pays for your hospital bills for diagnostics, surgery etc.
You must have received a call at least once in your life from a friend or a relative telling you about an emergency Hospitalization and the urgent requirement of cash. You need to hurry to the nearest ATM, sometimes even at odd times and withdraw thousands of rupees needed for paying the expensive bills of good quality hospitals today. Cashless Hospitalization is a Health Insurance developed to avoid such panic and tensed situations.
With cashless health plans, you do not need to settle the bill with the hospital as long as the hospital is in the network of the insurance company you are associated with. A representative from your health insurance company gets in touch with the hospital to settle the bill.
Some of the best health plans offered by companies have tie-ups with hospitals. They negotiate for rates and check the quality. These hospitals are said to be Network Hospitals. Cashless Hospitalization can be availed only in these specific hospitals. If you want to know which hospitals are in the network of your health insurance, read the name of your TPA on the Policy and contact them.
Third Party Administrator is the representative of the health insurance company offering you cashless hospitalization. They perform the job of settling bills for you at the hospital. They make claims for both Reimbursement and cashless hospitalization services. You need to get your cashless hospitalization request approved by them to avail the service.
If you have been recommended by your doctor to get admitted, you have time to choose a hospital. Health insurance in India mandates that you complete all formalities 3-4 days prior to hospitalization:
When a patient is admitted in emergency, treatment comes first and then health insurance. The best health plan is one which initiates the process for cashless hospitalization within 24 hours of admission to the hospital. Following procedure need to be followed in case of emergency hospitalization:
Cashless hospitalization is an important feature to consider while choosing the best health plan. Health insurance in India offers a variety of health plans with different Network Hospitals and cashless hospitalization benefits added to them. So choose one based on your convenience and requirements.