Buy Super Top Up Health Insurance | Best Super Top Up Plans

A Super Top-Up Health Insurance Policy is a Health Insurance Policy which reimburses the Insured for hospitalisation expenses above the Deductible Amount. So, a Super Top-Up health Insurance Policy starts paying out the Insurance Claim once the Hospital Bill exceeds the Deductible Amount. A Super Top-Up health Insurance Policy provides coverage for Hospitalisation Expenses, Pre and Post- Hospitalisation Expenses, Daycare procedures etc. like a regular Health Insurance Policy. Policyholders choose the Deductible Amount at the time of purchasing the Super Top-Up Health Insurance Policy. It allows you to increase your Sum Insured at a very reasonable premium. A Super Top-Up Health Insurance Policy can be taken either as an Individual Health Insurance Policy or a Family Floater Health Insurance Policy.

How does a Super Top-Up Health Insurance Policy work?

A Super Top-Up Health Insurance Policy reimburses the Insured only when the Claim Amount exceeds the Deductible Amount.
For Example: Mr Gupta has a Super Top-Up Health Insurance Policy of Rs5 lakhs with a deductible of Rs2 lakhs. This means that Mr. Gupta’s Super Top-Up Health Insurance Policy will pay claims only when the medical expenses exceed Rs2 Lakhs. Unfortunately, Mr Gupta has to be hospitalized due to an accident which required a surgery costing Rs6 lakhs. The Super Top Up Plan will reimburse Mr Gupta for Rs4 lakhs. The initial Rs2 lakhs of the treatment cost, which is the deductible limit will have to be borne by Mr Gupta himself.

What does Deductible in a Super Top-Up Health Insurance mean?

A deductible in a Super Top-Up Health Insurance Policy means the limit above which the Insurance Policy will reimburse the insured person. For Example: Mr Gupta has a Super Top-Up Health Insurance Policy of Rs5 lakhs with a deductible of Rs2 lakhs. This means that Mr. Gupta’s Super Top-Up Health Insurance Policy will pay claims only when the claim amount exceeds Rs2 Lakhs. The initial Rs2 Lakhs of medical expenses will have to be borne by Mr. Gupta himself.

What does a Super Top-Up Health Insurance Policy Cover?

A Senior Citizen Health Insurance Policy provides the following coverages:

1. Hospitalisation Expenses: A Super Top-Up Health Insurance Policy covers Hospitalisation Expenses incurred by the Insured which includes expenses such as Room Rent, Nursing Expenses, Surgeon, Anesthetist, Doctor’s Fees, Consultants etc.
2. Pre- and Post-Hospitalisation Expenses: A Super Top-Up Health Insurance Policy also provides coverage for Pre- and Post-Hospitalisation Expenses, usually for 60 days and 90 Days respectively. Coverage for Pre- and Post-Hospitalisation Expenses is important since it can be used to avail reimbursement for expenses incurred on diagnostic reports and pharmacy bills prior to hospitalization and post discharge.
3. Daycare Procedures: A Super Top-Up Health Insurance Policy also provides coverage for Daycare Procedures, such as Chemotherapy, Dialysis etc. which does not require admission in a hospital.
4. Maternity Benefits: Some Super Top-Up Health Insurance Plans also provide coverage for Maternity Expenses above the deductible amount. This is an important coverage of a Super Top-Up Health Insurance Plan as regular Health Insurance Policies do not usually provide Maternity Coverage.
5. Pre-Existing Disease Cover: Super Top-Up Health Insurance Plans provide Pre-Existing Disease Coverage after a Waiting Period of 12-24 months. This Waiting Period is usually lower than regular Health Insurance Plans.

What are the Benefits of a Super Top-Up Health Insurance Policy?

The major benefit of a Super Top-Up Health Insurance Policy is that it allows you to increase your sum insured at a very reasonable premium.

