The mediclaim policies have become quite popular recently as the cost of treatment is rising day by day. The hefty cost of treatment is an instantaneous burden on one's pocket barring the victim from fulfilling other financial responsibilities. The affordable health insurance policy ensures you get timely treatment taking care of your hospitalization bills. The mediclaim policy is a health insurance coverage that helps you cover your hospitalization expenses with ease.
The mediclaim policy helps you:
€ Avail cashless settlement process
€ Reimburse hospitalization expenses against the bills
Difference between Cashless Settlement process and Reimbursement process
Once you purchase mediclaim policy you receive Health Care ID and a booklet containing a list of all the network hospitals in India. A network hospital is the one which has a tie up with your insurance provider and you can avail cashless facility. If you avail treatment in any of the network hospitals the treatment cost is settled directly by your insurance provider and the hospital. You just need to intimate your health insurance provider around 48 hrs in advance before getting treatment in the network hospital and show your health care card to the hospital authorities and the rest is taken care by the hospital administration and the health care provider. This way you do not have to shell out money from your own pocket for availing treatment till the extent of sum insured as per your policy. This is the cashless settlement process under a mediclaim policy.
It may happen that in need of emergency you may rush to the nearest hospital to avail the treatment and that hospital may not be on the network of the insurance provider. This would call for reimbursement process and not cashless facility. In case of reimbursement process, the hospitalization bills are not directly settled by the health care provider but are reimbursed as the hospital where the treatment takes place is a non-network one.
How to claim reimbursements under mediclaim policy?
You can receive the reimbursement against the actual by submitting the bills in original. Apart from medical bills certain other documents are required for reimbursements such as:
€ Diagnostic reports
€ Details of the treatment provided
€ Lab investigation reports
€ Medical bills
€ Discharge summary
The list of the documents to be submitted is readily available on the health insurance website or you can get details over phone by calling on their customer care numbers.
You just need to submit all the documents in the specified period of time to avail reimbursements. And be assured it is not a herculean task as suggested by some. If there is any procedural flaw then only the claim is rejected. Remember the health insurance policies are there to ease your burden not to increase it!
The affordable health insurance is just a click away. Just identify your need and secure your future!
The mediclaim policy helps you:
€ Avail cashless settlement process
€ Reimburse hospitalization expenses against the bills
Difference between Cashless Settlement process and Reimbursement process
Once you purchase mediclaim policy you receive Health Care ID and a booklet containing a list of all the network hospitals in India. A network hospital is the one which has a tie up with your insurance provider and you can avail cashless facility. If you avail treatment in any of the network hospitals the treatment cost is settled directly by your insurance provider and the hospital. You just need to intimate your health insurance provider around 48 hrs in advance before getting treatment in the network hospital and show your health care card to the hospital authorities and the rest is taken care by the hospital administration and the health care provider. This way you do not have to shell out money from your own pocket for availing treatment till the extent of sum insured as per your policy. This is the cashless settlement process under a mediclaim policy.
It may happen that in need of emergency you may rush to the nearest hospital to avail the treatment and that hospital may not be on the network of the insurance provider. This would call for reimbursement process and not cashless facility. In case of reimbursement process, the hospitalization bills are not directly settled by the health care provider but are reimbursed as the hospital where the treatment takes place is a non-network one.
How to claim reimbursements under mediclaim policy?
You can receive the reimbursement against the actual by submitting the bills in original. Apart from medical bills certain other documents are required for reimbursements such as:
€ Diagnostic reports
€ Details of the treatment provided
€ Lab investigation reports
€ Medical bills
€ Discharge summary
The list of the documents to be submitted is readily available on the health insurance website or you can get details over phone by calling on their customer care numbers.
You just need to submit all the documents in the specified period of time to avail reimbursements. And be assured it is not a herculean task as suggested by some. If there is any procedural flaw then only the claim is rejected. Remember the health insurance policies are there to ease your burden not to increase it!
The affordable health insurance is just a click away. Just identify your need and secure your future!