Super Top-up Health Insurance Plan
Super Top-up Health Insurance Plan
9000+
Cashless Hospitals
3.8 Crore+
Lives Insured
8 Lacs+
Claims Settled
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Get Exclusive Porting Benefits
Buy Health Insurance, Up to 20% Discount
Port Existing Policy
9000+
Cashless Hospitals
3.8 Crore+
Lives Insured
8 Lacs+
Claims Settled
What is a Super Top-up Health Insurance Plan?
A Super Top-up health insurance plan is a type of health insurance that provides additional coverage once your medical expenses exceed a specified deductible amount during a policy year.
In simple terms, if your hospital bills during a policy year cross the deductible amount, the super top-up plan starts paying for eligible medical expenses. This can be useful if you face a major illness, require expensive treatment, or have multiple hospitalisations in the same year.
For example, if your deductible health insurance is ₹5 lakh and your total medical expenses in a year reach ₹7 lakh, the super top-up plan can help cover the expenses above ₹5 lakh, subject to the policy terms.
Understanding Super Top-Up Health Insurance Working with an Example
A super top-up health insurance plan works as an additional layer of coverage over your existing health insurance. You first choose a deductible and a sum insured. When you make a claim, the deductible amount is paid through your base health insurance policy or out of pocket. After the deductible is exhausted, the super top-up plan can cover the remaining eligible medical expenses, up to the chosen sum insured.
Let’s understand this with an example. Suppose you have a group health insurance provided by your company, which covers ₹10 Lakh of the sum insured. You bought a super top-up plan (Digit's Health Care Plus Policy) with a ₹2 lakh deductible to enhance your coverage during medical emergencies.
Let’s see how the super top-up plan, top-up, and deductibles work together in a health insurance policy:
Note: This is a simplified illustration for explanatory purposes only. Actual coverage, claim payouts, deductibles, and benefits will depend on the policy terms and conditions. Please refer to your policy wording for complete information.
Why Should You Get a Super Top-Up Health Insurance Plan?
Who Should Buy a Super Top-Up Health Insurance Plan?
How Can You Decide the Right Deductible for Your Super Top-up Plan?
The right deductible depends on your existing health insurance coverage and how much of a medical expense you can comfortably manage before the super top-up plan starts paying. In most cases, choosing a deductible that matches the sum insured of your existing base health insurance policy can help create seamless coverage.
When selecting a deductible, consider the following:
- Match it with your existing health insurance cover so that your base policy can cover expenses up to the deductible amount.
- Assess your family's healthcare needs and medical history before choosing a deductible.
- Choose a deductible you can comfortably manage if a medical emergency arises.
- Balance premium and coverage, as higher deductibles generally result in lower premiums.
For example, if your base health insurance policy has a sum insured of ₹10 lakh, consider choosing a deductible of the same amount, so that you don't have to pay out of your pocket.
Why Choose Super Top-up Health Insurance from Digit?
Pay Your Deductible Only Once: With super top-up insurance, you need to pay your deductible amount only once and can then claim multiple times a year.
No Room Rent Restriction: Everyone has different preferences and we understand that. That’s why we have no room rent restrictions in our health insurance policy. Choose any hospital room you prefer.
Get Treated at any Hospital: Choose from any 9000+ network hospitals in India for a cashless treatment or opt for a reimbursement. This becomes important in a health policy, where different members may need treatment at different times, making easy access to nearby cashless hospitals critical.
Easy Online Processes: From the process of buying a super top-up health insurance to making your claim, everything is paperless, easy, quick and hassle-free.
Wellness Benefits: Get exclusive 12+ wellness benefits in health insurance on the Digit App in collaboration with top-rated health and wellness partners.
What’s Covered in Super Top-up Health Insurance by Digit?
Coverage
Gold Super Top-Up
Diamond Super Top Up
Platinum Super Top Up
Important Features
Inpatient Hospitalisation
Inpatient hospitalisation refers to medical treatment and care that requires an individual to be admitted to a hospital or healthcare facility for a specified period.
