Imagine you buy a health insurance plan with a ₹10 lakh cover for just ₹6,000 a year—sounds like a great deal, right? But here’s the catch many miss: some policies have disease-wise sub-limits, meaning the insurer puts a cap on how much they will pay for specific illnesses or treatments.
For example, even though your total cover is ₹10 lakh, they might only pay:
₹2.5 lakh for cardiovascular diseases
₹2.75 lakh for knee replacements
₹2 lakh for other major surgeries like your slipped disk operation
So, when your medical bill hits ₹4.36 lakh for surgery, the insurer might cover only ₹2 lakh because of these sub-limits. Suddenly, that attractive premium looks risky since the full cover isn’t really available for all conditions.
This practice helps explain how some insurers offer low premiums but rarely pay the full sum insured. To avoid unpleasant surprises, always check if your policy has disease-wise sub-limits before buying. It’s safer to choose a health plan without these restrictions, even if the premium seems a bit higher.
Remember, you never know what health challenge might come your way. Picking a policy with no such caps ensures you get the coverage you expect when it matters most. Always compare the best health insurance plans carefully before deciding.