While taking health insurance, it is very important to know about the terms and conditions of the policy. But, most people are negligent in getting this information. As a result, due to lack of information about the terms and conditions, when they do not get the full claim, they complain and they do not get the full benefit of paying the premium.
Co-payment is also one such condition in health insurance, which has a significant impact on the policy premium as well as the claim. Therefore, it is in your interest to know the co-payment rules of the health policy well.
Co-pay or co-payment is a provision in health insurance in which the policyholder has to pay a certain part of the medical expenses from his pocket, while the remaining amount is borne by the insurance company. For example, if your policy has a 10% co-pay and the hospital bill comes to ₹1,00,000, then you will have to pay ₹10,000 and the remaining ₹90,000 will be paid by the insurance company. This is usually applicable at the time of claim and is already decided in the terms of the policy. Usually it is between 10 to 30 percent.
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As many times as payment, as many times money will be spent from the pocket
The special thing is that the rule of co-payment is applicable as many times as the policy holder makes a claim. In this way, co-payment is an agreement between the policyholder and the insurer in health insurance in which the policyholder agrees to pay some percentage of his medical bills on his own.
Co-payment is not there in every policy
Not every health insurance policy needs to have the option of co-payment. That is, you can get 100 percent of your claim. Many companies also offer health policies in which they are responsible for paying 100% of the claim. The premium of a co-pay policy is usually low. The higher the co-pay percentage (such as 20% or 30%), the less premium you have to pay.
Who is co-payment beneficial for
Low-income people or senior citizens who want to take health insurance at a low premium can get coverage by choosing a co-pay policy. With a co-pay, you also get comprehensive health coverage, such as hospitalization, surgery, or medicine expenses, which would have been difficult without insurance. If your financial condition is weak or savings are low, then paying a co-pay can be difficult, especially in an emergency.
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