Things covered in a cashless health insurance policy

Posted on: Jan 3, 2019 | | Written by:

Things covered in a cashless health insurance policy

Published on September 15, 2022. EST READ TIME: 3 minutes

Health Insurance is one thing that every individual household must have in order to secure their family members from the exorbitant expenses that may arise due to sudden illness. Getting health insurance coverage provides peace of mind with the promise of assistance whenever the need arises. It affords you the best medical treatment.

What is Cashless Health Insurance?

Cashless health insurance is one of the types of health insurance policies. Cashless health insurance plans are effective and valid only within the network of hospitals that are associated with the insurance company. All you have to do, while getting treatment in any of these network hospitals, is to simply file claim and the hospital bill will be settled by the insurance company and medical care provider.

Therefore, you need to carefully go through the list of network hospitals and get your treatment from amongst them. Cashless health insurance plans generally cover prescription medicines, stay in the hospital and other treatment related expenses. Cashless health policy saves your precious time from first settling the bill and then following the procedure of filing the claims and so on. You can check the nearest list of cashless hospitals to know from where you can avail your treatment if you buy a HDFC ERGO health insurance plan.

At present, we at HDFC ERGO Health Insurance have empanelled 13,000+ cashless network hospitals to treat you at your convenient location. With a large cashless hospital network, it becomes easier for us to cater you wherever you are located.

Key Features

• Network of hospitals:

At the time of buying health insurance plan, the insurance company offers you an option to opt for a cashless plan. It means that expenditure on hospitalization and treatments done in the insurance company’s network hospitals will not require you to pay cash for the expenses incurred. These expenditures are settled directly by the insurance company.

• Hospitalization:

The cashless health policy takes care of pre & post-hospitalization expenses.

• Surgery procedure:

Health insurance companies provide a cashless claim for surgical procedure to both self and family

Conclusion

If you intend to undergo a medical procedure, it has to be duly informed to the insurance provider with details like the hospital, concerned doctor and the medical procedure etc. It also provides cover for day care expenses as well as medical emergencies. You need to preserve all the relevant medical reports, documents and the bills in order to utilize the health care plan to its optimum level.

In the event that the expenses of hospitalization or the overall treatment exceeds the pre-approved sum in the policy, the remaining or the balance amount is to be paid by you. Health care provider usually informs the policy holder if such situation arises. However the costs like the admission fee, the visitor’s fee, toiletries etc are not covered under the cashless health insurance policy.

Disclaimer: The above information is for illustrative purpose only. For more details, please refer to policy wordings and prospectus before concluding the sales.

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