Health Insurance Plans are essential for every person as it gives security and safety to the insured person with various benefits. There are various kinds of health insurance policies such as Individual Health Insurance Plans, Family Floater Plan, Children Insurance Plan, Car Insurance Plan, Mediclaim etc. But it is advisable to buy a policy for the parents or old persons of the house as it gill protect them in the time of critical illness or provide the expenditure while hospitalization. Though there are various terms and policies in every health insurance policy and various companies provide various additional benefits to their customer.
Cashless hospitalization is aimed to avoid the certain need of money in case of emergency at any time of a day; this is a benefit that mainly provided by health insurance companies under their network hospitals. In this case the insurance company directly adjusts all the bills with the hospital and this amount is limited to a top of the sum assured under the health insurance policy. In this cashless benefit the insurance companies linked with different benefits after evaluating their medical services; these facilities are added in the cashless network and whenever the insured person goes for treatment they don’t have to pay money to the hospital. The insurance company basically uses third-party administrators to contact with the hospital and directly settle the dues.
Health is the first ever priority of everyone and in every country or state the bill for the sake of health insurance sector passes out every year where various new rules and regulations are declared. Not only this particular amount is preserved for this particular sector though the percentage is not equal in every country but through this percentage any country’s mindset can be clearly understood. Financial distribution is depended upon the strong mindset and idea of important things can only lead a country forward.
Health Insurance plans are the backup or may call protector of people in some serious problems or illness which are life snatching and also have expensive treatments. Besides this, a right health insurance plan is like an assurance for the insured while he/she faces some kind of difficulties; there are lots of people in every country who dies or suffers with lifelong pains due of lack of support. It is a guide, a friend, a helper, an assurer, a good protector which means an overall coverage for insured person but still it is not enough to get fully covered and having all kind of money while in danger. Health is wealth and no doubt freaking for being healthy and fit is become a mania now-a-days; after advanced technologies and lifestyle people get affected easily. Now-a-days it’s become difficult to get a health insurance plan as the expenses are raising everyday and it also becomes difficult to get all the benefits in a low budget health plan. But it is also possible to get lower health insurance if premiums can keep lower, so one can adopt many measures, provide optimum coverage without paying too much.
Mainly the Cashless hospitalization process is done in the two following ways, which are described here:
Planned hospitalization: - Under planned hospitalization, if insured is unable to plan and find the list of network hospitals, and then they should check their policy document or call the toll-free number to get the details of network hospitals.
These are the following steps:
Insured can get pre-authorization from the insurance desk at the network hospital or can download through the website of Third party administrators. The form of the website should be filled by both the patient and the physician.
Then this completed form must be submitted to the insurance desk.
Next the form will be submitted to the TPA and then approves the same.
At last, an authorization is sent that confirms the sanctioned amount details.
Emergency hospitalization: -
Insured then need to show their health insurance card that includes the policy number and details of the type of coverage.
They should fill the authorization form quickly at the insurance desk where it is thoroughly checked.
While waiting for the approval form of TPA, they can settle the hospital bill and later file a reimbursement claim.
Benefits: Insured don’t need to worry about expenses in case of a hospitalization and also they are assured to get the best medical treatment as they are covered earlier.