Generally insurance companies offer two types for claiming your Health insurance policy one is cashless insurance policy and the other is reimbursement insurance policy. The cashless insurance policy is again divided into
Emergency hospitalisation
In this case, during emergency; first you can admit the patient into one of the network hospitals, show the required documents and inform your insurance company within the stipulated time as mentioned in your policy (this is important). Whereas in planned hospitalisation you have to inform the insurance company prior to hospitalisation.
- Network hospitals are those which are linked to the insurance company through Third Party Administrator (TPA), as mentioned in the policy.
Since it is an emergency case, you can obtain the pre authorisation forum at the hospital itself or you can download from the company’s website. Fill the form and upon discharge you have to sign the form. The insurance company will pay for your expenses upon processing your documents.
If the expenses incurred to you during the treatment are less than the amount you are eligible it will be paid to you.
Note: Different insurance providers have different rules for stipulated times to inform. So, please know about this while taking the policy.
Recommended Read :
- Cashless - Not Always Cashless
- Reimbursement vs Cashless?
- What is Emergency Hospitalisation?
- How to Get Health Insurance for The Aged?
- How to Select a Health Insurance Plan?
- Individual vs Family Floater Health Insurance
- Selecting Your Health Insurance Provider
- What Exactly is Lifetime Renewal of Health Insurance?
- Cashless Hospitalisation - Not Always Cashless
- How to Change Health Insurance Provider?
- How to Escalate If Your Health Claims Gets Rejected?
- Portable Health Insurance - Avoid Claim Rejections
- Portable Health Insurance Risks Involved
- Reimbursement vs Cashless
- Types of Health Insurance
Everyone hopes this will never happen to them, but the reality of life is that it happens a lot. Don’t just get health insurance for medical expenses you already know about - like getting regularly needed medicine for diabetes. Get health insurance for the times of emergency, when you may not be able to access money for big hospital bills at very short notice.