How to ‘top-up’ health cover: Health Insurance Truths (2024)

How to ‘top-up’ health cover: Health Insurance Truths (1)

Do you have a health cover?
Drastic changes in lifestyle and high medical costs are making it imperative to ensure the health and financial safety by taking significant precautions. Efforts are being made to make people aware of the benefits of a healthy diet, exercise and maintaining wellbeing through yoga and physiotherapy sessions. But, even when these services are easily accessible at least in urban places, there is no guarantee that health problems will not arise.

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How to ‘top-up’ health cover: Health Insurance Truths (2)

Even youngsters between 25 and 30 years of age group are at risk of developing ailments like heart problems, asthma, diabetes, etc. All such illnesses require proper treatment and regular check-ups. Mostly, people avoid regular check-ups as they consider it as a complete waste of money. However, any delay could prove to be costly in the long run, if God forbid, the medical condition turns into a serious ailment.

So, what is the solution? Insurers suggest availing a regular health insurance policy as per one’s requirements. Suppose a person avails a health plan for Rs 5 lakhs, it might seem on the surface that all the medical costs, including hospitalization, will be covered and there is no need to worry! But is it so, really? In reality, a single hospitalization or multiple hospitalization in a single year might put a strain on one’s pockets as the treatment costs might go beyond the coverage.

How to ‘top-up’ health cover: Health Insurance Truths (3)


So how can one expand the health coverage in such a situation? Getting an increased sum insured or availing another regular policy will raise expenses as the premium amount will rise. If a person needs to increase the health cover at nominal rates, a super top-up health insurance plan is the best way to do so.

What is a super top-up health cover?

A super top-up cover offers health coverage that comes with a threshold or deductible limit. It means the policy will cover expenses only if they cross the threshold limit as mentioned in the policy document. Unlike a top-up plan, a super top-up plan considers the total medical expenses in the policy year and not the single instance of expenses.

Advantages of super top-up policy:

Available at nominal premium rates
A super top-up plan is available at nominal premium rates in comparison to a regular policy. This is because it comes with a threshold limit and is applicable only if the total expenses in a policy year exceed the limit.

Can cover multiple claims:
The policy works on the aggregate claim amount and thus, covers multiple hospitalization cases in a year.

Can be availed as an independent plan:
It is not necessary that one should have a mediclaim policy to buy a super top-up plan as it can be availed as an independent policy to cover expenses beyond a certain limit.

Can be purchased from two different insurers:
It is not necessary to buy a super top-up plan from the same insurer from whom you have bought your health insurance policy. It means, you can buy your super top-up plan and health insurance policy from two different insurers.

How a super top-up health insurance works?

Basic Information: Mr. Verma has a regular health insurance policy of Rs 5 lakhs as the sum insured. He avails a super top-up plan of Rs 10 lakhs with Rs 5 lakhs as the threshold or deductiblelimit.

Super top up Table

  • How to ‘top-up’ health cover: Health Insurance Truths (4)

As we can see from the above table, super top-up health insurance policies increase the health coverage and are the best mediclaim insurance policies which can be used during emergencies.

Given the rising hospitalization costs, merely having a basic health insurance policy is not enough. You have to go an extra mile to save yourself and your family from soaring medical costs. It is here a super top-up plan can help you!

Super topupplans and top-upplans are again much in conversation.The top-upplan covers a single claim above the threshold limit of your primary health insurance. But the super top-upplan covers the total of all hospitalization bills above the threshold limit in a year. For senior citizens will be helpful.

How to store my medical records so that I can access them from anywhere at any time?


Upload and store on Google Drive, Dropbox, One Drive. You can email yourself as pdfs. That way, you can access them from anywhere.
In all cases, create good passwords.
You can also invest in something called WD Home, which is your server.


How do you buy a Health Insurance without the name of an Agent?


It would be best if you went to the office of the concerned insurance company that is otherwise challenging to get it done. Sometimes the option is not shown in the online access to the account.
The words Direct Agent is in place of the name of the Agent. In this case, no one gets a commission.
We opted for this because of a horrible scam we faced from an agent and employees at a local branch. But the helpfulness of the people in the main office helped.


Should you have multiple health insurance? How does two Medical insurance help?


Yes, you can. I am a doctor in a medical college and have full medical insurance provided by my govt. The facility covers my family. It’s cashless and covers everything. But I have still opted for mediclaim from National coverage with individual claims of a certain amount for each of my family income.


The advantage here is depending on who falls ill? What are the expenses? It would help if you ideally used the mediclaim with a lower amount, which covers it. That way, you and your family are still protected when you need it.
For all insurance matters, you must make decisions after reading the fine print.No Agent, including office personnel, should be taken at their words.
Ultimately it’s your health. You can’t run here and there when a situation needing health care arises.


How much health insurance should I have?


How much health insurance will depend on your current age and health issues, if any. Always remember to have your health insurance, even if your employer gives you medical benefits. Health insurance is most often A necessity after 50 years. Make all calculations inflation-adjusted. If you switch jobs, you and your family shouldn’t have to be without proper coverage even in the transition period.

Try to be as healthy as possible. Never ignore niggling problems. Choose your policy with care.

Overall remember health insurance premium has to be paid on time—no safety period. A lapse in payment makes you at risk of no cover as new policies have a waiting period for some conditions.

Stay healthy. Keep cash in the bank and mediclaim card image on your smartphone, backed up on Google drive.

Read about Health insurance for COVID

Money ,Loan ,Insurance starigh talk

Disclaimer:

Healthcare and mediclaim is an individual decision and needs careful discussion and research before taking any decision.The author is sharing her personal experience .This post is meant as educational information and all insurance decision to be taken at own risk after consulting insurance advisor.

