Why Must a Person buy Cashless medical Insurance?

Published: 07th May 2011
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Cashless health insurance: A blessing for Insurance Seekers.

India’s biggest health care problem is the rising costs of medical care that is becoming out of reach of the common man. A trip to the hospital can cause a great deal of financial stress if you do not have adequate health insurance. Medical insurance offers the best protection and takes care of all your medical and hospitalisation expenses whenever the need arises. This includes doctor’s fees, medical tests, medications, and all other related expenses. For instance, if a person is suffering from the most common cancer in India, whose treatment includes radiotherapy, chemotherapy, and many more such expensive treatments. Then just imagine the expense you have to go through.

Among the various benefits that the insurance companies offer, one of the best is cashless claim. Cashless health insurance enables you to seek admission and medical treatment at any of the hospitals or nursing homes on the insurance company’s network without having to pay as long as you have a valid health insurance policy.


Among the terms and conditions for cashless health insurance the most important one is that you need to be hospitalised for a minimum of 24 hours. You can even undergo surgery and not pay a single rupee from your own pocket. The insurance company will settle the bills directly with the insurance company. In cashless health insurance claims are settled by the insurance company through its Third Party Administrator (TPA). The details of which are included in the policy document which you receive from your insurance company. Therefore, it is essential to understand the terms and conditions and any exclusions in the policy prior to purchasing any health insurance like star health insurance.

It is always better to cross check with the insurance company prior to seeking treatment under cashless health insurance. The reason being, that various insurance companies have different Third Party Administrators that are connected with different hospitals. You can even check these details online so that you aware of which hospitals you can avail of cashless health insurance facilities. If there is no hospital that provides cashless facility in your area you make seek treatment, pay the bill in full and then claim a reimbursement from your insurance company.


To avail a cashless health insurance all a person needs to do is provide the details of his policy to the hospital or nursing home, who will then initiate the process with the TPA or insurance company. The TPA provides you with an identity card which you need to produce on admission to a hospital. But one thing you must make sure is that the treatment you are undergoing in the hospital for is covered by the cashless health insurance policy. If the treatment does not match the one covered by medical insurance, you may not be entitled to avail the cashless facility.

Cashless health insurance is available with individual, group, and family floater plans. The TPA must be informed 72 hours prior to being hospitalised, in case where your hospitalisation has been planned. The insurance company issues a letter of authorisation so that you can avail the cashless service. In case of any emergency, for example a heart stroke, the TPA is required to be informed within 48 hours of hospitalisation. However, it is advisable to check with your insurance company for the precise time period since many companies have their own terms and conditions on time limits. Cashless health insurance holds much more importance for senior citizens, as they need some or the other treatment as their age progresses. Therefore, buying health insurance for senior citizens in India must be done at priority.


Medical insurance policies like health insurance for senior citizens in India, star health insurance etc. can be easily
purchased through internet. Buying health insurance will ensure financial coverage for even the most common cancer
in India.


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Source: http://sanjeevkmr.articlealley.com/why-must-a-person-buy-cashless-medical-insurance-2215640.html


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