Difference between Top up and Super Top up plan in HEALTH INSURANCE

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Difference between Top Up and Super Top Up Plan
in HEALTH INSURANCE
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A top-up plan is a regular health
insurance policy that covers hospitalization
costs but only after a threshold limit (i.e.
deductible), is crossed. It gives additional
coverage, beyond the threshold limit of the
existing health insurance policy in a single
bill. The threshold limit can be met by a health
insurance Policy or by self-funding also.
However, it is not mandatory to have a base
policy to buy a Top-Up Mediclaim Policy. The
policy can be issued on Individual or Floater
basis.
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What is deductible?

• Deductible means the amount stated in the
  schedule which shall be borne by the insured in
  respect of each and every hospitalization claim
  incurred in the policy period.
• The companys liability to make any payment for
  each and every claim under the policy is in
  excess of the deductible.

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• How is the deductible applied at the time of
  claim under Top Up Policy ?
• Deductible would be applied afresh for each
  claim.
• Each and every hospitalization would be
  considered as a separate claim.
• The limit of indemnity /Sum Insured is the
  maximum liability above the deductible.

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Example Basic health insurance policy of Rs. 5
lacs and Top-up plan of Rs. 10 lacs, with a
threshold of Rs. 5 lacs.
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Super Top-up Policy

• A super top-up plan covers the total of all
  hospitalisation bills (up to the super top-up
  plan limit) above the deductible amount,
  that is, the deductible is applied to the total
  claims in a year. Hence, once the deductible is
  paid, the plan becomes active for
  subsequent claims. Similar to top-up plans,
  except that top-up plan covers a single claim
  above the threshold limit, while the super top-up
  plan covers the total of all hospitalization
  bills above the threshold limit.

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Example Basic health insurance policy of Rs. 5
lacs and Super Top-up plan of Rs. 10 lacs, with a
threshold of Rs. 5 lacs.
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Q Can one only buy a Super Top Up Policy? A
Yes keeping in mind about the threshold(deductible
) limit of the base policy or no policy allows
you to buy only a Super Top Up Policy Q Which
points are to be kept in mind while buying a
Super Top Up Policy? A Features like
Financial limits and sub limits, Two Policies
would mean two claims, waiting period, cashless
network, buying both policy base and super top
up in the same month or preferably on the same
date.
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Q Would waiting period on Pre existing disease
be applied to a new Super Top Up Policy? A Yes
there would be waiting period applicable as per
policy terms and conditions. Q How much
deductible one should avail from a Top-up or a
Super Top Up policy? A Under Top-Up Plans
minimum deductibles available from Rs.30000 to
Rs.10 lacs whereas under Super Top-up Plans
minimum deductible available is from Rs.1
lac to Rs. 40 lacs. While you opt for
lesser deductible it would be a little expensive
than the higher deductible.
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