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At times of medical emergency, it is hard to take the financial stress. Medical expenses are costly and not everyone has immediate access to cash. The charges fall high on us and may shatter our financial stability. Going through lots of emotional suffering can create a dig in lifetime savings. But, in this time of need, Health insurance companies are always there to uphold and it’s good to always invest a part of our income in a good health insurance company

Affording good treatment in a private hospital is quite expensive and to even arranging money for the need is difficult. In present days, cashless health insurance plays a crucial role. Most of the companies like Bajaj Allianz, Bharat Axa, HDFC Ergo, ICICI Lombard, and almost 90% of the insurance companies are now cashless. Therefore, you need not run to arrange money, no run to borrow, and no need to sell properties for hard cash to settle the amount.

How does cashless health insurance work?

Mostly the Health insurance claim settlement is done by reimbursement or cashless Health insurance. In reimbursement mode, the cost of treatment needs to be settled. And later all hospital bills lab reports discharge summary and open prescription, and a form by the company to be filled and submitted along with policy copy and bank details, and identity card. This is indeed stressful and havoc.

In a cashless health insurance system, the cost of treatment is in the company’s hands, and no money needs to be spent from the pocket of the insurance member. Insurance companies are in tie-up with many health organizations and they come under the insurance company’s network. Also, a Mediclaim Department in the hospital takes care of this documentation.

How to get a Cashless health insurance claim approved?

  • Hospitalization is either planned or could be out of emergency
  • In a planned treatment, like maternity, knee replacement, eye surgeries, etc all the formalities and necessary paperwork should be done well in advance by the insurer or the third party agent(TPA) before admittance to the hospital.
  • In emergency treatment for accidents, claim intimation needs to be sent to the insurance company by the policyholder giving a few basic details about the policy and the treatment at the hospital.
  • Then the company verifies with the hospital and the insurance company settles all the money.

Key features of this Cashless health insurance

The cashless system varies from previous reimbursement policies and comes up with lots of benefits to the policyholder 

  • There is no need to pay any treatment expenses at the network hospital
  • The insurance covers all Pre and post-hospitalization charges.
  • The cover-ups also include domiciliary hospitalization cost, ambulance fare, Room rent, and all. 
  • This includes expenses related to in-patient hospitalization for more than 24 hours also.

There are often challenges in this system. Hospitals can be removed or added to the Insurance company’s network anytime. Hence, you need to check for the status or it will have to go with reimbursement mode. Make sure to select the right insurance company for your financial well-being.

Alliance Insurance Brokers Pvt. Ltd.
8th Floor, Gold Crest, 10th Road, Juhu, Vile Parle (W), Mumbai 400 049, India
Email
Monday - Saturday
9:30 am - 6:30 pm IST
CIN: U67200MH2003PTC141621
IRDAI Registration No.: 217
Valid from : 13/10/2021 to 12/10/2024
Category : Composite Broker
Principal Officer Name: Mr. S. V. Thakkar
*All discounts provided by insurers as per IRDAI approved insurance plans. Standard T&C apply.
Insurance is the subject matter of solicitation. For more details on policy terms, conditions, exclusions, limitations, please refer/read policy brochure carefully before concluding sale.
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