A super top-up policy is similar to your base policy in terms of coverage, deductible and cashless facility; but they are different in terms of coverage initiation.
While your base policy starts to cover your health bill from the start, Super top-up coverage starts after your cumulative eligible medical expenses exceed the deductible limit mentioned in the policy.
It means you have to pay for health expenses up to a specific limit from pocket or through your base health policy to activate the super top-up policy which will then cover the excess amount up to the policy coverage limit.
For example, suppose you bought a super top-up policy of Rs ₹30L with deductible of ₹3L. You also have a base health policy of ₹3L.
Suppose you get hospitalised on three occasions during the policy year wherein the bill was :
(1) ₹2L during the first time,
(2) ₹3L during the second time and
(3) ₹5L during the third time.
Now, your base health policy worth ₹3L will cover your first hospitalisation.
However, your base policy will not be able to cover for the second hospitalisation in full as you had already claimed ₹2L for your first hospitalisation. For the second hospitalisation, the base policy will pay ₹1L. Remaining ₹2L is settled by your super top-up policy.
The third hospitalisation bill of ₹5L will be completely taken care of by your super top-up policy as you have already fulfilled the deductible limit clause.
Super top-up policies come at low premium primarily owing to the deductible clause.
Please note:
By default, our group health insurance come with a ₹3L deductible. If you select a base policy of ₹5L and above then your deductible is increased to ₹5L.It is to reduce your premium burden.
You can opt to buy a super top-up policy without a base policy as well. Just select None for Base policy cover amount.
All norms, waiting period and limitations are identical across the base and super top-up policy.
You can claim for tax deduction under section 80D of the IT act.
Available options:
Group health insurance offers super top-up from 7lac, 10lac, 20lac, 30lac, 50lac with a deductible of 3/5 lac. Check the premium here.
