What if there is an emergency & you have incurred a huge amount of Medical Bills? At that point of time, you might need to rush to arrange for cash for the medical treatments. Medical Emergencies come announced and can put a severe financial burden on the necessary treatments.
In such cases, Cashless Mediclaim Policy proves to be quite beneficial. Cashless Mediclaim Policy is a great way to protect yourself from skyrocketing medical expenses in the case of an illness or accident, without having to pay any out-of-pocket expenses.
To provide a Cashless facility, Insurance Companies have partnered with several hospitals across the country which are termed as 'Network Hospitals'. Under this particular feature, if you're availing of treatment at Network Hospitals, the Insurance Company directly settles the bills without you worrying about the exorbitant expenses.
In case of a medical emergency, 'Cashless Mediclaim' turns out to be a blessing, as it provides comprehensive coverage, financial support & peace of mind.
You can financially protect yourself & your family by investing in different types of Cashless Mediclaim policies available in India.
Individual Cashless Mediclaim Policy
An individual is offered a certain amount of medical coverage for a specific period of time under an Individual Cashless Medical Insurance. The coverage provided can be used to cover hospitalization costs whenever the Insured person gets treatment at the company-affiliated Network Hospital.
Family Floater Cashless Mediclaim Policy
All the family members are covered in a single policy with one fixed sum insured under Family Floater Cashless Mediclaim Policy. This policy usually covers self, spouse, and dependent children.
Senior Citizen Cashless Mediclaim Policy
These types of policies are carefully crafted to take care of Senior citizen's hospitalization expenses at the time of need. It covers Hospitalisation expenses, Ambulance charges, treatment expenses against Pre-Existing Diseases, as specified by the policy document.
1
Coverage of Pre- Hospitalisation (before hospitalisation) and Post Hospitalization (after hospitalisation) Expenses
2
Availability of 'No Claim Bonus'
3
Availability of 'Hospital Daily Cash'
4
Coverage for Emergency expenses i.e. Ambulance Expenses, etc
5
Coverage of Domiciliary Treatment
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No amount to be paid at the Network Hospital
When you opt for a Cashless Mediclaim Policy, you don't have to worry about arranging for funds in the case of a medical emergency.
You can choose the nearest Network Hospital of your Insurance Provider and avail of the benefits of the Cashless Mediclaim facility to avoid financial pressure.
There is an Insurance desk in every Network Hospital to help policyholders or their families in initiating Cashless Claims.
Cashless Mediclaim Services can be availed in both the cases-Planned & Emergency Hospitalisation:
Cashless Claims for Planned Hospitalization
In case of planned hospitalization, you have enough time to select the most appropriate hospital from the list of your Insurer's Network Hospitals. The procedure for receiving Cashless Treatment in the case of planned hospitalization is as follows:
Cashless Claims for Emergency Hospitalization
After being admitted to the nearest network hospital in case of a medical emergency that requires immediate medical attention, you need to follow the below-mentioned steps for filing a claim.
Cashless Insurance Claims can also be rejected for various reasons. However, with a little caution, some of these can be avoided.
Let's look at some of the reasons why Cashless Claims can get rejected.
Choosing the best Cashless Mediclaim Policy can be difficult due to the huge number of plans available in the market. Following are the points to remember while buying a Cashless Mediclaim Policy:
Generally, the following things are not covered under Cashless Mediclaim Policy:
Attendant Fees
Service Charges
Hygiene Products of the Patient
Medical Consumables
Documentation Charges
Cashless Mediclaim Policy protects your finances in case of a Medical Emergency. Cashless facility enables you to get quality medical care at the right time without worrying about finances.
At PolicyX.com, you can buy a Cashless Mediclaim Policy by evaluating different policies side by side based on various parameters and choose the best one for yourself.
1. What are the factors that affect the Cashless Mediclaim policy's premium?
2. Can I have more than one Cashless Mediclaim Policy?
Yes, you can have more than one Cashless Mediclaim Policy.
3. What is a Network Hospital?
Network Hospitals are specific hospitals which partner with Insurers for providing Cashless Claim facility to the policyholders.
4. Which one is better: Cashless or Reimbursement?
Cashless Claim facility has its advantages over the Reimbursement Model as the policyholder does not have to pay any amount to the hospital. He/ she can get quality medical treatment without any financial burden.
However, in certain cases, when the policyholder has to be admitted in a Non- Network Hospital due to an emergency, Reimbursement Claim comes into picture.
5. Does the Insured person have to pay extra to avail of the Cashless facility?
No, you do not have to pay extra for availing the benefits of Cashless Claim. You just have to get admitted at a Network Hospital to avail the benefits.
Naval Goel is the CEO & founder of PolicyX.com. Naval has an expertise in the insurance sector and has professional experience of more than a decade in the Industry and has worked in companies like AIG, New York doing valuation of insurance subsidiaries. He is also an Associate Member of the Indian Institute of Insurance, Pune. He has been authorized by IRDAI to act as a Principal Officer of PolicyX.com Insurance Web Aggregator.