Title: All about the concept of room rent limit in health insurance (1)
1All about Concept of Room Rent in Health
Insurance
2What 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.
4How 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.
6How 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
7What 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.
8Policies 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
9Plans in India That Have No Limit on Room Rent
Apollo Munich Optima Restore
TATA AIG MediPrime
10Factors that affect your Room Rent
Type of Hospital Room
Inflation Costs
11Conclusion
- 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
12Search. Compare. Buy