A top-up health policy is an additional coverage only for people who have an existing health insuance or a mediclaim from the employer.
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Ever been in a situation where you’ve been hospitalized and your basic health insurance plan falls short of covering expenses? With medical costs on the rise, why wait for the exhaustion of your sum insured amount that prevents you from getting the required medical help? Here’s presenting Extra Care Plus, a health insurance top-up plan that is designed to take care of medical expenses, should you deplete your basic health insurance policy amount. A plan that acts as an extension of your base health insurance plan by offering a high sum insured with a low deductible at a nominal premium. Moreover, individual Extra Care Plus top-up plans for individual health insurance come for as little as Rs. 2500 per annum.
Health insurance is a valuable product that allows one to financially protect yourself and your family against sudden medical contingencies. However, have you ever wondered what you would do if your regular health insurance coverage falls short in times of need? Well, considering that the medical costs in India are rising by the day, it is wise to invest in a top-up plan that comes in handy when the existing sum insured is exhausted.
At Finserv MARKETS, you can buy health insurance top-up to take care of the additional medical expenses that exceed your existing coverage. The top-up health insurance plan is an extension to your primary health insurance policy, which offers a high sum insured with low deductibles at a nominal rate.
Let us understand how health insurance top-up plans work, with the help of an illustration.
Miss Rekha has a basic health insurance coverage of Rs. 5 Lakhs and a top-up health insurance plan of Rs. 5 Lakhs. Below are a few scenarios that will help you understand the need for top-up health insurance.
Rekha claims Rs. 4 Lakhs on her health insurance plan. The primary coverage will inevitably take care of the expenses as the health insurance coverage is of Rs. 5 Lakhs.
Rekha claims Rs. 8 Lakhs. In this case, the primary health insurance will cover Rs. 5 Lakhs of the total amount, and the top-up plan will cover the remaining Rs. 3 Lakhs.
Rekha claims Rs. 12 Lakhs. In such a case, her basic health plan will cover Rs. 5 Lakh and the top-up plan will cover another Rs. 5 Lakh (that is a total of Rs. 10 Lakh). The remaining Rs.2 Lakh has to be paid by her from her pocket.
By now, we believe that you must have gained a good understanding of health insurance top-ups. Let us proceed to understand the difference between regular health insurance and top-up health insurance.
The following table will help you understand the difference between the two policies –
|
Regular Health Insurance |
Top-Up Health Insurance |
Type of Policy |
Independent health insurance plan that covers the medical expenses of an individual or a family. |
Add-on health plan that acts as an additional benefit over and above your basic health insurance coverage. |
Premiums |
If you choose a high sum insured, the premiums of the health plan will be comparatively high. |
Top-up health insurance plan is cost-effective as the policy provides extended coverage at a nominal rate. |
Waiting Period |
The insured needs to complete the waiting period before the health plan covers pre-existing health conditions. |
There is no waiting period on the top-up health plan to cover the pre-existing health conditions. |
Now that we have covered the basics of top-up health insurance plans let us take a look at the top-up health insurance plans available on Finserv MARKETS.
Here’s a glimpse of what the top-up plan at Finserv MARKETS consists of-
|
Bajaj Allianz Extra Care Plus |
Type of Plan |
Extra Care Plus is a top-up health insurance plan designed to take care of the additional medical expenses in case you exhaust your base health insurance plan. |
Premiums |
Extra Care Plus top-up plans on individual health policies will cost as little as Rs. 116 per month. |
Key Benefits |
|
Eligibility Criteria |
● Entry Age ● Policy availability ● Policy Period ● Medical Test Requirement ● Minimum Entry Age for Proposer/ Spouse/ Dependent Parents – 18 Years ● Maximum Entry Age for Proposer/ Spouse/ Dependent Parents – 80 Years ● Minimum Entry Age for Dependent Children – 91 Days/3 Months ● Maximum Entry Age for Dependent Children – 25 Years |
Inclusions |
● Sum Insured of up to Rs. 50 Lakh: Our partner, Bajaj Allianz, offers Extra Care Plus top-up plan with the sum insured amounts that range from Rs. 3 Lakhs – Rs. 50 Lakhs. This proves to be especially helpful when your base family health insurance plan falls short. ● Organ Donor Cost: This plan covers certain costs that are part of organ transplantation. These include one week of hospital stay and one month of medicines. Charges related to organ procurement and expenses incurred by the donor are not covered. ● Maternity Benefit Cover: Extra Care Plus covers all maternity-related charges. It also takes any expenses that may arise from delivery complications into consideration. However, there is a waiting period of 12 months to avail this benefit. ● Day Care Facilities: Costs incurred on availing daycare/hospital facilities are covered. This includes daycare facilities like surgical procedures requiring hospital/daycare, upon admission as an in-patient for less than 24 hrs. ● Pre and Post hospitalisation Expenses: All expenses incurred 60 days before and 90 days after hospitalisation are covered under this health insurance top-up plan. This usually includes fees for doctor and nurse’s services, use of ICU and OT, rent for room and charges for purchasing blood, medicine and oxygen. ● Ambulance Charges: In the event of an accident, a maximum amount of Rs. 3000 is provided for the use of transportation per valid hospitalisation. |
