Tips to find best travel insurance
Tips to find good and adequate international travel health insurance.
Know more »Looking for India travel insurance with complete peace of mind? Choose a comprehensive plan without sub-limits for exclusive protection during your stay abroad. Unlike a few policies that have limits on coverage for specific medical services (like doctor visits, ICU, or surgery, visitor insurance without sub-limits ensures comprehensive, covering eligible expenses up to the total policy limit with no category-specific restrictions.
Sublimits, by definition in Travel Insurance policies are extra restrictions / limits in an insurance policy's coverage of certain losses, primarily Sickness Medical expenses. They are part of the sum insured limit, set a maximum limit to cover a specific loss or for a specific medical expense.
Unlike the total Sum Insured, which is the maximum amount payable by the insurer for a particular coverage, a sublimit restricts the payout for particular categories, such as medical treatments, room rent, or specific procedures, to a lower, predefined amount. Typically they are part of the policy for insureds with advancing age. In other words, a Sublimit in travel insurance is a specific monetary cap placed on certain types of claims or expenses within your overall policy coverage. Some benefits under the Accident & Sickness cover which normally have sublimits are :Total Sum Insured under Accident & Sickness - $250,000 | |||
---|---|---|---|
Expense Head | Cost per day | Number of days | Total Claim Payable |
Hospital Room | $,1500 | 5 | $7,500 |
Surgery Charges | $10,000 | One time | $10,000 |
ICU Charges | $4,000 | 3 | $12,000 |
Anaesthetist Fees | 25% Of Surgery Charges | One time | $2,500 |
Consulting Charges | $200 per visit | 8 visits | $1,600 |
Pharmacy Expenses | Upto $2,500 | $2,500 | |
Total Coverage | $36,100 | ||
Despite a coverage of $250,000, the insurance company will pay $36,100 |
The insured cannot receive an insurance payout of an amount exceeding the sublimit for the types of loss specified.
As mentioned earlier, the sublimits are introduced for insured members who are advancing in age. Almost all insurance companies offer plans with Sublimits on Medical Expenses above a certain age:
Insurance Company | Age from when Sublimits Applicable |
---|---|
Tata AIG Travel Guard | 56 years |
Care Health Explore | 60 years |
Bajaj Allianz Travel Ace | Travel Ace - 50 years Travel Prime / Travel Elite – 60years |
Reliance General | 60 years |
ICICI Lombard | 60 years |
Some of the popular travel insurance plans offering an option Without Sublimits include:
Insurance Company Name | Travel Insurance Plan Name | Sum Insured Options Available without Sublimits | Age |
---|---|---|---|
Tata AIG | Travel Guard Plus / International Plus | $50,000 Silver w/o sublimits $100,000 Silver Plus w/o sublimits $250,000 Gold w/o sublimits | >56 years |
Bajaj Allianz | Travel Ace | $50,000 w/o sublimits $200,000 w/o sublimits $500,000 w/o sublimits $750,000 w/o sublimits $1,000,000 w/o sublimits | >50 years |
Travel Premium / Travel Elite | $50,000 w/o sublimits $200,000 w/o sublimits $500,000 w/o sublimits $750,000 w/o sublimits $1,000,000 w/o sublimits | >60 years | |
Reliance General | Reliance Travel Insurance Travel Prime / Travel Elite – 60years | $50,000 Platinum | >60 years |
Care Health | Explore International | $50,000 Platinum $100,000 Platinum | >60 years |
This is the debate that goes on in the mind of any senior traveler when they are going abroad…Do they opt for a Plan with Sublimits to reduce the premium payable for their trip, or do they go with a Comprehensive Coverage? The debate still rages on…But our recommendation will always be to go ahead with a NIL SUBLIMIT PLAN for your travels…The advantages of purchasing a Travel Insurance plan Without Sublimits are :
