Terms
The fine print, decoded.
16 terms that decide what your policy actually pays — explained in plain language, with the traps each one hides.
A clause where you pay part of the hospital bill. Even a small co-pay can increase your final cost.
What is Co-pay? →02Room Rent LimitA cap on your hospital room charges. Choosing a higher room can reduce payouts for the whole hospital bill.
What is Room Rent Limit? →03Waiting PeriodThe time you must wait before certain illnesses are covered by your policy.
What is Waiting Period? →04Disease Sub-limitsCertain illnesses have payout caps — even when your policy cover is large.
What is Disease Sub-limits? →05RestorationYour sum insured refills after a claim — but the refill usually comes with conditions.
What is Restoration? →06Cashless NetworkCashless treatment works only in network hospitals — others require reimbursement.
What is Cashless Network? →07Sum InsuredThe total amount your insurer will pay in a policy year — the number every other benefit is measured against.
What is Sum Insured? →08No Claim BonusYour cover grows for free every year you stay claim-free.
What is No Claim Bonus? →09Pre & Post HospitalisationBills just before admission and for a while after discharge can also be covered.
What is Pre & Post Hospitalisation? →10Day Care TreatmentModern treatments that take under 24 hours are still covered, despite the usual 24-hour rule.
What is Day Care Treatment? →11Pre-existing DiseaseIllnesses you already have before buying — covered only after a waiting period.
What is Pre-existing Disease? →12Top-up & Super Top-upA cheap way to add extra cover on top of your base plan once bills cross a set amount.
What is Top-up & Super Top-up? →13ConsumablesSmall items like gloves and syringes that many policies do not pay for — unless the plan covers them.
What is Consumables? →14Modern TreatmentsNewer procedures like robotic surgery that policies must now cover, often up to a limit.
What is Modern Treatments? →15Domiciliary HospitalisationTreatment taken at home, when hospital admission is not possible, counted like a hospital stay.
What is Domiciliary Hospitalisation? →16Free Health Check-upA preventive medical check-up your insurer pays for each year, whether or not you make a claim.
What is Free Health Check-up? →