Capping in health insurance: Capping in health insurance is a limit on expenses, which is very important to know about. While taking a health insurance policy, it is important that you know well about the conditions related to capping.
By buying a health insurance policy, we become carefree that if there is a need to get admitted to the hospital, the insurance company will bear the expenses. Of course, the insurance company bears the medical expenses but on its own terms, not as per your wish. Actually, there is a clause of ‘capping’ in health insurance, which is very important to know, otherwise you will not get a claim despite having insurance. In such a situation, it is very important to know about capping before getting health insurance. Let us tell you what capping means in health insurance.
What is capping
“Capping” in a health insurance policy means the maximum limit set by the insurance company on a particular expense, under which the claim is paid. Even if you have taken a health insurance of Rs 5 lakh, the expenses of every medical facility are fixed under capping.
In simple words, capping in health insurance is like a limit or restriction on expenses. In this, the insurance company says that there will be a limit on different types of expenses incurred on treatment and the claim will be given under that. In health insurance, the limit of expenses on hospital room rent, ICU charges, surgery, doctor consultation or any other facility is fixed.
How does capping work?
Suppose, you took a health insurance policy of Rs 5 lakh. But, under capping in it, the limit of hospital room rent is Rs 5000 per day, then you can stay in a room of this budget. If the room rent is more than Rs 5000, then you will have to pay two thousand rupees as the balance amount. Because, the insurance company will pay only Rs 5000. Similarly, the rule of capping works in the same way on other medical expenses.
In such a situation, while buying a health insurance policy, it is important that you know well about the conditions related to capping and buy the policy only after looking at the medical treatment limit, and take care of the hospital expenses accordingly.
