Cashless Medical facility

                                                                

                                               [image source : topnews.in]  

Cashless medical facility got popular mainly because of the government schemes say in Tamil nadu when you have government card, you can show it in hospitals for any surgery, your details will be sent to Government and on approval, and surgeries will be carried out for free. Hospitals will be claiming their amount from government separately. This facility is for who had opted for government hospital care.

Even in many of the corporate offices, employees can inform the insurance company in advance if they are going to do surgery in future date, all the medical bills will be settled by insurance company to the hospital. You can have hassle free care in the hospital.

How about others?

This facility is for everyone who had enrolled for health insurance policies with any of the insurers. All the insurance companies will be having a network of hospitals and we can get admitted in any of the hospital for any medical care. After the penetration of insurance has increased to a certain level insurance companies had started managing it thru Third Party Administrator namely TPA for any claim approval or rejection. Customer can also get admitted without informing and get it reimbursed from the insurance companies directly.

Benefits of Cashless facility

Any medical emergency can meted out with cashless health insurance policy. Any financial emergency creates a lot of stress and during medical emergency it will be difficult for the associated family members, it will be difficult to have so much liquid money all of a sudden and this cashless policy brings in peace of mind during those situations. Further it is always better to enroll for the higher sum assured as all the medical bills can be brought in during emergency. Great network of hospitals brings in sigh of relief as any nearby best hospital can be chosen.

Things to check

Is all the best hospitals are covered in the network chain of the insurance company? TPA’s of the chosen company should have the track record of immediate response of any request being sent by customer. Poor understanding between TPA’s and your chosen hospital can bring in delayed response which may delay the operation.

Choose the high Sum Assured and check the copayment, as the amount mentioned in copayment should be paid by you. Check the waiting period of your health insurance policy before going for any cashless claim in hospitals as it may get rejected. Sub limits on all your treatments including rent needs to be checked in advance to have a peaceful treatment without any worry on money to be paid.