Exclusions |
● Diseases/sickness that is diagnosed during or before purchasing of this insurance top-up. ● Any condition that is contracted within 30 days of purchasing/starting the top-up plan. ● Any expenses related to pre & post hospitalisation of an organ donor. ● Costs incurred for the treatment of HIV AIDs and other such diseases. ● Fees associated with the purchase of non-allopathic medicines. ● Illnesses/diseases that are caused by the consumption of alcohol and intoxicating drugs. ● Any surgery that requires joint replacement (except accidents) and has a waiting period of 4 years. ● Expenses incurred for cosmetic and aesthetic treatment. ● Any expense incurred during dental surgery and doesn’t require hospitalisation. ● Medical treatment costs for a new-born baby. ● Any procedure related to fertility, impotence, subfertility, assisted conception, and sterilisation. Note: For the complete list of exclusions, refer to the PDF in the 'Download' section. |
You've always heard the term Deductible under health insurance, but have never been able to understand it well, right? Here's making things a little easier for you. A deductible is an amount of money which you, as an insured, have to pay from your own pocket or your base health insurance/group health insurance (up to the limit specified in the policy). Once you have paid the deductible, your insurance provider will pay for your claims thereafter. Let's say for instance that the deductible limit mentioned in your health top-up plan is Rs. 3 Lakh. You got hospitalized for an illness and the bill came to a whopping Rs.20 Lakh. In this case, you'll have to pay Rs. 3 Lakh on your own or from your base health insurance policy & the remaining amount of Rs. 17 Lakh will be covered by your top-up plan.
Imagine being in a situation where either you or one of your family members is hospitalized and the sum insured amount of your health insurance plan falls short of covering the medical expenses! What do you do? Well, as the saying goes, ‘Better safe than sorry’, a health insurance top up is what you should get. When you buy a ‘Extra Care Plus’ top-up plan on Finserv MARKETS, rest assured that your medical costs are taken care of, should your overshoot the sum insured amount of your base health insurance plan. Here's a glimpse of the health insurance benefits you can avail with this top-up plan.
Our partners, Bajaj Allianz, offer Extra Care Plus top-up plans with sum insured amounts that range from Rs. 3 Lakh – Rs. 50 Lakh. This proves to be especially helpful when your base family health insurance plan falls short.
Certain costs that are part of an organ transplantation are covered by this plan. These include 1 week of hospital stay and 1 month of medicines. Costs related to organ procurement and expenses incurred by the donor are not covered.
Extra Care Plus covers all maternity-related charges. It also takes any expenses that may arise from delivery complications into consideration. However, there is a waiting period of 12 months to avail this benefit.
Costs incurred on availing daycare/hospital facilities are covered. This includes daycare facilities like surgical procedures requiring hospital/daycare, upon admission as an in-patient for less than 24 hrs.
All expenses incurred 60 days before and 90 days after hospitalization are covered under this health insurance top-up plan. This usually includes fees for doctor and nurse’s services, use of ICU and OT, rent for room and charges for purchasing blood, medicine and oxygen.
In the event of an accident, a maximum amount of Rs. 3000 is provided for the use of transportation per valid hospitalization.
Get a free medical check-up up to Rs. 1000 for self and Rs. 2000 for family, once in every three years with Extra Care top-up plan.
Diseases/sickness that are diagnosed during or prior to purchasing of this insurance top-up.
Any disease that is contracted within 30 days of purchasing/starting of the top-up plan.
Any expenses related to pre-& post hospitalization of an organ donor.
Expenses incurred for the treatment of HIV AIDs and other such diseases.
Expenses related to purchase of non-allopathic medicines.
Sickness/Diseases that are caused by consumption of alcohol and intoxicating drugs.
Any surgery that requires joint replacement (except accidents) and have a waiting period of 4 years.
Expenses incurred for cosmetic and aesthetic treatment.
Any expense incurred during dental surgery and doesn’t require hospitalization.
Medical treatment costs for a new-born baby.
Any procedure related to fertility, impotence, sub-fertility, assisted conception, and sterilization.
For the complete list of exclusions, refer to the PDF in the 'Download' section.
