Cumulative Bonus in Health Insurance: Maximise Your Policy Benefits

Discover how the cumulative bonus in health insurance increases your coverage without extra cost. Learn its benefits and how it works.
Check Health Insurance Plans
3 min
08-November-2024
With the rise in healthcare costs, health insurance has become an indispensable commodity in today's times. One key feature to understand about health insurance policies is the concept of the Cumulative Bonus. As the name suggests, a cumulative bonus in health insurance is a reward for making no claims throughout the policy year, offered as a higher sum insured in the subsequent policy year. This article explores the concept of the cumulative bonus in health insurance, how it works, its benefits, and tips to maximise its potential.

What is a cumulative bonus in health insurance?

A cumulative bonus in health insurance is a reward provided by insurance companies to policyholders for not making any claims in a policy year. This bonus is usually added to the sum insured at the time of policy renewal without any additional cost to the policyholder. Essentially, it is an increase in the insurance coverage amount without an increase in the premium, offered as a reward for maintaining a claim-free year.

The cumulative bonus is designed to incentivise policyholders to avoid making small or unnecessary claims, thereby encouraging responsible use of their health insurance. Over time, this bonus can significantly enhance the coverage of a health insurance policy, providing greater financial protection against future medical expenses.

How does a cumulative bonus work in health insurance?

The mechanism of a cumulative bonus in health insurance is straightforward. When a policyholder does not file any claims during a policy year, the insurer adds a certain percentage of the sum insured to the policy for the following year. This percentage can vary from one insurer to another but typically ranges between 5% to 10% of the sum insured.

For example, if a health insurance policy has a sum insured of Rs. 5 lakh and the policyholder does not make any claims during the year, the insurer might add 5% of the sum insured, which is Rs. 25,000, to the coverage for the next year. This means that in the next policy year, the sum insured will increase to Rs. 5.25 lakh. This process continues each year if no claims are made, allowing the cumulative bonus to accumulate and enhance the policy's coverage.

It is important to note that there is usually a cap on the cumulative bonus. Many insurers set a maximum limit, such as 50% or 100% of the original sum insured, beyond which the cumulative bonus will not increase.

Read more: How to claim health insurance?

Benefits of cumulative bonus in health insurance

The cumulative bonus in health insurance offers several advantages to policyholders. These benefits not only enhance the value of the health insurance policy but also promote better financial management and health practices.

1. Increased coverage without additional cost

One of the primary benefits of a cumulative bonus is that it increases the sum insured without any additional insurance premium. This means you get higher coverage at the same cost, which can be particularly valuable in managing rising healthcare expenses.

2. Encourages healthy living

The cumulative bonus incentivises policyholders to maintain good health and avoid unnecessary medical expenses. By staying healthy and avoiding claims, you can accumulate a higher bonus and enjoy greater coverage.

3. Better financial protection

With a cumulative bonus, you can build a substantial health insurance cover over time, which provides better financial protection against major medical emergencies. This is especially beneficial as medical costs continue to rise.

4. No impact on premium

Unlike other forms of increased coverage that might come with higher premiums, the cumulative bonus allows you to enjoy enhanced coverage without impacting your annual premium.

Eligibility criteria for earning a cumulative bonus

While the cumulative bonus is a valuable feature, not every policyholder may be eligible for it. Understanding the eligibility criteria is crucial to ensure you can take full advantage of this benefit.

1. Claim-free year

The most basic requirement for earning a cumulative bonus is to have a claim-free year. If you make any claims during the policy year, you forfeit the bonus for that year.

2. Renewal of policy

The cumulative bonus is typically added at the time of policy renewal. Therefore, you must renew your health insurance policy on time to receive the bonus.

3. Specific policies

Not all health insurance policies offer a cumulative bonus. It is essential to check with your insurer whether your policy includes this feature.

4. Policy terms and conditions

The eligibility for a cumulative bonus may also depend on specific terms and conditions laid out by the insurer. For example, some policies might have a waiting period before the bonus starts accruing.

Tips to maximise your cumulative bonus

To make the most of the cumulative bonus in your health insurance policy, consider the following tips:

1. Avoid small claims

Try to avoid making small claims, as they can disqualify you from earning a cumulative bonus. Consider paying out-of-pocket for minor medical expenses to accumulate a higher bonus.

2. Choose policies with higher bonus percentages

When selecting a health insurance policy, look for those that offer a higher cumulative bonus percentage. This will allow your coverage to grow more quickly.

3. Maintain a healthy lifestyle

By staying healthy and minimising the need for medical treatment, you can maximise your claim-free years and build a substantial cumulative bonus over time.

4. Renew your policy on time

Ensure that you renew your health insurance policy on time each year to avoid losing your cumulative bonus.

Common misconceptions about cumulative bonus in health insurance

Despite its benefits, there are several misconceptions about the cumulative bonus in health insurance. Clarifying these can help you better understand how to utilise this feature effectively.

1. Cumulative bonus increases premiums

Many people mistakenly believe that a cumulative bonus leads to higher premiums. In reality, the bonus increases your coverage without affecting the premium.

2. The bonus is lost if claims are made

While making a claim during a policy year may prevent you from earning a cumulative bonus for that year, it does not necessarily eliminate any bonus you have already accumulated.

