What is cashless hospitalization?

What is cashless hospitalization?

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Increasing health facilities and treatment methodologies increases up the hospitalization expense up to an extent that even the middle class consider hospitalization as a nightmare. And if such unavoidable situation arises, family members find them in an add-on trouble of rushing to the ATM, asking money from relatives and approaching the banks.

But anyways, these arrangements have the uncertainty which is far too much of risk than the life of the patient. Cashless hospitalization saves the family members from all those troubles. All the medical bills which are under the sum insured are directly settled by the insurance company under a health insurance policy.

Cashless hospitalization service offers the insured person the benefit of getting the treatment done by the best hospitals without paying single money from the pocket. But in the process one require to get a prior approval of the TPAs (Third Party Administrators).

Types of cashless Hospitalization services:

  • Planned : the insured has the information of hospitalization before 2-3days of hospitalization.
  • Emergency : when the hospitalization is immediate because of some unexpected medical condition.

How to avail the benefits:

  • Network Hospital : Check whether the hospital is included in the Network for Cashless Hospitalisation by your Health Insurance provider
  • Inform TPA : Intimation of any hospitalization to the TPAs is the first step. TPAs help insurance company to recognize the claim.
  • Identity Proof : Carry along the identity proof with your to show the hospital authorities..
  • Fill-up the Insurance Claim form : Complete information to health insurer in prescribed format.

This seems to be simple. Well, it is and that is why cashless hospitalization is a very good facility in the health insurance policy when we consider the smoothness in the claim procedure.

Apart from caring about the problems of the insured while arranging money for the treatment, a cashless hospitalization secures the policy holder against the uncertainty associated with the quantum of claim paid, claim denial or the delays. It also enables the weaker section of society to get the treatment in good reputed hospitals than in state facilities.

Only word of caution with this is that a cashless mediclaim can only be availed on the hospital network of the insured. Thus a policy having either hospital of the nearby areas or with the maximum number of hospitals empanelled must be favoured.

 

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