When is a Rs 10 Lakhs Sum Insured Enough And When It isn't?

Posted on: Apr 24, 2024 | 3 mins | Written by: HDFC ERGO Team

When is a Rs 10 Lakhs Sum Insured Enough And When It isn't?

Meet Amit, a young professional in his mid-20s, and Priya, a homemaker with two young children. Both are looking for health insurance and are considering a plan with a sum insured of Rs. 10 lakhs.

Is Rs. 10 lakhs coverage enough to cover their medical needs? This article will help Amit and Priya (and you!) decide if a Rs. 10 lakh health cover is adequate.

When is Rs. 10 Lakhs Medical Coverage Enough?

A sum insured of Rs. 10 lakh can be sufficient in these scenarios:

You’re young and healthy.

An individual insurance plan or a family health insurance plan with a sum insured of Rs. 10 lakh can manage hospitalisation costs for common illnesses or injuries for young individuals without pre-existing conditions.

You live in a Tier-2 or Tier-3 city.

Medical expenses are lower in smaller cities than in metros.

You have a supplementary plan.

Consider a top-up or super top-up health insurance plan alongside your base policy. These plans kick in after your main plan’s sum insured is exhausted, offering additional financial protection.

When is Rs. 10 Lakhs Medical Coverage Not Enough?

Several factors can make a health insurance plan with Rs. 10 lakh coverage inadequate:

You have pre-existing conditions.

If you have a chronic illness, the cost of managing it can quickly deplete a Rs. 10 lakh sum insured. Moreover, treatment costs for critical diseases like cancer or surgeries like a coronary bypass can easily exceed Rs. 10 lakhs.

You live in a metro city.

Metro cities have higher healthcare costs. A coverage of Rs. 10 lakh might not suffice for critical illnesses or complex surgeries in these locations.

You have a family to cover.

Family insurance—a family floater plan—with a sum insured of Rs. 10 lakh might not be enough if multiple family members or dependents require hospitalisation, particularly if senior members are included.

What is the Right Amount of Coverage?

Here’s what to consider when choosing the sum insured for your health insurance plan:

• Location

• Age

• Health (pre-existing conditions)

• Dependents (number of people covered)

• Lifestyle (high-risk activities)

• Inflation (rising medical costs)

• Income

Conclusion

A Rs. 10 lakh health insurance plan can be a good starting point, but it might not be enough for everyone. Carefully evaluate your needs and risk factors to choose the right sum insured. Remember, health insurance is an investment in your and your loved ones’ well-being, offering financial security during medical emergencies.

Disclaimer: The above information is for illustrative purposes only. For more details, please refer to the policy wordings and prospectus before concluding the sales.

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