3. Cumulative bonus is the same as no-claim bonus

Although similar, a cumulative bonus and a no-claim bonus are not the same. A cumulative bonus increases your coverage, while a no-claim bonus typically offers a discount on your premium.

4. Cumulative bonus is applicable to all policies

Not all health insurance policies come with a cumulative bonus feature. It is important to check the policy details before assuming that a cumulative bonus will apply.

The cumulative bonus in health insurance is a valuable feature that can significantly enhance your coverage over time without increasing your premiums. By understanding how it works and taking steps to maximise this benefit, you can ensure better financial protection against future medical expenses.

Whether you are new to health insurance or looking to optimise your existing policy, the cumulative bonus is an important aspect to consider when selecting or renewing your health insurance plan. By avoiding unnecessary claims, renewing your policy on time, and maintaining good health, you can fully reap the benefits of the cumulative bonus and secure a stronger financial safety net for yourself and your family.

Also read

Family health insurance

Senior Citizen Health Insurance

Parents Health Insurance

Frequently asked questions

What happens to the cumulative bonus if I don't make any claims?
If you don’t make any claims during a policy year, the cumulative bonus increases your sum insured for the next year by a certain percentage, typically ranging from 5% to 10%, without any additional premium.

Is the cumulative bonus in health insurance applicable to all types of policies?
The cumulative bonus is not applicable to all health insurance policies. It is usually offered in individual and family floater plans but may not be available in group or senior citizen policies.

Can I lose my cumulative bonus if I make a claim?
Yes, making a claim during a policy year can reduce or eliminate the cumulative bonus earned in previous years. However, some insurers may only reduce the bonus rather than eliminate it entirely.

How is the cumulative bonus calculated in health insurance?
The cumulative bonus is calculated as a percentage of the sum insured. For each claim-free year, a certain percentage, usually 5% to 10%, is added to your sum insured, enhancing your coverage for the following year.

Show More Show Less

Bajaj Finserv app for all your financial needs and goals

Trusted by 50 million+ customers in India, Bajaj Finserv App is a one-stop solution for all your financial needs and goals.

You can use the Bajaj Finserv App to:

  • Apply for loans online, such as Instant Personal Loan, Home Loan, Business Loan, Gold Loan, and more.
  • Invest in fixed deposits and mutual funds on the app.
  • Choose from multiple insurance for your health, motor and even pocket insurance, from various insurance providers.
  • Pay and manage your bills and recharges using the BBPS platform. Use Bajaj Pay and Bajaj Wallet for quick and simple money transfers and transactions.
  • Apply for Insta EMI Card and get a pre-qualified limit on the app. Explore over 1 million products on the app that can be purchased from a partner store on Easy EMIs.
  • Shop from over 100+ brand partners that offer a diverse range of products and services.
  • Use specialised tools like EMI calculators, SIP Calculators
  • Check your credit score, download loan statements and even get quick customer support—all on the app.

Download the Bajaj Finserv App today and experience the convenience of managing your finances on one app.

Do more with the Bajaj Finserv App!

UPI, Wallet, Loans, Investments, Cards, Shopping and more

Disclaimer

*T&C Apply - Bajaj Finance Limited (‘BFL’) is a registered corporate agent of third party insurance products of Bajaj Allianz Life Insurance Company Limited, HDFC Life Insurance Company Limited, Future Generali Life Insurance Company Limited, Bajaj Allianz General Insurance Company Limited, SBI General Insurance Company Limited, ACKO General Insurance Limited, ICICI Lombard General Insurance Company Limited, HDFC ERGO General Insurance Company Limited, Tata AIG General Insurance Company Limited, The New India Assurance Company Limited, Cholamandalam MS General Insurance Company Limited, Niva Bupa Health Insurance Company Limited , Aditya Birla Health Insurance Company Limited, Manipal Cigna Health Insurance Company Limited and Care Health Insurance Company Limited under the IRDAI composite CA registration number CA0101. Please note that, BFL does not underwrite the risk or act as an insurer. Your purchase of an insurance product is purely on a voluntary basis after your exercise of an independent due diligence on the suitability, viability of any insurance product. Any decision to purchase insurance product is solely at your own risk and responsibility and BFL shall not be liable for any loss or damage that any person may suffer, whether directly or indirectly. Please refer insurer's website for Policy Wordings. For more details on risk factors, terms and conditions and exclusions please read the product sales brochure carefully before concluding a sale. Tax benefits applicable if any, will be as per the prevailing tax laws. Tax laws are subject to change. Tax laws are subject to change. BFL does NOT provide Tax/Investment advisory services. Please consult your advisors before proceeding to purchase an insurance product. Visitors are hereby informed that their information submitted on the website may also be shared with insurers. BFL is also a distributor of other third party products from Assistance Services providers such as CPP Assistance Services Pvt. Ltd., Bajaj Finserv Health Ltd. etc. All product information such as premium, benefits, exclusions, sum insured, value added services, etc. are authentic and solely based on the information received from the respective insurance company or the respective Assistance service provider company.



Note – While we have made all efforts and taken utmost care in gathering precise information about the products, features, benefits, etc. However, BFL cannot be held liable for any direct or indirect damage/loss. We request our customers to conduct their research about these products and refer to the respective product’s sales brochures before concluding their sale.

Show All Text