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How can I split a large medical claim across different health insurers?
How can I split a large medical claim across different health insurers?

Economic Times

time09-07-2025

  • Business
  • Economic Times

How can I split a large medical claim across different health insurers?

Getty Images A retail health insurance policy guarantees lifelong renewability. I have multiple health insurance policies from different insurers. In case of a large claim, how do I split it across insurers, and what documents are required for each? Sarbvir Singh Joint Group CEO, PB Fintech: If you have multiple health insurance policies, start with the one offering the highest cashless coverage to reduce out-of-pocket expenses. For any uncovered amount, you can file for reimbursement with the second insurer by submitting the claim form, bills, discharge summary, prescriptions, and the settlement summary from the first insurer. If there is still some balance left, the third insurer can be approached similarly. That said, having multiple policies is usually not necessary. A single, comprehensive policy with a high sum insured is sufficient to cover most medical needs. The good news is that upgrading your sum insured from Rs 10 lakh to Rs 1 crore can cost just 10-15% more in premium. Given the minimal additional cost, it's a smarter and simpler way to ensure you are well-protected. Also read | I am 52. How can I build a retirement corpus of Rs 5 crore in 10 years? I have two health policies—an individual base plan of Rs 10 lakh and a group top-up plan of Rs 15 lakh, with a Rs 2 lakh deductible, for which I pay a Rs 4,500 premium. The top-up is due for renewal in two months. My bank now offers a top-up plan with a Rs 30 lakh cover and a Rs 3 lakh deductible at a lower premium of Rs 2,500. However, it's a new policy with a 24-month waiting period for pre-existing conditions. Should I switch to the new plan? Sarbvir Singh Joint Group CEO, PB Fintech: A retail health insurance policy guarantees lifelong renewability. It ensures you have adequate coverage well into old age, when health issues pose the most risk. While you can continue the former Rs 15 lakh group cover, it will be good to get an individual health policy with a high-value top-up for comprehensive protection. For instance, a Rs 1 crore top-up with a Rs 10 lakh deductible is a cost-effective way to secure significant coverage, typically available in the Rs 1,000–3,000 premium range, depending on factors like age and family size. If you are considering the new plan, you could look at its super top-up plan. Evaluate your options and ensure that long-term benefits outweigh the short-term savings. Ask our experts Have a question for the experts? etwealth@ (Disclaimer: The opinions expressed in this column are that of the writer. The facts and opinions expressed here do not reflect the views of N.R. Narayana Murthy Founder, Infosys Watch Now Harsh Mariwala Chairman & Founder, Marico Watch Now Adar Poonawalla CEO, Serum Institute of India Watch Now Ronnie Screwvala Chairperson & Co-founder, upGrad Watch Now Puneet Dalmia Managing Director, Dalmia Bharat group Watch Now Martin Schwenk Former President & CEO, Mercedes-Benz, Thailand Watch Now Nadir Godrej Managing Director, of Godrej Industries Watch Now Manu Jain Former- Global Vice President, Xiaomi Watch Now Nithin Kamath Founder, CEO, Zerodha Watch Now Anil Agarwal Executive Chairman, Vedanta Resources Watch Now Dr. Prathap C. Reddy Founder Chairman, Apollo Hospitals Watch Now Vikram Kirloskar Former Vice Chairman, Toyota Kirloskar Motor Watch Now Kiran Mazumdar Shaw Executive Chairperson, Biocon Limited Watch Now Shashi Kiran Shetty Chairman of Allcargo Logistics, ECU Worldwide and Gati Ltd Watch Now Samir K Modi Managing Director, Modi Enterprises Watch Now R Gopalakrishnan Former Director Tata Sons, Former Vice Chairman, HUL Watch Now Sanjiv Mehta Former Chairman / CEO, Hindustan Unilever Watch Now Dr Ajai Chowdhry Co-Founder, HCL, Chairman EPIC Foundation, Author, Just Aspire Watch Now Shiv Khera Author, Business Consultant, Motivational Speaker Watch Now Nakul Anand Executive Director, ITC Limited Watch Now RS Sodhi Former MD, Amul & President, Indian Dairy Association Watch Now Anil Rai Gupta Managing Director & Chairman, Havells Watch Now Zia Mody Co-Founder & Managing Partner, AZB & Partners Watch Now Arundhati Bhattacharya Chairperson & CEO, Salesforce India Watch Now

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