Cashless Network Hospital

A Network Hospital is a hospital that enters into an agreement with a health insurance company to offer cashless medical treatment to the insured. When an insured gets admitted to a network hospital, the insurance company will directly settle the treatment bill.

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        Network Hospital FAQs

        • Q1. What is the difference between a network and a non-network hospital?

          Ans: A hospital is considered as a network hospital if it has a tie-up with an insurance company to provide cashless hospitalization facilities to its customers. On the other hand, a non-network hospital does not provide cashless treatment and thus, the customers need to pay the full hospital bill at the time of discharge. However, medical expenses incurred at a non-network hospital can be reimbursed by the insurance provider if a reimbursement claim is raised.

        • Q2. Why do health insurance companies have network hospitals?

          Ans: Health insurance providers in India have a wide network of empanelled hospitals to offer cashless hospitalization services to their customers. It not only eases the process of receiving treatment at a hospital for the insured but also increases customer loyalty.

        • Q3. What is cashless healthcare?

          Ans: Cashless healthcare refers to the medical treatment and hospitalization facilities offered by a network hospital. When you get admitted to a network hospital of your health insurance provider, you are not required to pay for the treatment availed during discharge. After you have been discharged, your insurance company will pay the hospital bill amount directly to the network hospital on your behalf.

        • Q4. How do I get a cashless treatment?

          Ans: You can get cashless treatment by getting admitted to a network hospital of your health insurance provider. After getting hospitalized, you will be required to fill up a pre-authorization form. Once your insurance company authorizes your treatment, you can avail cashless treatment at that network hospital.

        • Q5. Which health insurance covers maximum network hospital?

          Ans: At present, Care Health Insurance Limited comes with more than 16,500 network hospitals across India, which is the maximum number of network hospitals offered by any health insurance provider in India.

        • Q6. What is a network hospital discount?

          Ans: Network hospitals do not offer any discount to the policyholders for availing medical treatment. Instead, they offer cashless treatment facilities to the customers of the affiliated insurance company. As a result, the insured does not have to pay anything at the time of discharge and the hospital bill is paid directly by their insurance company to the network hospital.

        • Q7. Do network hospitals reduce your treatment bill?

          Ans: No. Network hospitals do not reduce your treatment bill. They only allow you to get hospitalized and avail treatment on a cashless basis as the bill amount can be settled by your insurance company after your hospital discharge.

        Claims details
        Medical Bills
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        Medical Bills

        Health insurance claims can be filed by cashless or reimbursement process. Take a look at the steps below:

        1
        Step 1: Find network hospital
        • Find a nearby network hospital of the insurance company
        • Get admitted to the hospital
        2
        Step 2: Notify the Insurance Company
        • Inform the insurance company about the hospitalization
        • In case of planned hospitalization, inform before getting hospitalized.
        3
        Step 3: Get Pre-authorization
        • Fill up the pre-authorization form and submit it at the hospital
        • The hospital will send the pre-authorization form to the insurance company for approval.
        • Once approved, receive the treatment.
        4
        Step 4: Hospital Discharge
        • During discharge, sign all the medical documents and bills.
        • Pay for the services/items excluded in the policy
        5
        Step 5: Claim settlement
        • The network hospital will send the treatment bill and other documents to the insurance company.
        • The health insurance company will pay the bill amount directly to the hospital.
        1
        Step 1: Get Hospitalized
        Get admitted to a non-network hospital of the insurance provider
        2
        Step 2: Intimate the Insurance Company
        • Inform the insurance company about the hospitalization
        • In case of planned hospitalization, notify the insurer before hospital admission.
        • Receive medical treatment
        3
        Step 3: Hospital Discharge
        • At the time of discharge, pay the entire hospital bill in full.
        • Collect all the medical documents, bills and payment receipts
        4
        Step 4: Submit Documents
        Send all the required documents to the insurance company
        5
        Step 5: Settlement of Claim
        The insurance company will review the documents and pay the claim amount.
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        Our Claim specialists in below cities will reach your hospital or home in 30 minutes to support your health insurance claim

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        Disclaimer: The list mentioned is according to the alphabetical order of the insurance companies. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website www.irdai.gov.in

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        *We will respond in the first instance within 30 minutes of the customers contacting us. 30-minute claim support service is for the purpose of giving reasonable assistance to the policyholder in pursuance of the claim. Settlement of claim (including cashless claim) is the responsibility of the insurer as per policy terms and conditions. The 30- minute claim support is subject to our operations not being impacted by a system failure or force majeure event or for reasons beyond our control. For further details, 24x7 Claims Support Helpline can be reached out at 1800-258-5881.

        *Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. Policybazaar does not provide any medical or surgical advice or diagnosis and is not responsible for your interactions / treatment by a medical practitioner/hospital. Please consult a registered medical practitioner for any medical or surgical advice. The Information that you obtain or receive from Policybazaar, and its employees, or otherwise on the Website is for informational purposes only. As per the Insurance guidelines, you are allowed to cancel the policy with-in 30 days from the date of Issuance of policy.This option is available incase of policies with a term of one year or more.

        *All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.

        **All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws. GST Exemptions depend on fulfilment of qualification criteria and submission of relevant documents.

        *₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.

        *₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

        *₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

        *₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

        *₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases

        *₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.

        *₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.

        *No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.

        *The values taken for effective cost calculation are indicative values and may change as per the selected plan.

        *Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.

        *Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.

        *The scope of coverage may vary from plan to plan.

        ~Source: Google Review Rating available on:- http://bit.ly/3J20bXZ

        ##On ground claim assistance is available in 114 cities

        Tax Benefits are subject to changes in tax laws. GST Exemption depends on fulfilment of qualification criteria and submission of relevant documents as required by the insurers. For more details on risk factors, terms and conditions, please read the sales brochure and applicable rules and regulation carefully before concluding a sale.

        STANDARD TERMS AND CONDITIONS APPLY. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale.

        Policybazaar is a registered Composite Broker |Registration No. 742, Valid till 09/06/2024, License category- Composite Broker| Visitors are hereby informed that their information submitted on the website may be shared with insurers.

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