Now get yourself and your family covered against health-related uncertainties with this health insurance top-up plan. Get coverage options that range from Rs. 3 Lakh– Rs. 50 Lakh for premiums as low as Rs. 2500 per annum.
If your age is less than 55 years and you have a clean proposal form, there’s no need for any medical tests to be undertaken to avail this health insurance top-up plan. Also, this top-up is available to residents of India and as well as NRI’s.
With age, the chances to getting health insurance coverage gets slimmer. That’s because of the increased chances of health-related risks. Moreover, if one does get health cover options, these are very expensive. With lifetime renewal, one can renew their policy even during old age, without any age restrictions, whatsoever.
Looking to save on taxes? Opt for the Extra Care Plus top-up plan and enjoy tax benefits through deduction under section 80D of the Income Tax Act.
Make the most of a 15-day free look period and enjoy the flexibility to cancel this health insurance add on in case you aren’t convinced of its benefits.
For patients requiring emergency medical assistance outside the city, the option of being air-lifted is available with cover upto ₹10 Lakhs. This is extremely helpful when certain medical facilities in a hospital/city aren’t available and require the patient to be moved to another hospital in a different city.
A customer base of more than 100 million speaks volumes about the trust they have in us. Choose us as your financial partner and you are sure to enjoy our services too!
No hassles or long-waits during claim settlement! We promise superfast claim settlement with no third-party involvement.
For claims amounting to Rs. 20,000, make the most of Health CDC (Claim by Direct Click) – the insurance wallet app and get an instant settlement.
In case you are looking for plans that cater to specific needs, you are at the right place! With options like lifetime renewal, you get the best-customised insurance plans, here.
Now get treated at the more than 6500+ empanelled hospitals across India with a sum insured that ranged from Rs. 3 Lakhs to Rs. 50 Lakhs.
Just follow the steps below to buy a top-up health insurance plan at Finserv MARKETS online –
Filing claims was never so simple. Just follow these steps and you’re done!
For information on your health insurance policy, refer to the 'Process' section below.
*Note: Relaxations in the timelines mentioned above may be considered in the extreme cases of hardship where it is proved to our satisfaction that under the circumstances in which you were placed, it was not possible for you or any someone else to inform or file a claim within the stated time limit.
The insurance provider may cancel your insurance policy providing a written notice 15 days prior to cancellation date. If no claim has been made, a refund of the premium for the unexpired policy period shall be provided on a pro-rata basis.
Your insurance policy will be cancelled for reasons such as non-disclosure of material facts, misrepresentation, fraud and non-cooperation.
As a customer, you may cancel your insurance policy by providing a written notice 15 days prior to cancellation date. If you've made no claims, the insurer will refund short-term rates for the unexpired policy period as per the rates detailed below.
Period of Risk | Premium Refund - 1 Year Policy Period |
---|---|
Exceeding 15 days but less than 3 months | 65.00% |
Exceeding 3 months but less than 6 months | 45.00% |
Exceeding 6 months but less than 12 months | 00.00% |
Period of Risk | Premium Refund - 2 Year Policy Period |
---|---|
Exceeding 15 days but less than 3 months | 75.00% |
Exceeding 3 months but less than 6 months | 65.00% |
Exceeding 6 months but less than 12 months | 45.00% |
Exceeding 12 months but less than 15 months | 30.00% |
Exceeding 15 months but less than 18 months | 20.00% |
Exceeding 18 months but less than 24 months | 00.00% |
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Need further assistance? Reach out on the Toll-Free Number: 1800-209-5858 to connect with an insurance expert.
5 reviews
Good experience as positive and prompt response received by the team. I applied for a health insurance plan at Finserv MARKETS and availed a health insurance top up on the policy. I am very much satisfied with the service and expect to maintain and further improvements.
Posted on 3 Dec 19
Since I already have a health insurance from my company I read about health insurance top up and found Bajaj Allianz health insurance suitable for my needs. The online buying experience was great and I went ahead and purchased the policy. I am satisfied with the services. Thanks.
Posted on 5 Jan 19
One of my colleagues suggested that Bajaj Allianz health insurance has good policy when it comes to health insurance. I felt that the plan suited my needs and I went ahead and applied for it.
Posted on 15 Jan 20
I applied for a health insurance top up by Bajaj Allianz on the Finserv MARKETS platform. The really appreciate the quick response by the customer support team & timely follow up for my health insurance top up policy.
Posted on 23 Feb 20
When my 4-year-old daughter was admitted in the hospital, I experienced the benefits of the Bajaj health insurance top up plan. With quick claim settlement within hours, I could manage all the hospital expenses without worrying about using up bank savings.
Posted on 26 Mar 20