What is an Add-on Policy in Health Insurance?

When buying health insurance, you probably have a basic checklist of things you consider, such as the premium, sum insured, and coverage for hospitalisation and treatments. But what if your plan could offer more than just the basics? Choosing an add-on policy in health insurance can make all the difference to your existing plan. Let’s find out how in this article.

When buying health insurance, you probably have a basic checklist of things you consider, such as the premium, sum insured, and coverage for hospitalisation and treatments. But what if your plan could offer more than just...
When buying health insurance, you probably have a basic checklist of things you...
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Add-on Policy in Health Insurance

An add-on policy in health insurance is an optional benefit you can buy along with your main policy. It offers extra protection by covering specific health risks or conditions that may not be included in your base plan. Think of it as a way to customise your health insurance to match your individual or family’s medical requirements better.

What Does an Add-on Policy Cover and How Does It Work?

An add-on policy aims to increase the scope of your health insurance coverage. Although you have to pay an additional premium on top of your existing policy, an add-on gives you extra coverage for certain medical conditions or services that your current plan might not cover.

  1. Depending on your needs, you can select an add-on policy that provides coverage for specific areas like critical illness, or maternity. 
  2. Each add-on policy comes with an additional cost, which is paid annually along with your primary health insurance premium.
  3. When a covered event occurs, you can file a claim for the additional benefits provided by the add-on.

For example, if you add a critical illness add-on policy, you’ll be eligible for a lump sum payout if diagnosed with a covered critical illness like cancer, heart attack, or stroke.

Difference Between Add-on Policy and Add-on Cover

In health insurance, add-on policy is often confused with add-on cover as both options offer extra protection to an existing policy. But each serves a different purpose and works differently during claims.

Add-on PolicyAdd-on Cover
  
A major benefit added to your primary health plan for extra coverageOptional feature added to support specific parts of your primary health plan
Covers major situations like critical illness, personal accident, or maternityCovers minor features like room rent, daily cash, or no-claim bonus boost
Has its own terms, limits, and sometimes a separate payout Follows the terms of the main policy
May have a separate claim processProcessed together with the main claim
Adds more premium compared to a coverAdds a small cost to your base premium

Even with their notable differences, add-on policy and add-on cover can only be chosen at the time of purchase or renewal of your policy. Understanding their purpose can help you choose the right add-on for your health plan.

Types of Add-on Policies in Health Insurance

Depending on your insurer and the kind of coverage you require, there are several types of add-on policies to choose from. Some of the most common add-ons include:

Critical Illness Add-on

A critical illness add-on provides a lump sum payment if you are diagnosed with a life-threatening disease like cancer, heart attack, or stroke, whether you’re hospitalised or not. This can be used for treatment, recovery, or even day-to-day expenses

Personal Accident Add-on

A personal accident add-on provides a lump sum payment in case of accidental death or permanent total disability. It offers extra financial support to help you or your family manage income loss, recovery expenses, or lifestyle changes following the incident.

Maternity Add-on

A maternity add-on covers pregnancy-related expenses including prenatal care, childbirth, and post-natal care for mother and baby.

Pre-Existing Disease (PED) Add-On

Some insurers offer PED add-on policies that either reduce the waiting period or partially cover certain conditions earlier, as pre-existing conditions like diabetes or hypertension typically have a waiting period before your policy starts covering them.

Benefits of Add-on Policy in Health Insurance

Every individual has different healthcare needs and requirements. Here are some reasons why a policyholder might include an add-on policy to their health insurance:

  • Flexibility to extend your coverage beyond hospitalisation and basic treatments.
  • Ability to customise your health insurance further by choosing add-on based on your lifestyle, medical history, and preferences.
  • Comparatively cheaper than buying separate policies for different types of coverage.
  • Choice to opt for specific coverage without affecting the entire policy.
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Conclusion

An add-on policy is a great way to boost your existing health insurance and provide additional protection for specific needs. Whether you’re looking for coverage for critical illness, maternity, or a pre-existing condition, an add-on can help turn your insurance policy as comprehensive as possible.

Frequently Asked Questions (FAQs)

Yes, you can. Many insurers allow you to choose multiple add-ons depending on your specific health needs.

The premium for add-ons is usually much lower than individual insurance policies. However, the cost will depend on the type of add-on and the coverage it offers.

Yes, you can opt out of an add-on policy during the policy renewal period, depending on the terms and conditions of your insurer.

Yes. Premiums paid for add-on policies are eligible for tax deduction under Section 80D of the Income Tax Act under the old tax regime, within the overall limit of ₹25,000 (₹50,000 for senior citizens). Just keep your premium receipts for filing.

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Written by Roocha Kanade

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Reviewed by Dr. Harshita Dahiya Author info Icon

Health Insurance content enthusiast who turns complex topics into easy, binge-worthy reads—fueled by SEO, creativity, and way too much chai! Loves juggling multiple projects, cracking impossible deadlines, and sprinkling humor into the mix. When not geeking out over digital trends, you'll find her lurking on Quora and Reddit, planning the next getaway, or passionately decoding all things health and insurance!

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