Why should policyholders check the cap on room rent while buying health insurance?

Ajay Shah, Head – Distribution, Care Health Insurance said that it is important to understand how hospitals categorize their rooms – based on facilities and services like shared rooms, single private rooms, standard or deluxe rooms etc.

Room rent The type is specified in the policy documents and will determine the type of room the policyholder is eligible to stay at the time of hospitalization.

Ajay Shah said, “The room rent proportionate charge includes certain deductions at the time of claim.”

These could be nursing charges, ICU charges, surgery charges, doctor’s fees etc. These charges are applicable for proportionate charges, where the room rent limit/type is exceeded, Shah said.

room rent ceiling

health insurance policies Room rent usually caps at 1-2% of the sum insured. However, in some policies, the room rent is fixed on a fixed amount basis. For example, if your sum insured is 5 lakhs and room rent cap is 1% of the sum insured, you can take a room in the hospital which costs 5,000 a day.

What happens when the room rent is exceeded?

If the policyholder opts for a higher room limit, the difference amount will be converted into a percentage and a percentage of this amount will be deducted from the final bill, excluding medicines.

Hence understanding the room rent limits is important to avoid any last minute financial stress on the policyholders. By carefully checking the terms and conditions of the policy and being aware of the expenses involved within the predefined limits, individuals can take informed decisions and secure their finances.