Daycare treatments are medical procedures or surgeries that require only 24 hours or less hospitalisation. The health insurance policy mostly covers the cost of extended hospital stays. However, these daycare treatments might drain your finances if you do not get them covered under the cashless program. There are a few health insurance plans that also give coverage for daycare treatments. This article will give you a list of daycare treatments and the health insurance plans that can subsequently cover them.
A SecureNow report reveals that daycare procedures account for a significant portion of all health insurance claims, representing 29% of the total in India. This finding underscores the critical importance of including comprehensive coverage for daycare treatments in health insurance policies.
Medical treatments are classified as the daycare procedure when it is:
Some common daycare treatment options are:
FYI- Besides these, a day-care procedure also includes treatment for the urinary system, heart, and sexual organs.
Daycare health insurance offers a lot of benefits to the policyholders.
If you are wondering why to bother about the daycare procedure, I can bear a day’s hospital expense, then let me tell you, you are making a grave mistake. Nowadays, over-the-counter expenses like disease diagnosis tests that do not need hospitalization or treatment as such can also burn your pocket. Few tests can cost you thousands. So, how can you simply ignore it? The biggest benefit of a day-care procedure is that it will save you money.
For Instance: Mr. Kapoor had an accident and hence, had to go for Septoplasty- a surgical process to correct displacement of the nasal septum. The doctor asked for Rs.60,000 for the surgery. Since the technique is so advanced, the surgery was successful and Mr.Kapoor was discharged within a day, thus saving room rent, but what about the cost of surgery? Previously, the insurer did not pay money for the treatment that didn’t require hospitalisation for more than one day, however, if you have a health plan that includes a daycare procedure, this problem of yours can be solved easily. Thus, with the daycare procedure, Mr Kapoor was able to pay for surgery.
Nowadays, many health insurance plans cover daycare procedures. However, the benefits of some are better than others. Whenever you buy medical coverage based on day-care procedures, keep these points in mind:
Check the list of daycare treatments covered under the health insurance policy before buying. Do not just look at the long list of coverage but also check which can be beneficial for you in the future.
Look for a health insurance policy whose sum insured should match the potential costs for the daycare procedures. Keeping medical inflation in mind, opt for the higher sum insured options.
When buying a health insurance plan with daycare coverage, check for the inclusion list and exclusion list. Choose a plan that includes common procedures like cataracts.
Before buying the policy, check for the co-payment clause. This way, you will be prepared for the costs that might occur during the hospitalisation.
An insurance advisor can help you understand the different policy options and choose the one that best suits your needs and budget. You can schedule your call with PolicyX.com as per your suitable timings.
You must check your health insurance policy terms and conditions to look out for all the covered daycare procedures. Minor procedures for the eye, nose, and others are covered. If you are confused about which health policy to purchase, consult with Policyx.com insurance experts.
Know More About: Star Health Insurance
Know More About: SBI Health Insurance
Know More About: United India Health Insurance
Know More About: Care Health Insurance
Name of the Plan | Number of Daycare Procedures Covered | Sum Insured |
Star Comprehensive Insurance Plan | All daycare procedures covered | Upto 1 Crore |
Aditya Birla Activ One Plan | All daycare procedures covered | Upto 2 Crore |
HDFC ERGO Optima Secure Plan | All daycare procedures covered | Upto 2 Crore |
Care Health Insurance Plan | 541 | Upto 3 Lakh |
ICICI Lombard Smart Super Health Insurance Plan | 130 | Upto 1 Crore |
Check out more health insurance plans.
Daycare procedures health coverage is very essential for today’s era in which medical inflation is through the roof. It gives you relief and saves you money but be sure to choose only the health insurance company that covers broadly categorized treatments.
Remember to prioritize policies that cover common procedures, offer a sufficient sum insured, and have a transparent claim settlement process. Investing in a robust health insurance plan with day-care coverage can offer you peace of mind and ensure that you can access timely and quality medical care without facing significant financial strain.
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Daycare treatments refer to medical procedures that require hospitalization for a short duration, typically less than 24 hours. These procedures allow patients to receive treatment and return home on the same day. Examples include cataract surgery, chemotherapy, dialysis, and certain minor surgeries.
No, not all daycare treatments are covered by all health insurance policies. The specific list of covered procedures varies significantly between different insurers and plans. It’s essential to carefully review your policy documents or contact your insurer to understand the specific coverage for daycare treatments.
Daycare treatments refer to medical procedures that require hospitalisation for less than 24 hours. Some examples are dialysis, chemotherapy, cataracts, and much more.
You need to review your policy documents. Look for the section on ‘daycare procedures’ or ‘outpatient procedures’. Reach out to their customer service department or refer to their website for a comprehensive list of covered procedures.
Identify your potential needs (e.g., cataract surgery, chemotherapy). Compare policies based on the list of covered procedures, coverage limits, network hospitals, and premiums. Consider factors like sum insured, co-payment clauses, and claim settlement process. Consult with an insurance advisor for personalized guidance.
Generally, no. You can only claim reimbursement for treatments specifically listed as covered under your policy. However, it’s always advisable to contact your insurer to inquire about specific situations.
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An explorer and a curious person, Simran has worked in the field of insurance for more than 3 years. Travelling and writing are her only passion and hobby. Her main agenda is to transform insurance information into a piece that is easy to understand and seamlessly solves the reader’s query.
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