Day Care Procedure
Health insurance covers medical expenses only for hospitalizations exceeding 24 hours. Day care procedures refer to medical treatments undertaken in a hospital, requiring less than 24 hours due to technological advancement.
Pre & Post Hospitalization
This covers for all expenses before and after hospitalization such as for diagnosis, tests and recovery.
Road Ambulance Expenses
Ambulance services are one of the most essential medical services as they don't only help transport an ill person to the hospital but also, include basic facilities required in medical emergencies. The cost of the same is covered under this super top-up policy.
Bariatric Surgery
This coverage is for those facing organ issues due to their obesity (BMI > 35). However, in case the obesity is due to eating disorders, hormones or any other treatable conditions, this surgery cost will not be covered.
No Room Rent Capping
Digit Special
Different categories of rooms have different rents. Just like how hotel rooms have tariffs. With Digit, some plans give you the benefit of having no room rent cap, as long as it is below your Sum Insured.
Psychiatric Illness
If due to a trauma, one has to be hospitalized for a psychiatric treatment, it will be covered under this benefit. However, OPD consultations are not covered under this.
Organ Donor Expenses
Digit Special
Your organ donor gets covered in your policy. We also take care of the pre and post hospitalization expenses of the donor. Organ donating is one of the kindest deeds ever and we thought to ourselves, why not be a part of it!
Consumable Cover
Before, during & after hospitalization, there are many other medical aids & expenditures such as walking aids, crepe bandages, belts, etc.,which need your pocket’s attention.This cover takes care of these expenses that are otherwise excluded from the policy.
AYUSH Hospitalization
On opting for this optional cover, we pay your hospitalization expenses when you choose a registered AYUSH Hospital.
Cumulative Bonus
Digit Special
No claims in the Policy year? You get a bonus -an additional amount in your total sum-insured for staying healthy & claim free!
Initial Waiting Period
You need to wait for a defined period from the first day of your policy to get covered for treatment related to any non-accidental illness. This is the Initial Waiting period.
Pre-Existing/Specific Illness Waiting Period
This is the amount of time you need to wait for, until you can make a claim for a pre-existing or specific illness.
Co-Payment
Digit Special
Co-Payment means a cost sharing requirement under a Health Insurance Policy that provides that the Policyholder/Insured will bear a specified percentage of the admissible claims amount. It does not reduce the Sum Insured. This percentage depends on various factors like age, or sometimes also on your treatment city called zone based copayment. In our plans, there is no age-based or zone-based Co-payment involved.
Other Features
What’s Not Covered in Super Top-up Health Insurance by Digit?
Coverage under the super top-up plan starts only after the deductible amount has been exhausted, or existing base coverage is used. Medical expenses up to the deductible limit will not be covered.
A claim for a pre-existing disease or illness cannot be made until the specified waiting period is over.
Hospitalisation for any condition that doesn’t match the doctor’s prescription is not covered.
Key Benefits of Super Top-up Health Insurance at Digit
Your super top-up health insurance plan with Digit extends several exclusive benefits that enhance your coverage. Here are the key benefits:
What is the Difference Between Super Top-up vs Top-up Health Plan?
Both top-up and super top-up plans help you increase your overall health coverage. However, the key difference lies in how deductible is applied. Here is a chart to help you understand the difference better:
Note: Choose a top-up plan if you want protection against a single large medical claim and choose a super top-up plan if you want broader protection against high cumulative medical expenses, multiple hospitalisations, or recurring treatments during a policy year.
What is the Eligibility Criteria to Buy a Super Top-Up Health Insurance Plan?
It is important to know about the eligibility criteria before buying any super top-up health insurance plan. These eligibility criteria might vary from one insurer to another, but in general, the eligibility includes the following:
- Age: The person buying the policy must be 18 years of age or older.
