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In health insurance, which of the following statements about 'Sub-limits' on coverage is CORRECT as per IRDAI guidelines?

hard Q10 of Q15
Insurance Awareness - Health Insurance
In health insurance, which of the following statements about 'Sub-limits' on coverage is CORRECT as per IRDAI guidelines?
ASub-limits apply only to life insurance policies, not health insurance
BSub-limits increase the overall sum insured available to the insured
CSub-limits restrict the maximum claim amount for specific treatments within the overall sum insured
DSub-limits are penalties imposed for late premium payment
Step-by-Step Solution
  1. Step 1: Understand sub-limits

    Sub-limits cap the claim amount for specific treatments or expenses within the total sum insured.
  2. Step 2: Analyze other options

    Sub-limits do not increase sum insured; they are not related to life insurance only; nor are they penalties.
  3. Final Answer:

    Sub-limits restrict the maximum claim amount for specific treatments within the overall sum insured → Option C
  4. Quick Check:

    Sub-limits help insurers manage risk on high-cost treatments.
Quick Trick: Sub-limits = caps on specific treatment claims.
Common Mistakes:
MISTAKES
  • Confusing sub-limits with sum insured or penalties.
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