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Are There Any Health Insurance Benefits for No Claims Made During A Policy Tenure?

Health insurance, once a luxury, now has become a necessity in today’s day and age. With rising instances of ailments, which are either related to lifestyle or due to family history, skipping on health insurance is like throwing caution to the wind. This might not work well in the long run as it can dent your finances, leading you to a debt trap to fund medical treatment. Since medical treatment is not something you can skip, the need for a backup in health insurance has become critical.

Are There Any Health Insurance Benefits for No Claims Made During A Policy Tenure? 3


Among the myriad options of health insurance plans, some features can make a policy stand out. This also depends on your need and coverage expectations from a health insurance policy. But have you ever considered what happens when no claim is made during a policy tenure? It is an interesting question to ponder upon. Leading insurance companies offer a reward for it. This reward is in the form of a cumulative bonus.

What is a cumulative bonus?

A cumulative bonus is a feature of health insurance policies where the insurance company increases the sum assured of your coverage for every claim-free policy tenure. Akin to the concept of a no-claim bonus in motor insurance, it deviates where the premium is not subsidized. Still, instead, the coverage of your policy stands increased.

Understanding cumulative bonus using an example

You purchase an individual health insurance policy with a sum assured of ₹ 10 lakhs. It is not always medical treatment will be required during a policy tenure. For such cases, if the benefits of a health insurance policy include a cumulative bonus as one of its features, the sum insured of your plan will be increased for every consecutive claim-free policy tenure.

What is the amount of cumulative bonus?

Unlike the no-claim bonus in motor insurance policies, there is no fixed cumulative reward. However, most insurance companies offer a maximum of 50% increase in the sum assured, starting at 5% for the first year and then 10% each year later. This amount differs among health insurance companies.

Does the benefit disappear if any claims are made after accumulating such a bonus?

The answer to this depends on the terms of the insurance contract. For instance, some insurance companies continue to offer a cumulative bonus even if a claim is made, whereas others reinstate the original sum insured at the next renewal. Some insurance companies even provide a lower cumulative bonus if the claim is for a smaller amount. However, these terms must be checked within your insurance contract at the time of purchase.

Can a cumulative bonus be transferred for a change of insurer?

This again depends on a case-to-case basis as your new insurer’s benefits may differ from your existing insurance company. For this reason, you need to verify whether such transferability is allowed. Moreover, some insurance companies consider the increased sum assured after the cumulative bonus as the new sum assured of your insurance policy when porting.

Insurance companies offer these benefits when no claim is made during a policy tenure. Not only does it increase the sum assured of your insurance coverage, but the premium remains the same. Remember to use a health insurance premium calculator when buying or renewing your policy to know the impact of any additions to your coverage. Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.

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