How Super Top-up Handles Multiple Hospitalisations in a Year in India?

Due to rising medical costs in the modern era, your base health insurance policy may not be sufficient to cover multiple hospitalisations in a year. A super top-up health insurance plan provides coverage beyond your sum insured limit. Using an aggregate deductible offers a cost-effective, high-sum-insured alternative to your base insurance.

It helps you through multiple hospitalisations in a year when your basic sum insured is exhausted, without hampering your financial status.

Keep reading for more details!

How Super Top-up Mediclaim Insurance Works?

You can avail a super top-up policy in India with or without a basic insurance policy. Here, you have to set a parameter called deductible.

What is Deductible?

The deductible is a specific amount, after which the super top-up plan steps in and pays your medical bills as per requirement. It is determined depending on the medical expenses within a policy year. The super top-up pays the exceeding expenses after the deductible.

This provides you with an extra layer of protection in a year when your deductible, that is the threshold, is reached.

Example

Let us say that you have a ₹10 lakh sum insured in a policy and add a super top-up cover of ₹50 lakhs, with a ₹10 lakh deductible.

Let us say you face hospitalisation twice a year,

• First hospitalisation = ₹6 lakhs


• Second hospitalisation = ₹8 lakhs

For these two hospitalisations, your total amount is ₹14 lakhs.

Now, in this scenario, the super top-up plan comes into play in the following manner:

• The basic insurance has a sum insured of ₹10 lakhs, which matches the deductible


• The super top-up cover pays the remaining ₹4 lakhs, subject to the policy terms and conditions, if the deductible threshold is exceeded.

What are the Benefits of Super Top-up Cover?

The benefits of a super top-up insurance plan are as follows:

Flexibility

You can set the deductible limit as you see fit. Set the deductible to an amount equal to or slightly less than your base sum insured in your base policy.

Support as a Second Layer of Protection

As the deductible is set based on the sum assured in your basic insurance policy, this cover applies when the basic sum is exhausted due to multiple hospitalisations within the same policy period.

Aggregate Deductible Benefit

The deductible applies to the yearly total expenses. That's why multiple claims add up and trigger the coverage.

Affordable with a Lower Premium

As the super top-up cover is triggered after the deductible limit is crossed, it has a lower premium. It is more affordable, while providing broader coverage within the same policy year.

Acts as a Financial Buffer

Multiple hospitalisation claims can drain your finances. But if you have a super top-up cover along with your base health insurance plan, it covers expenses and protects your finances with a lower, more affordable premium.

Super top-up cover is a lifesaver for those facing multiple hospitalisations within the same policy year. The base sum insured may not be sufficient to cover all expenses unless you have this benefit added to your plan. Although the super top-up cover incurs an additional premium, when the deductible is reached, this add-on coverage helps protect your finances in the event of unforeseen medical expenses.