Cashless Mediclaim Insurance – Know All About Cashless Mediclaim Policy

What if there is an emergency, and you have a lot of medical debt? You might then need to act quickly to make arrangements for financing the necessary medical care. Medical Emergencies can occur without warning and place a heavy financial load on the required treatments. The Cashless Mediclaim Policy comes in handy in these situations.

 

In the event of a sickness or accident, a Cashless Mediclaim Policy is an excellent method to safeguard yourself against increasing medical costs without having to make any out-of-pocket payments. Let's understand what is Cashless Mediclaim Insurance in detail. 

 

What is the Cashless Mediclaim Policy?

A unique policy for smooth sailing medical emergencies in its network hospitals. Basically, Cashless Mediclaim Policy is the cashless insurance provided at the time you get into the hospital. If the hospital of your choice comes under the banner of this particular insurance, then you do not have to pay any amount to the hospital. Everything gets taken care of by the insurance and the policy providers. The only requirement is that the hospital should come under its network hospital. In simple words, Cashless Mediclaim is your shield from the medical expenses that you have to bear.

 

Network hospitals are the hospitals with which the cashless insurance companies have tied up so that they can provide hassle-free services to their customers. For example, Insurance Company X offers its customers Cashless Mediclaim Policies and has partnered with Hospital A. So, in an emergency, the client will run to Hospital A and proceed with medical treatments without considering payment. The consumer only needs to notify the hospital that he is an Insurance Company X policyholder. The insurance company and the hospital will settle the balance.

 

Cashless Mediclaim Exclusions

Even though Cashless Mediclaim policies are the way to go, there are a few exceptions to this policy. Before going ahead with this plan, know all the nooks and crooks. The exceptions are as follows:-

 

• It does not include medical treatments for self-inflicted injuries or suicide attempts.
• Any medical costs made within thirty days of starting the policy are usually excluded. But, they can be availed in case of accidents.
• Congenital diseases are not covered in Cashless Mediclaim Policy.
• Illnesses due to overuse of alcohol and drug overdosing or overconsumption are also eliminated from this policy.
• Miscarriages and abortion are also refrained in this policy.

 

Types of Cashless Mediclaim in India

Three main types of Cashless mediclaim are available in India. Let’s see what they are:-

 

1. Cashless Individual Health Insurance

The cashless Mediclaim Insurance for an individual offers coverage for one person, that is the individual for whom it is made. It covers all the medical costs of the individual, with all the perks of cashless hospitalisation.

 

2. Cashless Family Health Insurance

In this type of cashless insurance, you can cover your whole family under single insurance for a low premium cost. The amount of the insurance insured for a cashless Mediclaim policy for a family is more in comparison to the plan for a single person or an individual.

 

3. Cashless Senior Citizen Health Insurance

As per the name, this policy of cashless Mediclaim covers the benefits for senior citizens. They get cashless perks for ambulance costs, hospitalisation expenses, and more under this policy.

 

Why Take Cashless Mediclaim Policy?

Cashless mediclaim insurance is the best health insurance plan you can take. It covers all your needs of pre and post hospitalisation. Your emergency rush to the hospital is not something you need to worry about when you take cashless insurance. There are many options available in the market today in terms of buying health insurance online. Choose a plan which suits you and comes into your choice of network hospitals.

 

There are a few things which are not covered in Cashless Mediclaim Policy. These are the visitor charges or attendant charges, ambulance charges for some, toiletries, service charges, cost of oxygen masks, diapers and nebulisers and cost of documentation. Also, to avoid rejection of cashless mediclaim, you need to make sure that your pre authorisation form is complete so that TPA doesn’t reject it. It is mandatory you read the terms and conditions of your insurance policy carefully so that you don’t fall into trouble at the last moment and become not eligible to avail the policy.

 

Sometimes, if the medical expenses exceed what has already been insured, then the insurance holder has to pay the rest amount on his own. Niva Bupa also provides mediclaim policy. It is by the name Niva Bupa Mediclaim Policy. It has almost seventy-four hundred plus network hospitals under its umbrella. The mediclaim can be insured for the sum of one lakh to fifteen lakhs. For more information, check out Niva Bupa. The mediclaim service provided by Niva Bupa has a lifelong renewal policy. A policy as such is a safeguard for all your health needs. Be free at the time of need and a little less worrying.