Important things about Cashless Hospitalization

Cashless hospitalization benefit is among the various benefits that are under the Insurance companies and it can be claimed under some rules.

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. 

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.

Ways of work: The available facilities in a network hospital should be remembered, planned claims need informing the insurer in advance. Emergency hospitalization must be implied to the insurance company within the maximum stipulated period.

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.

Source: http://basic-healthinsurance.com/
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Published By
Subhra Bera
www.basic-healthinsurance.com
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~