I am not an expert on financial asset management. This is an opinion piece. I am not a qualified Financial Advisor and this is not to be taken as professional financial advice. Mutual funds are subject to market risk, read all scheme-related documents carefully. All investments should be done after consultation with a financial suitable expert, according to own financial risk appetite.

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The content displayed here has been developed by an independent content provider and has been displayed on an as-is basis. Healthwealthbridge disclaims all liabilities and warranties, whether express or implied, relating to the accuracy, genuineness and appropriateness of such content and shall not be held liable for any reliance placed on such content for any reason whatsoever.

Updated June 2020

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How to ‘top-up’ health cover: Health Insurance Truths (2024)

FAQs

How do Americans get health insurance answers? ›

First, most Americans are insured by policies purchased by their employers as an employment benefit, or they buy their own policy on the open market. This method of allocating healthcare is often criticized because it means that medical treatment is allocated based on the patient's ability to pay.

How do I argue with health insurance? ›

Steps to Appeal a Health Insurance Claim Denial
  1. Step 1: Find Out Why Your Claim Was Denied. ...
  2. Step 2: Call Your Insurance Provider. ...
  3. Step 3: Call Your Doctor's Office. ...
  4. Step 4: Collect the Right Paperwork. ...
  5. Step 5: Submit an Internal Appeal. ...
  6. Step 6: Wait For An Answer. ...
  7. Step 7: Submit an External Review. ...
  8. Review Your Plan Coverage.

How can I maximize my medical benefits? ›

Here's how you can take advantage of your health insurance benefits and better manage costs.
  1. Review your plan online. ...
  2. Save your support team's contact information. ...
  3. Choose an in-network doctor. ...
  4. Make a plan for potential providers. ...
  5. Ask about perks and benefits.

What is top up premium in insurance? ›

What is Top Up Premiums in ULIPs. Definition: A top-up premium is something that a policyholder can invest into his ULIP over and above his existing premium payment. If you want to take advantage of a well-performing ULIP, you can increase its investment component by paying an extra premium.

How much does the average US citizen pay for health insurance? ›

The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan without premium tax credits in 2024 is $477.

How much does the average American pay for health coverage? ›

Average annual health insurance premiums in 2023 are $8,435 for single coverage and $23,968 for family coverage. These average premiums each increased 7% in 2023. The average family premium has increased 22% since 2018 and 47% since 2013.

Which health insurance company denies the most claims? ›

Claim denial rates by insurance company
CompanyClaim denials
UnitedHealthcare32%
Anthem23%
Aetna20%
CareSource20%
1 more row
Mar 8, 2024

How often are health insurance appeals successful? ›

When consumers challenge a healthcare service their insurer denied, they win about half the time, data from California insurance departments show.

How do you answer insurance questions? ›

Don't offer an ambiguous reply such as "maybe" or "I guess so" – simply refuse to answer. Similarly, if you don't know the answer to a question, state firmly, "I don't know." Avoid discussing your injuries or your medical prognosis. Both are ongoing and subject to change as time passes.

How do you maximize insurance reimbursem*nt? ›

Maximizing Reimbursem*nts: Strategies for Effective Revenue Cycle Management
  1. Streamlined Patient Registration and Verification. ...
  2. Timely Claim Submission. ...
  3. Robust Medical Coding and Documentation. ...
  4. Denial Prevention and Management. ...
  5. Effective Patient Communication. ...
  6. Regular Revenue Audits. ...
  7. Data Analytics and Reporting.
Sep 25, 2023

What factors affect how much you pay for health insurance? ›

Factors affecting health insurance premiums
  • Age and Gender: Age: As individuals get older, the likelihood of needing healthcare services typically increases. ...
  • Medical History and Current Health Condition: ...
  • Coverage Type and Level: ...
  • Location and Local Healthcare Costs: ...
  • Deductibles, Copayments, and Coinsurance:
Sep 1, 2023

How can I reduce my Medi-Cal costs? ›

Choosing Providers and Pricing
  1. Use In-Network Care Providers.
  2. Research Service Costs Online.
  3. Ask for the Cost.
  4. Ask About Options.
  5. Ask for a Discount.
  6. Seek Out a Local Advocate.
  7. Pay in Cash.
  8. Use Generic Prescriptions.

How does Topup work? ›

Top-up plans cover additional medical expenses up to the threshold limit. You can claim only once in a policy term under the top-up health plan. Super top-up health plans cover medical expenses beyond the threshold limit of the insured amount.

What is top-up fund value? ›

Top-up is a facility provided in Unit Linked Insurance Policies. It is a flexibility that is unique to ULIPs. It is an amount that can be paid by you at any point of time to increase the fund value without much charges attached to it.

How is paid-up insurance calculated? ›

The life insurance company will evaluate the policy's current cash value and calculate the death benefit amount supported by that current cash value amount. This newly calculated death benefit will be less than the original death benefit and becomes the effective death benefit after choosing the reduced paid-up option.

How do most Americans get their health insurance Why? ›

The United States primarily relies on employers to voluntarily provide health insurance coverage to their employees and dependents; government programs are confined to the elderly, the disabled, and some of the poor.

How do Americans get healthcare? ›

Healthcare coverage is provided through a combination of private health insurance and public health coverage (e.g., Medicare, Medicaid).

How do most Americans get their health insurance quizlet? ›

Most Americans obtain health insurance through their place of employment. What is managed care? Managed care is a type of insurance plan that puts health care providers in the position of managing a patient's use of health care. Managed care plans have contracts with providers that set predetermined rates for services.

What is the question the way most Americans get their health care plan? ›

Most people get health insurance through their employers or organizations to which they belong. This is called group insurance.

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