All about the concept of room rent limit in health insurance (1) - PowerPoint PPT Presentation

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All about the concept of room rent limit in health insurance (1)

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Know what is room rent limit in health insurance? Learn about the best health insurance companies in India having no limit on room rent.Recommended Read: The Truth About The Room Rent Limit in Your Health Insurance. Read more here. – PowerPoint PPT presentation

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Title: All about the concept of room rent limit in health insurance (1)


1
All about Concept of Room Rent in Health
Insurance
2
What is Room Rent?
  • Room Rent Limit is an amount charged by the
    hospital for occupying the hospital bed on a per
    day (24 hours) basis and includes all the
    associated medical expenses.
  • In simple terms, it is the maximum per day room
    charges that your insurer is liable to pay.

3
  • The room rent limit may come with a specific cap
    which can be restricted irrespective of your sum
    insured.
  • Generally, room rent is capped as 1 of the sum
    assured and can also be a fixed amount offered by
    your insurer.

4
How Room Rent has an Impact on Hospital Charges?
Same Hospital Procedure Cost for Different Rooms Same Hospital Procedure Cost for Different Rooms Same Hospital Procedure Cost for Different Rooms Same Hospital Procedure Cost for Different Rooms
Room Type General Shared Private Deluxe
Room Charges 1, 500 2, 500 4, 500
Angioplasty Cost 80,000 1,35,000 2,10,000
5
  • Hospital charges are directly linked to your room
    rent.
  • Doctors fees, operational charges, nursing
    expenses and medical costs would be too high in a
    private room as compared to an AC room.

6
How Room Rent has an impact on Insurance claim?
The charges of your insurance claim are linked to
your room rent.
Your Sum Assured 3 lacs for your room, Rent Limit Rs 2,000 Your Sum Assured 3 lacs for your room, Rent Limit Rs 2,000 Your Sum Assured 3 lacs for your room, Rent Limit Rs 2,000 Your Sum Assured 3 lacs for your room, Rent Limit Rs 2,000
Room Type General Shared Private Deluxe
Room Charges (Rs.) 1, 500 2,500 4,500
Angioplasty Cost 80,000 1,35,000 2,10,000
Other Expenses Incurred 40,000 60,000 1,10,000
Total Expenses 1,20,000 1,95,000 3,20,000
Insurance Company Pays 1,20,000 1,20,000 1,20,000
You Pay 0 75,000 2,00,000
7
What Happens if you exceed the Room Rent Limit?
You Pay the excess amount
Room Rent Limit Rs. 4000/-
Insurer Pays up to the limit
  • Even if you have a high sum assured and have
    exceeded the room rent limit, then you will have
    to bear the additional costs.

8
Policies With No Room Rent
  • A few health insurance plans in India have no
    room rent limit.
  • These policies are available at much higher
    premium, but ensure peace of mind and a plethora
    of benefits

9
Plans in India That Have No Limit on Room Rent
Apollo Munich Optima Restore
TATA AIG MediPrime
10
Factors that affect your Room Rent
Type of Hospital Room
Inflation Costs
11
Conclusion
  • Insurance companies cover the medical bills only
    in the proportion of the rent sub-limit and rest
    of the expenses need to be borne by the insurer.
  • Ideally, you should buy a health insurance plan
    with high sub-limit or one without it as it
    ensures that you are insured with an enough
    coverage for medical expenses.
  • If you purchase a plan with sub-limit then make
    sure you go through the policy wordings
    carefully.
  • Recommended Read The Truth About Room Rent
    Limit in Health Insurance

12
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