Thursday, July 2, 2020

What is Cashless Hospitalization?


As the world is adapting to the digital revolution, a lot of transactions are becoming cashless. Even in the healthcare sector, we have seen the rise in cashless hospitalization. So what is it actually about? Let us take a look at it and don't forget to get yourself a general insurance India to safeguard your future.

​Cashless hospitalization is the method in which an individual does not have to pay any money from their pocket in case there is a need for hospitalization or critical surgery. The entire medical bill is directed to the insurance company, and they are the ones who pay it.

To facilitate cashless mediclaim process, health insurance agencies collaborate with specific hospitals according to the services they offer. These hospitals are known as "Network Hospitals" of the respective insurance agency. In simple words, when you subscribe to a health insurance policy from such an agency, you are eligible for cashless hospitalization only at their network hospitals.

Every health insurance agency gets represented by a Third Party Administrator (TPA) that is the mediator between the hospital and the respective insurance company. It is the responsibility of the TPA to accept or reject the claims for cashless hospitalization and carry out the necessary procedures between them.

To avail the cashless hospitalization benefit, you must fill a pre-authorization form that is duly available at the hospital or the TPA website. This form can be filled and submitted by anyone from the patient's family, and the TPA gets informed about the claim. The two most requirements in this process are the policy number and the details about the treatment. As soon as the TPA receives the claim, they investigate it and gives the authorization.

Cashless hospitalization is a great benefit in times of emergency. You don't need to worry about cash, and the hospital treats the patient with priority without taking any fees from you. The process is quick and easy to follow if you are subscribed to a good policy.

Get more details about cashless hospitalization facility from general insurance companies in India.

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