What does 'annual aggregate' deductible mean?

Every claim in the policy year counts towards the same deductible rather than each claim facing it separately. Three admissions of ₹40,000 against a ₹1 lakh deductible cross it together; under a per-claim deductible none of them would.

How do I choose the deductible?

Set it at or just below the cover you already hold, so the two meet without a gap. A deductible far below your existing cover means you are paying twice for the same rupees.

Royal Sundaram Advanced Top Up Review 2026: Features, Waiting Periods & Claims

Name: Advanced Top Up by Royal Sundaram General Insurance Company Limited
Brand: Royal Sundaram General Insurance Company Limited

Royal Sundaram General Insurance Company Limited Advanced Top Up

Royal Sundaram's top-up, which can be written from 91 days old. Its claim settlement ratio of 89% is the weakest in this batch and is the first thing to weigh. It pays above an annual aggregate deductible, so it is bought to sit on top of an existing policy rather than replace one.

Read from the insurer's own policy wording and reviewed by Shadab Sayeed

01The detail

Advanced Top Up in one table

Claim settlement ratio

89%FY 2024–25

95% recommended

Insurer	Royal Sundaram General Insurance Company Limited
Sum insured	Above the deductible chosen at purchase.
Entry age	From 91 days old. Dependent children are covered to 25.

Claim settlement and complaint figures are IRDAI-published and held centrally by NYVO, not taken from the insurer's marketing.

02Cover

What Advanced Top Up covers

These are the terms that decide what you are actually paid when you claim. Room rent, co-pay and restoration do more to shape a settlement than the sum insured does, and they are read from Royal Sundaram General Insurance Company Limited's own policy wording.

Feature	This plan	What good looks like
The insurer's claim record	89.0% of claims settled	Below the 95% we look for
How the deductible works	Annual aggregate. Every claim in the policy year counts towards the same deductible, so several smaller admissions can cross it together rather than each facing it separately.	Aggregate is better than per-claim
Deductible options	Chosen at purchase and stated on the policy schedule	Match it to the cover you already hold
Cover above the deductible	Above the deductible chosen at purchase	₹50 lakh or more for a metro family

What this plan does

03Waiting periods

When each part of the cover starts

Waiting periods run from the day cover began, not from the day you fall ill, and they run in parallel rather than one after another.

Pre-existing disease	36 months of continuous cover
Specified diseases and procedures	24 months of continuous cover

04Exclusions

What this plan will not pay for

Every policy carries exclusions, and they are the clauses people read for the first time at claim stage. These are the ones worth knowing before you buy.

Not coveredIndicative, not exhaustive. Your policy wording is the contract.

01Any claim below the deductible. That is the design of the product, but a year of small claims pays nothing.

02Pre-existing diseases and their direct complications, until 36 months of continuous cover.

03The listed specified diseases and procedures, until 24 months of continuous cover.

04Where the sum insured is increased, the waiting periods start again on the increase only.

05The honest bit

Where Advanced Top Up falls short

No plan is right for everyone, and a page that only lists strengths is not much use to you. These are the gaps we would raise on a call before recommending it.

Worth knowing before you buyNone of these are dealbreakers on their own. They are the trade-offs this plan asks you to accept.

01It is not a standalone policy. A super top-up pays only above the deductible, so if your base cover lapses or a claim falls below the deductible, nothing is paid. Buying one without an underlying policy is the most common mistake with this product.

02An 89% settlement ratio means roughly one claim in nine is not paid. On a product you may hold for decades without claiming, that record matters more than the premium.

03The deductible resets every policy year, so an illness spanning two policy years crosses it twice.

04A top-up only makes sense if its deductible is close to the cover you already hold. Too low and you are paying twice for the same rupees; too high and there is a gap neither policy fills.

06FAQs

Advanced Top Up questions, answered

In practice, yes. It only pays above the deductible you choose, so every claim below that figure is yours. It is designed to sit on top of a retail policy or an employer's cover.

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