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Room Rent Limit cap in Super Topup policy
15 Oct, 2020
by Pratik Goel
Hi.
Employer of my wife and I has provided a health cover for Rs 4L each (total 8L). I additionally want to buy a super top up. Suppose I buy a super topup of SI 15L, and knowing that room rents are usually capped at 1% of SI, what SI will be considered in this case? 4L or 19L?
Thanks.
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17 Oct, 2020
Team Beshak
Hello Pratik,
- There is nothing "standard" or "usual" regarding Room Rent capping across policies. You need to look at your employer's policy/benefit document to know the limits your are eligible for. In case there are limits, then these will be applied only to this (4L) part of the coverage.
- Usually Super Top-up plans do not have a Room Rent Limit. If there are any you have seen - avoid them.
- Top-up will start paying immediately when your aggregate hospitalization expenses (not the claim amount) for you and your wife cross the deductible amount of Rs. 4 Lakhs in the policy year.
- Please also note that Personal policies like Super Top-up will come with initial waiting periods for specified illnesses and pre-existing diseases. So for these specific illnesses - there won't be any cover for first 24 months.
Recommendation:
You have not mentioned about your age. Insurance companies and plans become restrictive once you grow older and/or suffer from a chronic health condition. We therefore recommend you invest in a personal base cover of Rs. 15 Lakhs (instead of a top-up) for your retirement or any future gap you have in your employment. This way you also end up crossing through all the waiting periods that exist in a personal health insurance policy.
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30 Oct, 2020
Pratik Goel
Thanks for the reply/suggestions. I am 34, and the reason I wanted to go for a super topup is the cost difference between a base policy and super topup. Any suggestions? Thank you.
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