Initial fixed amount policyholder pays before insurance policy pays remaining claim balance.
A Deductible is a specified upfront financial threshold that the policyholder must pay toward medical expenses in a policy year before the insurance company starts reimbursing claims.
Manish buys a ₹50 Lakh Super Top-up policy with a ₹5 Lakh Deductible. His base health policy covers the initial ₹5 Lakh medical expense. Once expenses cross ₹5 Lakhs, his Super Top-Up policy pays the remaining ₹45 Lakhs.
Unlike Co-Pay (which deducts a percentage on EVERY bill), a Deductible is paid only ONCE until the threshold limit is crossed.
Many policyholders misunderstand this clause until a claim actually occurs. Always verify the exact definitions in your policy wording schedule rather than relying on verbal marketing summaries. Disclose all material facts truthfully at the time of proposal to help ensure smooth claim assessment without non-disclosure issues.
Deductible amounts can be paid out of pocket, via employer health cover, or through a base health insurance plan.
Pair a ₹5 Lakh Base Health Policy with a ₹50 Lakh Super Top-Up (₹5 Lakh Deductible) for maximum affordable protection.
Explore policy features, benefits, terms, and parameters for this insurance category.
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