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Top-Up Health Insurance

Get extra protection and increase sum insured with top-up cover

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Age: 18-70 yrs

Age: 3 month-24 yrs

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What Is Top-Up Health Insurance?

A top-up health insurance plan adds extra coverage on top of your existing health insurance, kicking in once your medical bills cross a deductible. It’s the most affordable way to increase your health cover without paying high premiums. It helps you afford high medical costs without paying high premiums. 

How Does Top-Up Health Insurance Work?

Top-up health insurance activates after your medical bills cross a deductible either paid by you or your base policy. Once the threshold is reached, the top-up covers remaining costs, giving you higher coverage at much lower premiums than standard health plans.

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Adds extra protection

It boosts your existing health cover by paying large medical bills beyond your base plan limit.

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Activates after deductible

The plan starts once your hospital bill crosses a fixed deductible amount.

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Covers major expenses

It pays the remaining eligible hospital costs up to your chosen sum insured.

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Saves premium cost

Top-ups are cheaper than upgrading your base policy for the same total cover.

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Works with any insurer

You can pair it with your corporate or personal health plan for seamless protection.

Get Care Super Top Up ₹1 Crore Health Insurance Cover @₹1/day

A top-up health insurance plan adds extra coverage on top of your existing health insurance, kicking in once your medical bills cross a deductible. It’s the most affordable way to increase your health cover without paying high premiums.

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Why Should You Buy a Top-Up Health Insurance Plan?

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Affordable higher coverage

Pay lower premiums compared to buying a big base health insurance plan.

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Protect against rising medical inflation

Hospital bills in metros can cross ₹10–15 lakhs.

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Top-Up for Ageing Parents

Older parents often face frequent hospitalizations, and a small base cover may not be enough to manage rising medical costs.

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Covers beyond your existing plan

Especially if employer-provided cover is small.

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Flexibility

Choose your deductible and sum insured based on your needs.

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Example

A top-up plan covers medical bills beyond your base policy limit. At 40, with only a ₹5 lakh employer cover, a ₹9 lakh surgery meant paying ₹4 lakh from savings. By adding a ₹20 lakh top-up with a ₹5 lakh deductible for just ~₹4,000 yearly, expenses above ₹5 lakh are now fully covered

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Plans starting for 1 Cr at 1 Re/month

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Who Should Buy Top-Up Health Insurance?

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Families in metros

Pay lower premiums compared to buying a big base health insurance plan

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Middle-aged professionals

Most rely on employer-provided covers of just ₹3–5 lakh. A top-up gives peace of mind when those limits aren’t enough

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Senior citizens

If they already hold a base plan, adding a top-up is a cost-effective way to secure higher coverage despite rising risk

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People with lifestyle risks

Conditions like diabetes or hypertension may need costly treatment. After the waiting period, top-up cover becomes a strong safety net

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Why They Need It

Benefit of a Top-Up Plan

Approx. Annual Premium

Working Professionals

Limited employer health cover (₹3-5 lakh)

Extra ₹10-20 lakh protection that stays valid even if you change jobs

₹1,000 - ₹2,500

Families

Rising medical costs for children and parents

Boosts family cover affordably, ideal for multiple hospitalizations

₹2,000 -₹4,000

Senior Citizens / Parents

Base plan premiums get costly with age

Cost-effective way to raise cover for major illnesses

₹4,000 -₹8,000

Self-Employed / Business Owners

No employer cover; irregular income

Builds affordable layered protection for large medical bills

₹2,500 - ₹5,000

Frequent Travelers/NRIs

Need local backup for India treatments

Provides large India-based coverage at a lower cost

₹3,000 - ₹6,000

disclaimer

Insurance benefits, features, and eligibility are subject to insurer terms, IRDAI regulations, and policy documents. Please read all details carefully before purchasing

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Takeaway

Top-ups suit anyone who wants affordable extra cover against unexpected large bills

Top up Policy Eligibility Criteria

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Individual Minimum Entry Age

Adults can buy a top-up plan starting at 18 years of age. Dependent children are usually eligible from 5 years up to 24 years, as long as they are financially dependent.

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Family Floater Minimum Entry Age

In a family floater plan, adults can be covered from 18 years and above. Dependent children can be included right from 1 day old up to 24 years, provided at least one insured adult is 18 years or older.

