Hospitalization Insurance India Insurance Policy: Compare the hospitalization insurance policies available at policybazaar.com to combat the medical emergencies. Avail the critical illness and best surgery benefits at low premiums.

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Hospitalization Insurance

Policybazaar.com provides you with all the necessary hospitalization insurance India with a wide range of different coverage Policybazaar.com provides you with all the necessary hospitalization insurance India with a wide range of different coverage for you and for your family. Choose from the minimum hospital cash benefit that you are looking for. You get to determine the surgery benefit and critical illness benefit in an affordable health insurance policy. In this website there are different insurance providers and a host of others to choose from keeping in mind your budget as well. Get to know about the different product names and do check out the hospital cash benefit that you get per day so that you can have a clear idea of the benefits that you get. You must too get the best idea about the amount of premium that you have to make. So this helps in making the right budget for all your hospitalization requirements.

Compare and Get Affordable Health Insurance

Comparison of health insurance quotes will provide affordable health insurance. So it is necessary to all types of health plans along with their terms, benefits and premium to get the most affordable health insurance plan available in India. There are many medical insurance companies in India and all these companies offer their best prices. In this competitive market the best way to choose affordable health insurance is comparison platform that we provide. As we have comparison of insurance policies from leading insurance companies in India. of the benefits that you get. You must too get the best idea about the amount of premium that you have to make. So this helps in making the right budget for all your hospitalization requirements.

Compare Health Care Insurance

Comparison of health care insurance quotes will provide affordable health insurance. So it is necessary to all types of health plans along with their terms, benefits and premium to get the most affordable health care insurance plan available in India. There are many medical insurance companies in India and all these companies offer their best prices.

In this competitive market the best way to choose affordable healthcare insurance is comparison platform that we provide. As we have comparison of insurance policies from leading health insurance companies in India. Get ready to buy the different online policies without any worries and compare the different health plans that you find in the site to get affordable health insurance. In case you wish to get your doubts cleared call at our helpline numbers. You can find the best healthcare insurance in your inbox as it would get emailed to you. So be in a much profitable situation to buy different types of hospitalization insurance India online. Prepare yourself for the best benefits that you acquire when you buy different types of hospitalization insurance India online. Prepare yourself for the best benefits that you acquire when you buy the different insurances online from our website.

What are hospitalization plans?

Ans:

Hospitalization insurance plans act as a supplement to health insurance plans that give you a daily benefit for every 24 hours of hospitalization. These plans are applicable only for hospitalisation for 24 hours or more and are not valid for domiciliary and OPD expenses.

Why hospitalization plans are necessary?

Ans:

This plan offers you daily benefits per 24 hours spent in the hospital whereas health insurance only provides cover for in-patient treatment. All expenses such as Room rent and boarding, doctor‘s fee, intensive care unit charges, nursing expenses, surgical fees, operating theatre expenses, anesthesia, oxygen, administration expenses, etc are reimbursed. Post-Hospitalization, once discharged from hospital, the policy shall pay for medical expenses related to the hospitalization, for a period of 60 days after discharge.

How much cover do I need?

Ans:

Ideally you should take a hospitalisation cover for at least 5 lakh or 50% of the sum assured of your life insurance policy.

Documents Required

Ans:

 

  • Age Proof
  • Identity Proof
  • Address Proof
  • Income Proof

 

What is the concept of zone wise co-payment?

Ans:

Insurance companies have divided cities and towns into categories with those residing in small cities have to pay low premiums. Customers are required to select the zone where they are likely to make a claim at the time of hospitalization. If they claim in a higher zone they would attract 10-20% co-pay. For instance, if you live in Surat (Zone III) and you make claim in Delhi (Zone I) then you have to foot 20%admissible hospitalization expenses as co-payment.

What is the maximum number of claims allowed in a year?

Ans:

You can make any number of claims in a year up to the exhaustion of sum assured.

What are the reasons of claim rejection?

Ans:

A claim can be rejected in any of the following situations-

Insurer can reject the claim if the policyholder has some pre-existing disease which was not disclosed during the policy term. If the claim is made on that ailment, it can be rejected.

Insurance company may also deny claims if documents submitted by the insured are incomplete.

As per health policy terms & conditions, an insured should inform the insurance company within 48 hours of hospitalization. Any failure to abide by deadline would result into claim rejection.

Insurance company has a right to reject the claim if the pre-authorization form is not carefully filled or if there is a discrepancy in the information, like incorrect postal address, policy number, etc.

Claims may be denied if it is for those ailments which are not covered in the policy.

When I switch to a new insurer do I need to bear waiting periods all over again?

Ans:

If you buy a new policy, you need to bear waiting period all over again. However, there is a way to change the insurer yet not let the benefits slip away. This is called health insurance portability. You can switch your health plan from one insurer to another and carry forward your waiting period benefits.

What is Group Medical Health Insurance?

Ans:

An insurance cover that offers coverage to a select group of people is called group private health insurance. Although, it is majorly offered by employers to employees, but it can also be offered to other groups. It offers vast coverage, including pre-existing ailments and maternity benefits right from the day 1. Members are given health card which allow them to avail cashless hospitalization in network hospitals. In case, treatment is done at non-network hospital, employees need to submit hospital bills to the company. Read More to get more information about the product.

How can I increase my sum insured?

Ans:

Sum insured can be increased only at the time of renewal, provided no claim has been made under the policy. In case of increase in sum insured, waiting period will apply afresh in relation to the amount by which sum insured has been increased. However, the quantum of increase shall be at a sole discretion of the insurance company.

What is the procedure of availing cashless benefit?

Ans:

Cashless hospitalization is a service provided by insurance company, wherein the policyholder can get hospitalized in a network hospital and undergoes medical treatment without paying medical expenses. The insurance company settles the entire bill with the hospital. To understand the procedure of cashless hospitalization, let’s divide it under two heads-

Planned hospitalization

  • In this situation you have ample time to decide in which hospital you want to go.
  • Take a look at the list of network hospitals given at the time of policy issuance or updated list is also available on the website of all insurance companies
  • Show your health insurance card and fill up the first part of the pre-authorization form that you get at the insurance desk of the network hospital. The other part of the form needs to be filled by the attending physician
  • Submit the duly filled form at the insurance desk; the person at the desk will closely verify the form and then fax it to your TPA
  • TPA will review the form and will either reject or accept it. If your form is approved, then TPA will send the authorization letter, citing sanctioned amount for the treatment

Emergency hospitalization

  • In this situation you need to start the process of cashless hospitalization within 24 hours of hospitalization.
  • Show your health insurance card at the hospital and complete the pre-authorization form
  • The insurance desk at the hospital will fast track your application, but if you can’t wait for TPA approval, you can deposit amount to start the treatment, which you can reimburse later.

Will I get a claim if hospitalization is less than 24 hrs?

Ans:

Health policy will not cover hospitalization of less than 24 hours, except for day care expenses. Read the policy wordings carefully to know about day care procedures.

How does one get reimbursement for treatment in a non-network hospital?

Ans:

Cashless hospitalization is available only in network hospitals. In case you avail treatment in non-network hospital, insurer will reimburse the amount of bills, subject to the policy taken by the person. It is important to inform the company within 24 hours of hospitalization from the time of admission, along with details like name of illness, health card, name & address of the hospital, room number, etc. After scrutinizing all details, a claim form will be sent to the policyholder. This claim form needs to be duly filled and sent to the insurance company along with following documents-

  • Hospital bills with the receipt of payment
  • Discharge summary sheet from the hospital
  • Diagnosis report of the treatment for which a claim is made

Other relevant documents connected to the hospitalization

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