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What Are Sub Limits In A Health Insurance Policy?

Jeffrey Bryant (2019-09-05)

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With the advancement of the internet, you can now even purchase health insurance policies from the comfort of your home. Buying a policy may be easy, but choosing a plan that meets your requirements isn't that simple. When it comes to choosing the best health insurance policy, one must take into consideration a number of aspects. Waiting period, deductibles, day care procedures, and cashless covers are some of the vital ones. In addition, one should also get some clarity on the factor called sub-limit.

If you liked this posting and you would like to get additional info with regards to Thomas Associates is a Family Owned Operated Insurance kindly go to the site. What is a sub-limit in the context of health insurance policies? In simple words, it is the limit that the insurance companies place on the release of the sum insured. Besides the original policy limit, there are other limits as well which fall into the category of sub-limits. When you buy a policy, you must take a look at the sub-limits' section. A policy that comes without sub-limits will cost you more. Likewise, if you think that certain aspects and health covers are not necessary for you, it is better to buy a policy that has a higher number of exclusions in the form of sub-limits.

Knowing more about the sub-limits

Sub-limits can be imposed on aspects like doctor's consultation fees, hospital room rent, ambulance charges and also on a few medical procedures like knee ligament construction, cataract removal, etc. How the sub-limits are expressed in the policy papers? They are usually described as a fixed value for a certain disease/illness or medical treatment. You may also find them in the form of a percentage. Most of the health insurance companies impose two types of sub-limits on their products. They are-

● Limit on the hospital room rent

● Limit on the sum assured for certain diseases

The best health insurance policy providers do not place a limit on the hospital room rent. With such policies, there is no need to worry even if the room rent is on the higher side as it will get covered under the policy. However, the majority of the health insurance companies place a limit on the cover amount for specific diseases. Therefore, before you sign the policy papers, you must check the list of illnesses or diseases that come under this clause. Even if your policy's sum insured say is INR 7 lac, the insurer will not reimburse the entire expenses if the treatment falls under the sub-limit clause. If the clause says that only 50 percent of the sum insured will be released then just INR 3.5 lac will be paid by the insurer.

You certainly have the option of removing the sub-limits from your policy. However, this will inflate your policy's premium amount. If you really think that the sub-limit can put you in a position where you might incur a huge loss, then only you should get your health insurance policy customized. All you need to do is pay a little extra in the form of a higher premium amount.

Read all the benefits before buying health insurance from any health insurance company.

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