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What is Base Health Insurance?

Base health insurance can offer you financial protection against medical expenses up to a predetermined sum insured. Coverage under such health plans is purveyed to you for expenses born from hospitalisation, pharmaceuticals, surgeries, critical illness treatments, and more. Such plans can also cover expenses surrounding room rent, emergency road ambulance services, diagnostics, etc. 

Important Update (Dated May 30, 2024) – Good news for Health Insurance policyholders! According to the Master Circular on Health Insurance Business 29052024 rolled out on May 29, 2024 by IRDAI, insurers are to decide on the request for cashless claims within 1 hour of receiving the request. Also, the final claim is to be granted within 3 hours after the policyholder’s discharge from the hospital. Insurers have been directed by IRDAI to establish necessary systems and procedures for this process by July 31, 2024.

 

The Master Circular on Health Insurance Business 29052024 circular is available here - https://irdai.gov.in/document-detail?documentId=4942918

What is Top-up Health Insurance?

Top-up health insurance plans can be opted for in times of insufficient health insurance coverage. Should you find that your basic health insurance coverage is inadequate, top-up health plans can help you greatly. You can also use it if you exhaust your sum insured due to expensive medical bills and increase your sum insured. 

What Is the Difference Between Them?

Here are the key differences between base health insurance and top-up health insurance. 

Top-up Health Insurance

Base Health Insurance

Premiums

  • Very inexpensive premiums

  • As low as ₹160 on Bajaj Markets

  • Higher premium price

  • As low as ₹266 on Bajaj Markets

Claim Settlement

  • Hassle-free online application

  • Cashless claims

  • Reimbursement claims

  • Online application available

  • Reimbursement claims

  • Cashless claims

Deductibles

  • Lower deductible

  • Higher deductible

Switching Insurers

  • Easy process

  • Comparatively complicated process

Type of Policy Cover

  • Standalone policy cover

  • Purchased in addition to base health plan

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Benefits of Combining Top-up and Base Health Insurance

While base health insurance is a great standalone protection plan, increasing its security with a top-up policy can be highly beneficial. Here’s how. 

  • Enhanced Sum Insured

You can enhance the total sum insured of your base health insurance policy by combining it with a top-up plan. For example, if your base health plan offers coverage up to ₹10 Lakhs and you combine it with a ₹5 Lakh top-up plan, your total coverage increases to ₹15 Lakhs.

  • Tax Benefits

You can get tax benefits for the premium you contribute towards health insurance from your yearly income. Hence, if you’re paying premiums for your base health insurance and your top-up health insurance, you can get a larger tax benefit during each financial year.

  • Nominal Premium

If you’d like to increase the protection you can receive from health insurance, you need not purchase an additional base health policy and pay a double premium. You may choose to add a top-up plan to your health insurance policy at a comparatively smaller price. 

  • Hassle-free Online Application

You can purchase both the health insurance plans through a hassle-free and quick online process. You need not step out of your house for any part of the application. For example, through Bajaj Markets, you can purchase a health insurance plan and a subsequent top-up in just five simple steps that should take just a few minutes of your time.

  • Multiple Insurer Options

If you choose to purchase a top-up plan along with your base health insurance plan, there is no compulsion over the insurer you pick to purchase each of the plans from. You can choose to purchase both from the same insurer. You can also opt for two different insurers for each policy. The decision is entirely yours. 

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Conclusion

While having a top-up plan with your basic health insurance plan is a great benefit, it is also essential for the sake of your financial safety and peace of mind. Through this security, you can rest assured knowing that your medical bills and finances are in safe hands. 

 

You can carry out your very own comparison and analysis of base health insurance v/s top-up health insurance right here, on Bajaj Markets. Additionally, you may also find your ideal health insurance plan and purchase it with just five simple steps. Bajaj Markets offers health insurance plans starting at a nominal price of ₹53/month only!

FAQs About Base Health Insurance v/s Top-up Health Insurance

How does top-up health insurance work?

Most insurers in India offer top-up health insurance plans as extended coverage on the existing health policy. So, in case you realise that you are about to exhaust the sum insured, opting for top-up health insurance will cover the exceeding expenses without you having to dip into your life savings.

What are the factors that might influence the top-up health insurance premiums?

Some common factors that can affect your top-up health insurance premiums are as follows:

  • The area of residency

  • Deductible amount

  • Sum insured chosen

What is covered under top-up health insurance policies?

Some of the expenses covered under health insurance top-up policies are as follows:

  • Ambulance charges

  • Maternity benefit cover

  • Organ donor cost

  • Pre and post-hospitalisation expenses

Can I purchase top-up health insurance on Bajaj Markets?

Yes, you can purchase the Bajaj Allianz Extra Care Plus top-up health insurance plan online on Bajaj Markets.

When can I use my top-up health insurance plan?

You can use your health insurance top-up plan when your medical expenses (during hospitalisation) exceed the sum insured offered by your base health insurance policy.

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