A Brief Overview about Health Insurance Cashless Hospitalization Policy

Health Insurance Cashless Hospitalization Policy

Have you ever come across such a situation where you need money at mid-night due to the hospitalization of some of your family members? If so, then you may definitely know how difficult to handle such circumstances. That is why health insurance providers offer cashless hospitalization facility with their health insurance plans. Cashless hospitalization facility of Health insurance is designed to avoid those emergency cash crunch situation. As per this policy, you do not need to pay a single penny from your pocket, your insurance company will settle everything directly. Here, in this article, we will discuss in details about cashless hospitalization.

How Cashless Hospitalization Works?

Health insurance companies tie up with different hospitals after evaluating their quality and services. These hospitals are called network hospitals and when you get admitted to those hospitals, you do not have to settle the bill, your concerned insurer will settle all the bills with a hospital. You have to follow the below-mentioned methods to complete cashless hospitalization process.

Planned Hospitalization

If your hospitalization is planned and you are unable to determine the network hospitals list then you should check your policy document or call the toll-free number to know the network hospitals. In such case, below mentioned steps you should follow,

·         Get the pre-authorization form from the hospital insurance desk or download through the TPA website. The form should be appropriately filled by the patient and the doctor.

·         Then you should submit the form to the insurance desk where it is carefully reviewed for its authenticity check.

·         It then submits to the TPA or Third Party Administrator and the TPA then approves the same.

·         Finally an approval is sent giving the sanctioned amount details.

Emergency Hospitalization

In case of emergency hospitalization, you should follow the below-mentioned steps:

• ·   You have to show your health insurance card that holds the policy number and the type of coverage you have.
• ·  Then fill the authorization form available at the insurance desk to accelerate the process.
• ·   If you are unable to wait for the sanction from the TPA, you can settle the hospital bill and later file a reimbursement claim.

Advantages of Cashless Hospitalization

• ·  Policyholders do not have to worry about the monetary assistance in case of a hospitalization.
• ·   You are surely getting the best medical treatment while you know you are sufficiently covered.
• ·  Under cashless hospitalization, you will get the coverage for ambulance charges, toiletries, service charges etc.