Truth About Room Rent Limit In Health Insurance

A health insurance policy offers a set of features and benefits to the policyholders that can be availed at the time of claim settlement process in case of a medical emergency. After carefully analyzing their requirements, the policyholders can invest in a suitable health insurance policy for themselves and for their loved ones. Some of the basic features offered by the regular health insurance plans are pre and post hospitalization costs, organ donor expenses, domiciliary expenses, room rents, ambulance charges, inpatient charges, and much more. The features offered under a health insurance plan may differ from one insurer to the other. Therefore, the policyholders must carefully go through the policy papers to understand the inclusions and exclusions of their desired health insurance policy.

Room rent is one of the common features offered under regular health insurance plans. Under this feature, the policyholders get financial compensation for the room rents incurred during the hospitalization at the time of an emergency. However, this feature is provided to the policyholders after imposing certain limits on it depending on the type of plan chosen by the policyholder, claim amount, etc. This room rent limit is the maximum limit of per day charge of the room that can be claimed when admitted to a hospital. Usually, the room rent limit of a plan is mentioned within the fine print of the policy related documents.

About Room Rent Limit

Room rent limit refers to the maximum amount of per day room rent that can be compensated for by the insurer under a health insurance plan. This limit on room rents is usually mentioned by the insurer under the fine print of the policy. If a policyholder gets admitted in a room that exceeds the room rent limit, then the extra charges are to be borne by the policyholders themselves from their pocket. The doctor’s fee, treatment fee, etc. depend on the room rent limit of a health insurance plan.

Must Read: What is the Room Rent Limit in Health Insurance?

Various Types of Room Rent Limits

There are certain medical expenses under hospitalization that depend on the room rent limit such as, treatment charges, medicine costs, doctor’s fee, test and surgery charges, and much more. Under a regular health insurance plan, there are around four different types of room rent coverage for the policyholders:

1. Room Rent Charges Without Sub-Limits

Under this coverage, the policyholders are not restricted by any limits and are free to choose any room of their choice during hospitalization. They can either choose a general ward room or a private suite, depending on their choice, as the cover compensates for any type of room chosen by the policyholder during the hospitalization.

2. Room Rents With Co-Payments

Under this type of room rent coverage, there is a specified limit on the room rents. Charges of the rooms exceeding this limit will be borne by the policyholders. Therefore, under this clause, the policyholders will look after the additional room rent charges.

3. Room Rent Coverage On Specific Room Types

This coverage specifies the type of room for which the compensation will be provided by the health insurance provider. It specifies room types like twin-sharing, private suite, etc. and then the policyholders must seek hospitalization in the same.

4. Room Rent Coverage With Add-Ons

Some health insurance plans do not offer room rent coverage, and in such conditions, the room rent cover can be bought as an additional cover by the policyholder to enhance their existing health insurance plan. This will help them receive financial aid for the room rent charges. Such additional covers can be chosen depending on their financial budget, requirements, and a lot more.

Conclusion

Therefore, room rent limits are of different types and when investing in a particular health insurance plan you must carefully check the type of room rent coverage provided under your desired health insurance policy. You can also buy an additional room rent cover to enhance your existing cover.

Also Read: Documents Required For Cashless Treatment In Health Insurance

Disclaimer: This article is issued in the general public interest and meant for general information purposes only. Readers are advised not to rely on the contents of the article as conclusive in nature and should research further or consult an expert in this regard.