One of the biggest challenges that we face during the hospitalisation process is paying the required healthcare fees and filling lengthy paperwork during medical emergencies. We can avoid these hassles by opting for the process of cashless hospitalization. Cashless Claims ensure the medical bills are directly settled by the insurance company. To make the most of this benefit, you can claim up to the sum insured limit and the hospitalisation should be at one of the network hospitals listed by the insurer.
There are two types of Cashless Health Insurance Claim, namely Planned Hospitalization and Emergency Hospitalization.
If you’ve set a date for a certain treatment or surgery and are aware of hospitalisation beforehand, it’s planned hospitalisation. Under such cases, the insured would have to get a pre-authorization from the insurance company for the treatment at least 72 hours prior to hospitalization.
When the hospitalisation is sudden and unexpected, like in case of an accident, it is emergency hospitalisation. Upon admission, the insured needs to show the health insurance card provided by the health insurance provider at least 8 hours after hospitalization and avail the cashless hospitalization facility.
The benefits of availing cashless health insurance claim are as follows:
Reimbursement claim happens when you pay for the medical bills yourself and then get the expenses reimbursed from the insurance company. Reimbursement claims occur if you avail treatments at a hospital of choice which is a non-network hospital.
The benefits of availing cashless health insurance claim are as follows: