is crucial.
  • Coverage: Each plan has different coverage depending on the customer's age, plan, and health issues. Depending on their needs and health issues, the family floaters, individuals, and senior citizens have different coverages in their plans.
  • Sub-Limits: Before selecting a top-up plan, review the sub-limits of each coverage. Customers should consider lower sub-limits as they might restrict their coverage. Selecting a top-up plan without any sub-limits is recommended usually. A policyholder may have to pay bills out of pocket as a result of sub-limits.
  • Waiting Period: A waiting period is a feature of all health insurance plans. Customers only receive coverage for their medical procedures after this time has passed. When selecting a plan, look up the waiting period for the treatments and procedures. A shorter waiting period is always considered by the policyholder as it provides them with coverage without a long wait.

Inclusions & Exclusion Under Top-Up Health Plans

The inclusions and exclusions of top-up health insurance are mentioned in the table given below:

Inclusions

Exclusions

Pre and Post-Hospitalisation

Pre-Existing Diseases (before the waiting period)

Emergency Ambulance Cost

Cosmetic Surgeries

Pharmacy

Non-Medical Expenses

Modern Treatments

Self Injury

AYUSH Treatments

Alcohol or Drug Abuse

How to Claim for Top-Up & Super Top-Up Health Plans?

To claim a top-up health insurance plan contact the insurer within 48 hours of hospitalisation. However, you can reach out to InsuranceDekho for any further doubts or concerns.

Contact Information for Any Query Related to Top Up plans

To get your doubts or queries answered connect with InsuranceDekho through the following channels:

  • Call Us On: +91-7551196989
  • Email: support@insurancedekho.com
  • Mail: Girnar Insurance Brokers Private Limited, Plot no.301, Phase-2, Udyog Vihar, Gurugram-122022, Haryana, India.

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FAQ About Popular Top up Health Insurance Plans

  • What is a top up health insurance plan?

    A top up plan is a type of health insurance plan that covers hospitalisation expenses when a policyholder crosses the threshold limit known as deductible.

  • When do you require a top up health insurance plan?

    Most health insurance providers generally cover all the medical and health care related needs. However, at times you may end up needing some extra funds, in case an unforeseen medical emergency arises. Moreover, with the increasing healthcare expenses, it is always recommended to have an additional cover, so that you are prepared financially in all the circumstances.

  • What all documents are needed to buy a top up health insurance plan?

    The documents that you are required to submit in order to buy a top up health insurance plan includes identity proof, age proof, and address proof. A medical test is not required for policyholders until 55 years of age, which is subject to a proper proposal form.

  • What is covered under a health top up plan?

    A health top up plan basically covers any medical or healthcare costs for you and your family members that can arise because of any illness or an unforeseen accident.

  • What is the deductible in top-up insurance?

    Before the top-up plan kicks in, you will need to pay this amount out of either your pocket or your base health policy (normal health policy).

  • Can I take a top-up policy without a base policy?

    Yes, you can purchase a top-up health insurance without having a base policy. However, you will have to pay the bills to exceed the deductible out of pocket.

  • What is the waiting period for top-up insurance?

    The waiting period may differ with every insurer according to their plan’s terms and conditions.

  • What is Arogya top-up policy?

    Arogya Top-Up health insurance is a plan offered by SBI Health Insurance. It is the Top-Up plan offered by them.

  • Can we port top-up health insurance?

    It is possible to switch your health insurance policy to a different provider.  This is known as porting, and if you decide to move companies, you will need to transfer your current health plan to a new one that they offer.

  • Are pre-existing diseases covered under top-up health insurance?

    Yes, pre-existing diseases are covered in many top-up plans. However, they are only covered after a waiting period.

  • Can I avail of cashless treatment with a top-up health insurance plan?

    Yes, Top-Up Health Insurance Plans offer cashless treatment to the customers. This makes it easier for them to get treatment at a good hospital during their difficult times.

  • What happens if my base policy and top-up policy are from different insurers?

    Having a base health insurance and top-up health insurance from different insurers does not affect anything except you may not get cashless treatment.

  • Can I claim tax benefits on the premium paid for top-up health insurance?

    Yes, you can claim tax benefits on the premium paid for a top-up health insurance plan.

  • Can I increase the deductible in my top-up health insurance plan?

    Yes, you can customise your top-up health insurance plan to meet your medical needs and requirements.

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