- Nationality: The policyholder must be an Indian citizen.
- Medical Examination: Every individual above 45 must get certain tests done to get super top-up coverage.
- Previous Medical Health Condition: Disclose your medical health condition before buying any super top-up.
Super Top-up Health Insurance Premium Chart
Premium Illustration representing how the prices would vary for different family composition according to different age groups and policy types is mentioned below:
| Plan Name | Platinum Super Top Up | |||
| Family Composition | 2A+1C | |||
| Sum Insured | 1,00,00,000 | |||
| Deductible | 10,00,000 | |||
| Policy Type | Floater | Individual | Ratio | |
| Age of the members insured | Consolidated Premium for all members of the family | Premium | Consolidated Premium for all members of the family | |
| 18 |
3,120 |
1,011 |
3,865 |
81% |
| 38 | 1,642 | |||
| 43 | 1,642 | |||
| Plan Name | Platinum Super Top Up | |||
| Family Composition | 2A | |||
| Sum Insured | 1,00,00,000 | |||
| Deductible | 10,00,000 | |||
| Policy Type | Floater | Individual | Ratio | |
| Age of the members insured | Consolidated Premium for all members of the family | Premium | Consolidated Premium for all members of the family | |
| 62 |
10,953 |
7,302 |
13,873 |
79% |
| 65 | 7,302 | |||
| Plan Name | Gold Super Top Up | |||
| Family Composition | 2A+1C | |||
| Sum Insured | 3,00,000 | |||
| Deductible | 1,00,000 | |||
| Policy Type | Floater | Individual | Ratio | |
| Age of the members insured | Consolidated Premium for all members of the family | Premium | Consolidated Premium for all members of the family | |
| 18 |
10,460 |
4,176 |
12,472 |
84% |
| 31 | 4,176 | |||
| 36 | 5,505 | |||
| Plan Name | Gold Super Top Up | |||
| Family Composition | 2A | |||
| Sum Insured | 1,00,00,000 | |||
| Deductible | 10,00,000 | |||
| Policy Type | Floater | Individual | Ratio | |
| Age of the members insured | Consolidated Premium for all members of the family | Premium | Consolidated Premium for all members of the family | |
| 62 |
20,842 |
13,895 |
26,400 |
79% |
| 65 | 13,895 | |||
Disclaimer: Premium figures are for Digit Top-Up Policy (UIN: GODHLIP24056V012324) containing features which are typically opted for by our website customers. Premium rates specified in the above illustration shall be standard premium rates without considering any loading. Also, the premium rates shall be exclusive of taxes applicable.
What Mistakes Should You Avoid When Buying a Super Top-up Health Insurance Plan?
A super top-up Health Insurance plan can help you increase your overall health coverage, but choosing the wrong plan or deductible may reduce its effectiveness. Here are some common mistakes to avoid before making a purchase:
- Choosing a Deductible Without Considering Your Existing Health Cover: The deductible should ideally align with your existing health insurance coverage. If you select a deductible that is too high, you may have to bear a larger portion of medical expenses before the super top-up coverage becomes applicable.
- Focusing Only on Premiums: A lower premium may seem attractive, but it should not be the only factor influencing your decision. Always compare the deductible, sum insured, coverage benefits, and waiting period in health insurance.
- Assuming Your Corporate Health Insurance Will Always Be Sufficient: Many people rely solely on their group health insurance. However, corporate coverage may change when you switch jobs or retire. Consider whether your overall health cover will remain adequate in the long term.
- Overlooking Policy Exclusions and Waiting Periods: Not all illnesses, treatments, and medical conditions may be covered immediately. Review the policy wording carefully to understand exclusions, waiting periods, and claim conditions.
- Ignoring Family Healthcare Needs: Your age, family size, lifestyle, and medical history can all influence the level of coverage you may require. Make sure the plan is aligned with your family's healthcare needs and financial goals.
