Pros and Cons of Claims-based Pricing Insurance Policies

About this article:
  • Explore the advantages and disadvantages of claims-based pricing in insurance policies.
  • Understand how claims-based pricing can impact premiums, coverage, and overall insurance costs.
  • Learn key considerations to help you decide if a claims-based pricing insurance policy is suitable for your needs.

What does claims-based pricing mean in insurance policies?

Claim-based pricing policies have premiums that become cheaper when and if you do not make any claims. The amount that you pay for your policy premiums changes based on the number of claims that you make. It is also affected by the monetary amount of the claims. The higher the dollar of the claim, the more expensive your premiums will become.

How does it work?

  • Smaller / Lesser / No Claims = Lower Premiums the Next Year
  • Bigger / More Claims = Higher Premiums the Next Year
Pros of Claims-Based Pricing Policies
Cons of Claims-Based Pricing Policies
Rewards with lower premiums when no claims are made
More expensive premiums when sick/treatment is needed
Encourages responsible insurance claims (no over-claiming)
People can get afraid to use their insurance when they really need to
Keeps insurance and healthcare affordable for everyone
Uncertainty of future premium prices as prices are not fixed


Insurers offering claims-based pricing policies

Depending on the insurer, different policies have different multipliers too. In general, claims-based policies in Singapore tend to give an average of 20% discount when no claims are made.

Policy
Quick Facts
AIA Max VitalCare
What is it?
This is a rider that you purchase IN ADDITION to your AIA HealthShield Gold Max A policy
Benefits
  • Reduces co-payment charges to 5%
  • Gives you up to 25% discount for your next rider premium if no claims are made in one year
  • Rider premium remains unchanged if treatment is done in a public hospital

Read more about AIA Max VitalCare.
Great Eastern GREAT TotalCare
What is it?
This is a rider that you purchase IN ADDITION to your GREAT SupremeHealth policy
Benefits
  • Enjoy a 20% discount off your next policy renewal when no claims are made
  • Rider premium remains unchanged if treatment is done in a public hospital

Read more about Great Eastern GREAT TotalCare.
Prudential PRUExtra
What is it?
This is a rider that you purchase IN ADDITION to your PRUShield policy
Benefits
  • Enjoy a 20% discount off your next policy renewal when no claims are made
  • Enjoy lower premiums for treatments at public hospitals

Read more about Prudential PRUExtra.

 

Should you get a claims-based insurance policy?

Overall, getting a claims-based rider for your health insurance policy is beneficial as it encourages us to take active steps towards living a healthier life.

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