1. Coverage for Hospitalisation Expenses: A Super Top-Up Health Insurance Policy provides coverage for Hospitalisation Expenses above the deductible amount.
2. Increased Health Insurance Coverage: Since the Super Top-Up Health Insurance Policy reimburses the Insured only when the Claim Amount exceeds the Deductible Amount, the premiums for a Super Top-Up Health Insurance Policy are lesser than the regular Health Insurance Policy. This allows the Insured to avail coverage for higher Sum Insured at reasonable premiums.
3. Tax Benefits: The Premiums paid toward a Super Top-Up Health Insurance Policy are eligible for tax deduction under Section 80D of the Income Tax Act 1961. The Tax Benefits of a Super Top-Up Health Insurance Policy make it more affordable for people to purchase the Policy.
4. Cashless Claims Settlement: The Insured can avail Cashless Claim Settlement at Network Hospitals under a Super Top-Up Health Insurance Policy and would not need to bear any expenses out of his own pocket.
5. Lifetime Renewal: Super Top-Up Health Insurance Policy offers Lifetime Renewal of Policy as long as Premiums are paid on time. Thus, once you purchase the Policy, you secure Health Insurance Coverage for lifetime.

Best Super Top-Up Health Insurance Plans in India

The table below lists down the best Super Top-Up Health Insurance Plans in India:

What are the exclusions under a Super Top Up Health Insurance Policy?

The common exclusions under a super top up health insurance policy are as follows:

1. The Super Top-Up Health Insurance Policy does not cover any medical expenses till the aggregate of the expenses exceed the deductible amount.
2. Pre-Existing diseases are not covered before the end of the waiting period
3. Hospitalisation Expenses upto the deductible limit will not be payable under a super top up health insurance policy.
4. Expenses for Cosmetic Treatments or Plastic Surgeries are normally excluded under a super top up health insurance.

Top Up Health Insurance vs Super Top Up Health Insurance

A Top-Up Health Insurance Policy pays a Claim if the hospitalisation bill exceeds the deductible on a per hospitalisation basis while a Super Top-Up Health Insurance Policy pays a claim if the hospitalisation bill exceeds the deductible on an aggregate basis. Thus, in case of a Top-Up Health Insurance Policy, each and every claim has to be higher than the deductible amount for the Policy to pay out the Claim while in a Super Top-Up Health Insurance Policy, the total of claim amount during the Policy Period has to be higher than the deductible amount dor the Policy to pay out the claim. The difference is payouts between a Top Up vs a Super Top Up health insurance is illustrated in the table below:

A Super Top-Up Health Insurance Policy is a much better option vs a Top-Up Health Insurance Policy even though the premium is a little bit higher.

What is the entry age for a Super Top-Up Health Insurance Policy?

The minimum age for a Proposer, Spouse and Dependent Parents to purchase a Super Top Up Health Insurance Policy is 18 years while the maximum entry age allowed by most insurance companies is around 80 years.Dependent Children can be enrolled as early as 3 months and upto a maximum age of 25 years. The entry ages might differ as per the terms and conditions of the policy.

What is the Claims Process for a Super Top-Up Health Insurance Policy?

The Insured can avail Claims Settlement in 2 ways under a Super Top-Up Health Insurance Policy: Cashless Claim Settlement and Reimbursement Claim Settlement

Cashless Claim Settlement Process under a Super Top-Up Health Insurance Policy

The claims process for availing Cashless Claim Settlement under a Super Top-Up Health Insurance Policy is listed below:

1. Locate the nearest network hospital covered by the Insurance Policy to avail treatment
2. Inform the Insurance Company about the hospitalization before 3-4 days in case of a planned hospitalization and within 4-5 hours in case of an emergency
3. Show the Health Card issued by the TPA at the Insurance Desk at the hospital and fill the Pre-Authorization Claim Form provided by the hospital
4. The Hospital sends the Claim Form to the Insurance Company for approval
5. Avail treatment at the hospital and get discharged. The Insurance Company will settle the bill with the hospital directly.

Reimbursement Claim Settlement Process under a Super Top-Up Health Insurance Policy

The Claims Process for availing Reimbursement Claim Settlement under a Super Top-Up Health Insurance Policy is listed below:

1. Inform the Insurance Company within 24 hours of admission to the hospital and obtain a Claim Intimation Number
2. Make the payment to the hospital for the medical expenses incurred and keep original copies of all the invoices
3. Submit the required documents to the Insurance Company which will verify the claim details, ask for additional documents if required and will approve or reject the claim
4. The approved claim amount gets credited directly to the bank account of the Insured