types of co pay in health insurance
TRANSCRIPT
Types of Co-pay
What is co-pay?
Percentage of claimable hospital expense
Paid by the insured
Types of co-pay
Zone related co-pay Network hospital related co-pay Age related co-pay Pre-existing diseases related co-pay
Zone Related Co-pay
Applicable for plans with different premiums for different zones
To paid for treatment in zones with higher expense
E.g. New India applies up to 20% co-pay on their Mediclaim 2007 and Mediclaim 2012 policies.
Network Hospital Related Co-pay
Applicable when treatment is taken under non-network hospital
E.g. Bajaj Allianz applies co-pay of 20% in its Silver Health plan for senior citizens when they get treated in a non-network hospital.
Age Related Co-pay
Applicable when: You buy a policy at specific age Reach a specific age
E.g. L&T’s Medisure Classic applies 10% co-pay for members over 80. Religare applies 20% copay in its policy Care, for members who enter it post age 61.
Pre-existing disease related co-pay
Applicable for claims on pre-existing ailments
E.g. The Star Health Red Carpet policy covers all pre-existing diseases with a co-pay of 50% right from the second year of the policy start and a co-pay of 30% for other specified ailments from the very first year itself!
Co-pay isn’t that bad if you know all the terms and conditions very well...