Health Insurance Understanding what's covered/meaning of policy wording

[jasdpace@gmail.]

Doing my annual return!.......

With Irish Life Health, if a benefit is covered at "50% up to €300", does that mean if I spent €400 that I'm due back €200 or €150 (if we assume zero excess)??!!

 

[Billo]

My understanding is that if you spend 600 you get 300 back. If you spend more than 600 you get 300 back. If you spend less than 600 you get 50% of your spend back. 300 is the max that you get back.

 

[Sue Ellen]

600 is the max that you get back.

"50% up to €300"

Surely €300 is the max?

 

[Billo]

Correct. I corrected my post above.

 

[jasdpace@gmail.]

Thanks Billo and Sue Ellen,

Billo's interpretation is obviously the more favourable one from my perspective. Was I being silly or is the wording sloppy/open to different interpretation?!

 

[Sue Ellen]

Billo's interpretation is obviously the more favourable one from my perspective. Was I being silly or is the wording sloppy/open to different interpretation?!

Its badly worded, they should have said "up to a maximum of €300".

 

[Robzig]

My two cents. Maximum on its own is not enough! Maximum on its own could still refer to the spend. It should specify maximum refund to avoid ambiguity.