How many times do you remember getting a call from a relative or friend telling about an emergency hospitalization and need for cash? Many a times you run to the nearest ATM and withdraw money to get your family member admitted in a hospital. Cashless hospitalization is a service that is designed to avoid those tensed moments during hospitalization. All the medical bills are directly settled by the insurance company, provided the amount doesn't exceed the sum assured. There's just one catch to a cashless mediclaim policy, it can only be availed in network hospitals.
Cashless hospitalization is proving to be beneficial for users, especially in emergency situations as a seriously ailing patient may not be able to arrange money before being treated. In addition, it is also very likely that he does not know many people in the city. A cashless hospitalization can simply solve this situation.
Cashless Mediclaim Policy helps you in dealing with medical emergencies by paying your hospitalization expenses upfront. Compare and choose the best plan at PolicyBazaar.
There are many types of cashless health insurance in India which can be broadly classified into following categories:
This is the cashless family health insurance policy where sponsor owns the policy and the people covered under it are called its members. One can get his whole family covered under one policy named family health plan.
This is the cashless health insurance for senior citizens who cover hospitalization expenses, ambulance charges, and pre-existing diseases subject to terms of the policy.
Health insurance companies tie up with different hospitals after checking quality of their medical services and negotiating rates for different procedures. These hospitals are known as network hospitals and when you get hospitalized in any one of them, you do not have to settle the bill with the hospital. Your insurance company that is represented by TPA (third party administrator) will coordinate and settle the bill with the hospital.
Basically, there are two ways through which you can avail cashless hospitalization-
You know beforehand that you will be hospitalized in next few days and it means, you have ample time to decide from which hospital you want to avail services.
Here is what you need to do-
This is where you need immediate medical care. You should make sure that you initiate the cashless mediclaim facility within 24 hours of hospitalization.
Things you will need to do are-
The protocol says that in emergency conditions, a TPA should process a claim within 6 hours.
Read In Detail: How Does Cashless Mediclaim Work
There are some expenses which are not even covered by cashless hospitalization-
Wondering why your claim is rejected by the insurance company? We have listed below some of the top reasons of rejection-
“TPAs cannot reject or partially disallow claims”= Bombay High Court
The Bombay High Court has held that decisions to reject or partially disallow health insurance claims are to be taken by insurance companies and not by TPAs who offer various services to policyholders on the behalf of insurance companies. The move is likely to bolster the claim process because it has been seen that TPAs are given incentives by insurance companies to reject claims and in their attempt to earn incentives, TPAs reject claims at the first stage.
Recently, health insurance companies are lining up cashless OPD to make life easier for patients. It means now patients don’t need to be hospitalized for minimum 24 hours to avail cashless hospitalization. Apollo Munich’s Maxima is offering vouchers for consultancy and pharmacy and similarly, ICICI Lombard is also planning to launch cashless OPD product.
Making the complicated insurance comparison an uncomplicated process, the team at PolicyBazaar is at its best when it comes to finding a right cashless hospitalization plan. By entering basic details like name, age, annual income, etc, you will be able to get mediclaim quotes at free of cost!
Compare health policies from various providers at PolicyBazaar and ensure that you get the right cover for yourself and your family.
Was this information useful?
Thanks for providing me prompt service.
Hi Himanshu Agarwal
I am satisfied with your services. You guided me to choose my health policy and also in the procedure of buying a health insurance
An Anand Trivedi
Thanks for a wonderful service from you regarding health policy.
Ud Uday Kiran
I would like to appreciate the support given to me by policy bazaar to help me choose the right product among the wide range of products available in the market which suited my exact requirement and b...
An Anikhet Shankar
Dear Policy Bazaar Team, I will like to take the opportunity to distinctly applaud and praise your wonderful employee who was categorically helpful in checking the status of my Health Policy
Ch Chetan Kapur
All thanks to your executive, who was really patient in explaining the same in entirety. Not only did he follow up but also was courteous enough to hold on to the call for more than an hour, till I wa...
Sa Salman Ahmad
Thank You very much for your efforts. I really appreciate your quick service.
Tu Tushar Srivastava
I had requested help on purchasing the insurance policy on your website. Within half an hour I received a call. This is to acknowledge that I am highly impressed with the services provided to me from...
An Anant Dabholkar
With your kind help and efficiency in duty I received my policy within time & much satisfied with the job you have done for me.
Ar Arvind Khajuria
I deeply appreciate your co-operation towards the solving my address related issues. Your communication over email or phone was very prompt and perfect. You have made my policy buying experience a won...
Ch Chandrakant Ahire
Its is really very appreciated to policy bazaar team they will done the work in good follow up & right manner.
Aj Ajay Bhatia
I really appreciate your help for time to time follow up with team and with me. I can say I'm really satisfied with your service, I'm happy to process my next transaction / reference from your end
Na Nagaraju Puppala
The way you assisted me regarding my health insurance policy (Religare Care) was quite helpful.Before this i was in a fix whether to go for a health insurance or not, but you drived me out of that fix...
Am Amarjeet Singh
I am glad to inform policybazaar that as of now i.e. upto the stage of getting the policy I m quite satisfied with your service for the issuance of the policy
Ma Mamta Dalmiya
CIN: U74900HR2014PTC053454 Policybazaar Insurance Web Aggregator Private Limited, Registered Office no. - Plot No.119, Sector - 44, Gurgaon, Haryana – 122001
Insurance is the subject matter of solicitation.Visitors are hereby informed that their information submitted on the website may be shared with insurers.
*The information provided on this website/page is only for information sake. Policybazaar does not in any form or manner endorse the information so provided on the website and strives to provide factual and unbiased information to customers to assist in making informed insurance choices.
The product information for comparison displayed on this website is of the insurers with whom our company has an agreement.
Product information is authentic and solely based on the information received from the Insurer© Copyright 2008-2019 policybazaar.com. All Rights Reserved..
Compare & Buy Best Plan in:UAE