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Age of the Proposer

Minimum 18 years or above

Top-Up vs Base Health Insurance

Feature

Top-Up Health Insurance

Base Health Insurance

Purpose

Extends coverage once bills cross a fixed deductible

Provides core coverage for hospitalization and medical expenses from day one

Premium

Lower - e.g., ~₹2,000-₹5,000/year for ₹20 lakh cover with 75 lakh deductible

Higher - e.g., ~₹18,000-₹25,000/year for ₹20 lakh base cover

Coverage Limit

Activates after deductible is met; covers additional expenses

Pays up to the sum insured directly

Best For

People wanting extra coverage at affordable cost

Essential protection for everyone

disclaimer

Insurance benefits, features, and eligibility are subject to insurer terms, IRDAI regulations, and policy documents. Please read all details carefully before purchasing

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Apollo 24|7 Advisor Tip

Pick a deductible that matches your base policy. For instance, if your base cover is ₹5 lakh, choose a ₹5 lakh deductible in your super top-up. This helps your main plan handle smaller claims while the top-up steps in for bigger bills, keeping your protection smooth and affordable.

What to Know Before Buying a Top-Up Health Plan

Understand the deductible

If your base plan is ₹5 lakh, choose a ₹5 lakh deductible so both work together smoothly

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Check waiting periods

Top-up plans also have waiting periods for pre-existing conditions or specific treatments. Knowing this helps you plan when your full cover starts

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Confirm Network Hospitals

Top-up plans also have waiting periods for pre-existing conditions or specific treatments. Knowing this helps you plan when your full cover starts

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Top Up Health Insurance Summary

Quick recap of everything you need to know about Top-Up and Super Top-Up Health Insurance.

Top-Up = Extra cover after deductible

Activates only when your hospital bill exceeds a fixed threshold (deductible). Ideal for one large hospitalization

Match deductible to your base policy

If your base plan is ₹5 lakh, choose a ₹5 lakh deductible for seamless claims and easy coordination between both plans

Cheaper than increasing your base cover

A ₹20 lakh top-up with ₹5 lakh deductible often costs 60–70% less than directly upgrading your base plan

Works with employer insurance

You can buy a personal top-up even if you already have company coverage it continues even if you switch jobs

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Step 1

Pay hospital bills upfront

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Step 2

Pay hospital bills upfront. Pay hospital bills upfront

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Step 3

Our claim team reviews and may request clarifications

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Step 4

Once verified, you’ll receive an approval letter

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Step 5

Approved expenses are reimbursed directly, subject to policy terms and conditions

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Takeaway

Cashless claims are convenient if you choose a network hospital, while reimbursement ensures you’re covered even in non-network hospitals

Top 3 Concerns about Buying & Using Top Up Health Insurance

Buying a top-up or super top-up plan is a smart move, but it’s normal to have questions about how it actually works. Here are the most common doubts people have.

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What if my base policy and top-up plan are from different insurers?

You can buy your top-up from a different insurer than your base plan. When you file a claim, your base insurer pays first up to your policy limit. You then share the remaining bills with your top-up insurer for reimbursement. Claims go smoothly if you submit all documents like bills and discharge summaries. Many people prefer both plans from the same insurer for quicker, cashless settlements.

Pro Tip: If your base cover is from your employer, you can still buy your own top-up plan it stays active even if you change jobs

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Will I always have to pay the deductible myself? 

Not necessarily! You only pay (or your base plan covers) the deductible amount once in a policy year
In a Top-Up plan, the deductible applies per claim, meaning it activates only if one hospitalization crosses that limit
In a Super Top-Up plan, all your medical bills in the year are added together. Once their total crosses your deductible, the super top-up covers the rest

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Note

Insurance benefits, features, and exclusions are subject to insurer terms, IRDAI regulations, and individual policy documents. Always read the brochure and policy wording carefully before purchasing

FAQs

Is top-up insurance the same as a new base health policy?

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Can I buy top-up insurance without a base plan?

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Is the premium for a top-up plan eligible for tax benefits?

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Does top-up insurance cover pre-existing diseases?

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Why not just increase my base cover instead of buying a top-up?

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Can I buy a top-up policy from a different insurer than my base plan?

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