Let us take a scenario of a claim where the insured was hospitalized following an accident…Assumption is that the Hospital Bill is $50,000 and the Medical Sum Insured under the policy is $100,000 with a Deductible of $100
Total Sum Insured under Accident & Sickness - $100,000 (WITH SUBLIMITS) | |||||
---|---|---|---|---|---|
Expense Head | Hospital Bill | Sublimit Cost per day | Number of days | Insurance Company Pays | Insured Traveler Pays |
Hospital Room | $14,000 ($2,000 for 7 days) | $,1500 | 5 | $7,500 | $6,500 |
Surgery Charges | $24,000 | $10,000 | One time | $10,000 | $14,000 |
ICU Charges | $12,000 | $4,000 | 3 | $12,000 | - |
Anaesthetist Fees | $3,000 | 25% Of Surgery Charges | One time | $2,500 | $500 |
Consulting Charges | $4,000 | $200 per visit | 8 visits | $1,600 | $2,400 |
Pharmacy Expenses | $2,900 | Upto $2,500 | - | $2,500 | $400 |
Deductible | $100 | - | $100 | ||
Total Coverage | $50,000 | $36,100 | $23,900 | ||
Despite a coverage of $100,000, the insurance company will pay $36,100 and the insured needs to pay $23,900 due to sublimits |
Let us take a scenario of a claim where the insured was hospitalized following an accident…Assumption is that the Hospital Bill is $50,000 and the Medical Sum Insured under the policy is $100,000 with a Deductible of $100
Total Sum Insured under Accident & Sickness - $100,000 (WITHOUT SUBLIMITS) | |||||
---|---|---|---|---|---|
Expense Head | Hospital Bill | Sublimit Cost per day | Number of days | Insurance Company Pays | Insured Traveler Pays |
Hospital Room | $14,000 ($2,000 for 7 days) | - | - | $14,000 | - |
Surgery Charges | $24,000 | - | - | $24,000 | - |
ICU Charges | $12,000 | - | - | $12,000 | - |
Anaesthetist Fees | $3,000 | - | - | $3,000 | - |
Consulting Charges | $4,000 | - | $4,000 | - | |
Pharmacy Expenses | $2,900 | - | - | $2,900 | - |
Deductible | $100 | - | $100 | ||
Total Coverage | $50,000 | $49,900 | $100 | ||
With a coverage of $100,000, the insurance company will pay $49,900 and the insured needs to pay only $100 since there were no Sublimits |
NIL Sublimit plans offer better protection for unexpected health emergencies because they allow you to claim upto the maximum sum insured of eligible medical expenses under your policy, without imposing caps on specific treatments or services. This means:
Offcourse, it is highly recommended, despite the difference in premiums, to go ahead with a No Sublimit plan instead of a travel insurance plan with Sublimits. This is mainly because the cost of medical treatment abroad in almost all western countries`are significantly higher than India, and hence traveling there with a travel insurance plan which has Medical Sublimits, may not be an ideal situation. Also when you convert the difference of premium into USD or Euros or British Pound, you will see that the incremental coverage limits in the NIL Sublimit plans, more than compensate for the incremental premium.
No, the coverages under plans with and without sublimits are exactly the same, except in the Medical section which is where the Sublimits will be applied. Here the coverage will be restricted in the plans with Sublimits.
No sublimits plans are ideal for travelers who want comprehensive coverage and are less concerned about premium costs. They are especially suitable for those traveling to countries with high medical costs, such as the US, or for those who want to avoid unexpected out-of-pocket expenses due to treatment caps.
Feature | With Sublimits | Without Sublimits |
---|---|---|
Coverage Restrictions | Caps on specific treatments | No caps; covered up to policy max |
Premium Payable | Lower | Higher |
Complexity | More complex to understand and administer | Simpler for implementation |
Out-of-pocket Expenses | Higher risk due to caps | Lower |
Suitable For | Budget-conscious travelers | Those seeking Comprehensive Travel Insurance cover |
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