Introduction
Several considerations should be made while purchasing a Health Insurance policy. Sub-limit is one of the unnoticed components in the Health Insurance policies. The sub-limit must be considered every time you buy a Health Insurance policy.
What is a sub-limit?
A sub-limit is a cap on the total sum insured up to certain limits. The insurer will not be liable to pay beyond the Sub-limits. The Sub-limit is inclusive of the medical expenses incurred.
Different types of Sub-limits
In Health Insurance, there are three main sub-limit categories. To make it easier for you to choose insurance coverage, let's look at them now.
Sub-Limit on specific modern treatments
Sub-limits usually apply to particular diagnoses and treatments, mainly when they include well-known modern treatments such as Baloon Sinopalsy, Stemcell therapy etc.
Generally, there will be sub-limits for listed modern treatments up to certain limits Insurers generally cover the treatment expenses upto the Sub-limits.
For instance, if your insurance contains a sub-limit provision of 50% for the treatment of Robotic Surgery and your sum insured is 20 lakhs, you are only allowed to claim 10 lakhs for the treatment for the entire policy period.
Sub-Limit on Pre and Post-Hospitalisation
The Insured is eligible for the pre and post hospitalisation expenses incurrred for the treatment within the Sub-limit, where the claim is admitted in the Policy under Sub-limit. Maximum liablity of the Insurer is upto the Sub-limit mentioned in the Policy for the specified ailment/ Conditions.
Summing up
Most Health Insurance companies provide various coverage, including the modern treatments, AYUSH treatments, etc., with a sub-limits. Make sure to check the sub-limits before opting for an Health Insurance plan.