FAQs about Super Top-up Health Insurance
How is a super top-up health insurance plan different from a regular health insurance plan?
A regular health insurance plan starts covering eligible medical expenses from the first claim, subject to the policy terms and conditions. A Super Top-up Health Insurance plan, on the other hand, becomes applicable only after the deductible amount has been exhausted.
What do you mean by deductible in a super top-up health insurance?
A deductible is the amount that must be paid through your existing health insurance policy, out of pocket, or a combination of both before the Super Top-up Health Insurance plan becomes applicable.
For example, if you have selected a deductible of ₹2 lakh and incur eligible medical expenses of ₹3 lakh, the first ₹2 lakh must be covered separately. The super top-up plan may cover the remaining eligible amount, subject to policy terms and conditions.
Will I need to pay the deductible every time I make a claim?
No. In a super top up plan, the deductible is typically applied only once during a policy year. Once the deductible amount has been exhausted, the super top-up plan can cover eligible claims during the policy year.
What happens if my deductible is never reached in super top-up plan?
If your total eligible medical expenses during the policy year do not exceed the deductible amount, the super top-up plan will not become applicable for that year.
What should I opt for – a top-up or a super top-up plan?
Most people buy top-up health insurance plans to ease financial uncertainties. While both a top-up and super top-up help manage expenses when they go above the decided deductible, super top-up plans are applicable when total expenses in the year go above and beyond the deductible. In contrast, top-up plans are applicable to single claims only.
Why is a super top-up health insurance plan cheaper?
The primary reason a super top-up health insurance plan has cheaper premiums is that the insurer does not bear the entire cost. Additionally, costs are only borne once the policyholder has passed the deductible limit.
Is a super top-up health insurance plan worth for young people?
Yes, a super top-up plan can be worth considering even for young individuals. While they may have fewer health concerns today, medical inflation and unexpected illnesses can lead to high treatment costs.
Is a super top-up plan useful if I already have a ₹10 lakh health insurance cover?
Yes, a super top-up can be useful even if you have a 10 lakh health insurance. If you want additional protection against major illnesses, surgeries, or high-value medical expenses that could exceed your existing coverage, a super top-up plan can help enhance your overall health cover.
How will a super top-up health insurance benefit my parents?
As people age, they may face a higher risk of hospitalisation and treatment expenses. If your parents' existing health insurance coverage may not be sufficient to handle major medical expenses, a super top-up plan can help enhance their overall health coverage at a relatively affordable cost.
Can I buy a super top-up plan without having a base health insurance policy?
Yes, depending on the insurer and the policy terms, you may be able to purchase a super top-up health insurance plan without having a base health insurance policy from the same company.
My parents are covered under a family floater plan. Can I add my parents to the super top-up plan?
Yes, you can buy a super top-up plan for your parents even if they are covered under a family floater plan. This will provide them with higher coverage.
Can cashless claims work with a super top-up health insurance plan?
Yes, cashless claims may be available under a super top-up plan if the treatment is taken at a network hospital, and the claim meets the policy conditions.
What are the factors that will affect my super top-up health insurance premium?
The factors that will affect your super top-up health insurance premium include, your age, geographical location, and the deductible and sum insured you’ve chosen as part of your super top-up health insurance plan.
Does the Super Top-up plan allow me to select a greater deductible amount?
Yes, depending on the policy you bought, you can select a greater deductible. The deductible is mutually decided between a policyholder and the policy provider.
Is there a waiting period for super top-up health insurance?
Yes, there is an initial waiting period of 30 days in super top-up health insurance. However, the waiting period can vary from policy to policy.
Does my company's health insurance and super top-up mean I don't need my own personal health or life insurance?
No, not necessarily. While corporate plans are beneficial, they are often tied to your employment and might have limited coverage. A personal super top-up extends your health cover beyond corporate limits for major illnesses. Personal life insurance secures your family's financial future independently, even if you change jobs or lose benefits.