Medical insurance is a blessing in disguise. It helps you when a medical emergencies strike unexpectedly. The thing with the medical emergencies is that they come unannounced. It is a matter of days and sometimes a matter of hours and medical emergencies are converted into financial emergencies. This is where a health insurance plan acts as a savior.
If there are senior citizens in your family then it becomes very important to have senior citizen mediclaim policy. Senior citizens are more prone to the need of emergency medical intervention and this is why they must have access to medical facilities round the clock. Before you buy any health insurance plan, you must know the important details regarding the cashless mediclaim policy. In case you already have a cashless health insurance plan, it will upgrade your knowledge so that your claim process is free of any hassles. Here are the five things that you must know about the cashless mediclaim policy. 1. You don’t have to bear any load of making payments- When you avail cashless mediclaim facility you don’t have to make any payment from your own pocket that would be reimbursed later on. In order to settle the bill, the bill raised by the hospital is sent directly by the third party administrator (TPA). 2. Know about the tie-Ups- You can avail the facility of cashless hospitalization only in the insurance providers’ network authorized hospitals. The hospital should have a tie-up with the insurance provider. When you buy an insurance plan, your insurance provider list of network authorized hospitals will be provided by your insurance provider. Details regarding the third party administrator (TPA) will be provided in the insurance policy. 3. Inform the Hospital- At the time the patient is admitted to a hospital, the attendant or anybody from the family needs to inform the hospital that the patient is covered under a cashless medical insurance plan so that there is no room for any inconvenience and the billing process goes on smoothly. 4. Always carry your insurance card- When the patient is taken to the hospital, everybody is in a hurry as they want to take the patient to the hospital as soon as possible. In this rush, people usually forget to carry the patient’s insurance card which is issued by the insurance provider. If you need to avail the cashless facility offered by your insurance provider don’t forget to carry the patient’s card so that there is no delay in providing him/her the much needed medical treatment. 5. The need of preauthorization form- The insured person needs to fill up a pre-authorisation form and send it to third party administrator. This process is handled by the hospital. 6. The TPA is the decision making authority- The TPA is in charge of approving or denying the claim on the basis of the terms, conditions, and limits formulated by the specific insurance plan. TPA’s decision along with the expenses limit is informed to the hospital.
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