#sub-limits

Sub-limits in health insurance plan is a bit different and difficult thing to understand, as it can raise costs higher or may decrease it lower; basically it is a mid-understood thing.

Health Insurance Policies in today’s scenario works as a support system, but still people should take care of themselves to prevent serious illness. Health Insurance Plans are essential for every person as it gives security and safety to the insured person with various benefits.

There are various kinds of health insurance policies such as Individual Health Insurance Plans, Family Floater Plan, Children Insurance Plan, Car Insurance Plan, Mediclaim etc. But it is advisable to buy a policy for the parents or old persons of the house as it gill protect them in the time of critical illness or provide the expenditure while hospitalization. Though there are various terms and policies in every health insurance policy and various companies provide various additional benefits to their customer. In today’s scenario, the expenses on hospital treatments is increasing day by day which lead the families in problem to fulfill their need while maintain the hospital bills. None can assume about the expenses on hospitalization as the diseases don’t come with previous knocking and the treatment is also can’t be guessed, so it is impossible to keep aside a big amount of fixed money aside for covering the situation.

About Sub-limits:

Sub-limits in health insurance plans means the limits or boundaries that are enforced by the health insurance provider on the time of payment of sum assured when a claim is raised by the policyholder in case of treatment of any medical condition. It is actually a financial limit place by the insurance provider and these limits can be claimed on hospital room rent, ambulance charges, nursing and doctor’s charges etc. and many more.

Importance of Sub-limit:

But understanding the Sub-limits properly in any Health Insurance Plan is a difficult thing while choosing the plan as incomplete knowledge and understanding about this matter can lead people to a major shock or may lead to costs of treatment. Sub-limits are generally known as a fixed value for treatment of any particular illness or can be known as a percentage of Sum Assured for specific diseases.

Though Health Insurance Plans don’t have Sub-limits but have high premiums but yet there are two important Sub-limits that can be chosen in an Appropriate Health Insurance Plan:

Sub-limit on Room Rent:

It is a liability of the health insurance provider to a certain amount or percentage of costs that are related to room expenses and also insurer can place restriction on the type of rooms. Most of the medial expenses includes charges for doctors and nursing, surgical procedures or the operating charges all these are related to the type of room the policyholder avails, after that these expenses adds up to the cost and sub-limit which can increase problems for the policyholder. So the policyholder needs to discuss the sub-limit clause with the provider clearly to avoid further unwanted problems.

Sub-limit on specific treatment:

But before choosing the health insurance policy as per sub-limit, one has to keep in mind to check every condition which are listed on sub-limit clause and also the cost-limit that are added with it. It is not possible to claim the total cost for treatment/hospitalization having a sub-limit clause even though the sum assured is high. For an assured and hassle-free claim settlement, the applicant can go through a thorough understanding of Sub-limit clauses and can choose only those policies that don’t have high costs.

Source