06/10/2026
Health insurance lete waqt sirf cover ka number dekhna kaafi nahi. Co-pay ho, toh admissible claim ka ek hissa tumhe dena hota hai.
Slide ka example: ₹1 lakh admissible claim par 20% co-pay ₹20,000 hai. Baaki ₹80,000 insurer ka hissa hai, jab koi aur deduction ya limit apply na ho. Hospital ka total bill aur admissible claim alag ho sakte hain; excluded expenses extra ho sakte hain.
Apni policy aur Customer Information Sheet mein co-pay, deductible, room-rent limits aur exclusions padho. Har policy mein 20% co-pay nahi hota.
General financial education. Facts checked 6 October 2026.
Source: IRDAI health-insurance guidance.