What if the claim amount exceeds the sum assured?

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Depending on the policy terms, if the claim is related to hospitalization, if it exceeds authorized limit, the network hospital can intimate the TPA for an enhancement of limit. After verification of eligibility, this is approved. For other claims, the limit is the sum insured for the policy period. To be on the safe side, most policyholders back it up with a top up policy at a low premium rate for adequate cover.