Sub-limits

Sub-limits refer to rents of rooms, doctors’ fees and OT fees. Recently, various non-life insurance firms have scrapped these from their policies. Tata AIG General (MediPrime) and Apollo Munich (Optima Restore) are among the first companies to do so.

Divya Gandhi, Head of General Insurance at Emkay Insurance Brokers, says, "You need to be wary of policies that have sub-limits on parameters such as doctor's fees and day-care procedures. Also, keep an eye on treatment-wise limits, where the amount you can claim for a particular surgery is capped."

Gaurav Garg, CEO and MD of Tata-AIG, says that health insurance firms have done away with sub-limits in order to avoid disputes over insurance claims. Moreover, this is a good way to attract new customers.