Sum Insured

Sum insured refers to the amount of money that the insurer pays for the medical expenses in a given policy year. This amount is fixed in the policy and varies on the type of policy and the insurer.

The sum insured is typically determined by considering various factors such as the insured person's age, health condition, medical history, and the type of medical treatment they may need in the future. The higher the sum insured, the more expensive the policy may be.

If the insured person's medical expenses exceed the sum insured, they will have to pay the remaining amount out of pocket. Therefore, it is important to choose a sum insured that is sufficient to cover potential medical expenses, but also affordable in terms of premiums.

Some health insurance policies may have sub-limits, which means that the insurer will only pay up to a certain amount for certain types of medical treatments or expenses. These sub-limits may be specified as a percentage of the sum insured or as a specific amount.