Essential Things You Must Check Before Buying a Super Top-Up Health Insurance Plan

Today, everyone understands the importance of a health insurance plan for financial security and medical coverage. However, even when you have bought health insurance for medical coverage, it might not be sufficient to cover all your medical expenses and any emergency. The reasons are rising medical inflation and an increase in lifestyle diseases. That is why companies offer super top-up health insurance. This policy provides you with additional coverage without requiring the purchase of another base plan.

But how does one choose the right super top-up plan and what coverage can they expect? In the article, all these questions are answered clearly.

What is the Super Top-Up Health Insurance Plan?

A super top-up health insurance policy provides extra coverage against unforeseen medical expenses. The plan is activated when your base plan limit is exhausted, providing coverage for medical expenses. It is the best health insurance option for getting extra coverage without incurring additional costs by purchasing another basic policy or adding costly add-ons.

For example, Mr. A has a base health insurance policy of ₹5 lakhs and did not want to pay a higher premium for another base insurance, so they opted for a super top-up plan of ₹10 lakhs with a ₹5 lakh deductible. Unfortunately, after some time, Mr. A fell ill and needed to be hospitalised for emergency care, which resulted in a medical bill of ₹15 lakh. Fortunately, Mr. A had a basic plan of ₹5 lakh, which covered the initial cost, and the super top-up plan covered the remaining ₹10 lakh.

Factors to Consider While Buying a Super Top-Up Plan

Deductible

A deductible is the amount that you, as a policyholder, have to pay out of pocket or through the base policy before super top-up health insurance kicks in. A super top-up plan with a higher deductible usually has an affordable premium. Thus, choose the deductible wisely to cover medical expenses in addition to the base insurance plan.

Sum Insured

The sum insured by the selected super top-up plan should be adequate to cover any additional or emergency medical expenses. It is wiser to choose a plan with a higher sum insured for that extra coverage in addition to your base plan. 

Premium Price

You should evaluate the premium of your super top-up health insurance plan against the policy benefits and sum insured provided. It will help you gain a better understanding of whether or not you are getting the best value for your money. Moreover, it is understandable to opt for an affordable plan but not to compromise on adequate coverage.

Policy Benefits

The best health insurance is the one that provides the most comprehensive coverage with the maximum number of benefits. Therefore, ensure that you read through the super top-up health insurance policy documents to understand the benefits they include and whether they meet your medical coverage needs.

Network Hospitals

Ensure that the super top-up health insurance you choose has a wide network of hospitals, particularly in your local area. This way, you can receive medical services immediately in case of an emergency. Moreover, the claim settlement procedure with the network hospital also goes way more smoothly.

Claim Settlement Ratio

A super top-up health insurance plan is purchased to obtain extra coverage when your base plan has been exhausted. It means you would need your super top-up claim settled as soon as your base plan gets exhausted. Thus, before you choose your super top-up insure, check their claim settlement ratio. It should be on the higher side and with a supportive claim settlement expert team to assist you through every step.

What is Covered Under the Super Top-Up Plan?

• Inpatient Treatment: The plan covers the treatment expenses of any illness, injury, or disease that requires the policyholder to be hospitalised as an inpatient.
• Consumables Benefit: This benefit covers the expense for specified consumables that are used during hospitalisation, which is directly related to the insured person’s medical or surgical treatment.
• Day Care Procedures: The policy also provides coverage for day care procedures performed due to illness, injury, or disease at a hospital or day care center.
• Domiciliary Treatment: Super top-up health insurance also includes coverage for medical expenses incurred when receiving medical treatment at home, which would otherwise require hospitalisation. It includes coverage for pre- and post-hospitalisation expenses in the event of domiciliary hospitalisation.

What is Not Covered Under the Super Top-Up Plan?

• Treatment cover for intentional self-injury will not be covered under the plan.
• No coverage for treatment of alcoholism, drug abuse or any addictive condition.
• Expenses incurred primarily for admission, diagnostics, and evaluation purposes are excluded.

TATA AIG Super Top-Up Protection

In a time when medical inflation is on the rise, having super top-up health insurance is a necessity. Whether you have health insurance or are planning to buy one, ensure you get a super top-up for extra financial security in case of significant medical expenses. If you are looking for a top-up insurance plan, be sure to check the TATA AIG MediCare Plus plan. This plan includes coverage benefits such as the AYUSH benefit, pre- and post-hospitalisation coverage, and organ donor cover. The best part is that it provides a sum insured option of up to ₹1 crore for maximum coverage.