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Should I Opt For Cashless Insurance?

In health insurance, there are two types of claims - cashless claims and reimbursement claims. When you visit a partner hospital of your insurance provider, the health insurance claim is settled in a cashless manner. However, if the insured gets medical treatment at a hospital that is not a part of the insurance provider's partner network, then the insured needs to pay the bill to the hospital and later get it reimbursed from the insurance company.

Benefits of Cashless Insurance

  • Immediate treatment is one of the key advantages of cashless insurance. You can get admitted quickly on the basis of the health card issued to you. Once you inform your insurer representative, the entire process becomes convenient that.
  • As the name suggests, cashless health insurance would mean never having to carry cash on the ready for medical emergencies. Concerns cloud you a lot less when you know that a policy is in effect, that would cover all your treatment expenses without you having to stay stocked up, ready, and on high-alert all the time.
  • Home loans and kids’ school fees, combined with the ever-increasing costs of living can hugely impact the amount in your savings. Cashless insurance would be a boon for such families, taking away the mental stress of being prepared for a medical emergency at all times, and other hassles.
  • The documentation required in the case of cashless insurance is less than what is required in the case of reimbursements.

However, there are always advantages and disadvantages to everything. So, make sure you keep these points in mind too before opting for cashless insurance.

  • Sometimes with cashless insurance, the discharge process is quite lengthy. This happens for the reason that the TPA thoroughly checks the bill amount and then approves the bill amount and it can take unwanted time.
  • The TPA thoroughly checks and then approves your hospital bill and as a result of that, the discharge process in case of cashless insurance can stretch out.

Conclusion

Insurance companies are tied up with several hospitals in the country and they are collectively called the network hospitals. To avail of your cashless insurance facility, you need to opt for a hospital within the network of your insurance company. You’ll be provided with a health card that you’re required to produce to the hospital at the time of admission. In case you get admitted to a hospital outside of the network, the insurer will reimburse the money you paid to the hospital (from your own pocket) within 30 days of discharge.

Disclaimer: This article is issued in the general public interest and meant for general information purposes only. Readers are advised not to rely on the contents of the article as conclusive in nature and should research further or consult an expert in this regard.

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