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How Does Medical Insurance Top Up Work?


A regular policy reimburses hospital bills up to the sum insured while a top-up plan covers costs after a certain threshold is reached. In simple words, when you are hospitalised, the insurer will pay up to the set sum insured limit.

Is it good to take top up health insurance?

Advantages of Top-up plans Top up plans are cheaper in comparison to general health insurance policies if the deductible is higher. Buying a top-up plan is a better option than extending a basic health cover at a nominal cost. Easy to purchase, these plans can be bought from any insurer without restrictions.

How can I increase my medical cover?

The first option is to go for another Health Insurance policy that will add up to a sufficient amount or increase the Sum Insured under your existing policy. With your increased age and general inflation, a new health plan for similar Sum Insured will sure cost you more than your original policy.

What is top up health policy?

Usually, a single hospitalization cover is provided in top-up health insurance plans. Your top-up plan comes in to play when your hospital bill exceeds the deductible limit (during the hospitalization). So, if you make two claims in a year of Rs. 1 Lakh and 2 Lakh, and your top-up plan have a threshold limit of Rs.

What is deductible amount in top up health insurance?

Deductible in a top-up plan are common. It is the limit up to which the insurer will bear the healthcare costs and the remaining will be borne by the policyholder. A top-up plan medical insurance plan provides coverage above the existing coverage limit under the current health plan.

What does top up mean in insurance?

Top up health insurance is an additional coverage offered by health insurance companies to aid the policyholders when they exceed the maximum limit of their health insurance plans. For example, Mr. A has a health insurance policy of INR 3 lakhs. He pays a premium amount of INR 6000 annually.

Why are super top up cheap?

Super top only triggers after a threshold limit/particular bill amount, which reduces the premium cost. Even if you don’t have a base policy this super top-up can help if the claim is above the threshold limit. Hence the super top-up is affordable.


When should you go for a super top up health insurance policy?

In this case, his top-up/super top-up plan will come into force only if the bill is over and above Rs 3 lakhs. If the bill is under Rs 3 lakh, i.e. below deductible, no benefit will be paid through the top-up/super top-up plan.

What is a top up?

an amount added to something in order to raise it to or maintain it at a desired level. (as modifier)a top-up loan; a top-up policy.

Can we reduce the sum insured in health insurance?

Go for a Policy with Less Sum Insured When you opt for a lower sum insured under your policy, you can avail it for low premium payments. At the onset of the policy, you can receive a lower sum insured and then increase the amount as time goes by. That way, you can make your policy more affordable.

Can we increase the sum insured?

Sum assured changes are allowed by insurers only at the time of policy renewal. Also, it is not possible to increase the sum assured in the middle of the policy year after a claim has been reported.

What is threshold limit in medical insurance?

The top-up plan will come to your rescue in case your medical insurance claim crosses a threshold limit (also known as a deductible). What this means is that the top-up plan becomes active only when the claim amount is higher than the top-up deductible.

What is a top up recharge?

Key Difference: Top-up is a way to replenish a prepaid mobile account without extending the validity period, whereas recharge is a way to replenish a prepaid mobile account with the extension of validity period.

What is top up and super Topup?

The major difference lies in the fact that a Super Top-up Plan offers coverage for complete hospitalization bills above the threshold limit, whereas a top-up policy only covers a single hospitalization claim above the threshold limit (i.e. the Deductible amount).

What is voluntary top up cover?

Termed as voluntary top-ups, these schemes allow employees to increase their cover by paying premiums out of their own pockets. “Top-ups in medical insurance are most common.

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