Cashless Health Insurance
Cashless hospitalization is an important factor, which you
need to consider when purchasing health insurance. Medical insurance is
important for all individuals, noting the rising costs of medical care. In
addition, today medical treatment costs have reached the highest of all times,
and are expected to increase further. Diseases and ailments, as well as
accidents, can strike anyone at any given point of time. It may emotionally and
financially devastate a patient's family. Although coverage cannot be made for
emotional damages, financial losses can be covered by a health insurance
Cashless health insurance is one of the most necessary
aspects of a health insurance plan, and most health insurance firms offer
cashless hospitalization to its customers. Insurance providers in India
generally have tie-ups with a given number of hospitals around the country to
provide this service to everyone. In cashless hospitalization, all of the
medical expenses covered in the insured's policy are settled directly by the
provider with the hospital. The process takes place with the assistance of the
third-party administrator (TPA), which the companies hire to help them during
claims. The insurance holder needs to submit the medical documents to the TPA
to successfully file the claims. Then, the claim is set to be approved by the
medical insurance provider after reviewing by the TPA.
Although the TPA is hired for the health insurance company's
convenience, the process of filing a claim is generally delayed due to the TPA.
To avoid this hassle and others, some medical insurance providers directly
settle claims without any TPA mediation.
It is always good to undergo treatment in hospitals, which
are under the list of cashless health insurance providers. During cashless
health insurance, most of the treatment costs are settled by the health
insurance provider directly, without letting the insured shell out any money
from his/her pocket.
During treatment in hospitals that do not provide cashless
health insurance hospitalization, all of the medical expenses are to be borne
by insured customers and later reimbursed by his/her health insurance provider.
In addition, the health insurance providers do not reimburse treatment costs
completely if the treatment is taken from hospitals other than ones in the
network. In that case, 80% of the cost is borne by the company. The remaining 20%
is to be paid by the insurance holder.
Maxbupa Health Insurance Policies:
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