How Network Hospitals Play An Important Role In Health Insurance?
Published On Feb 18, 2022
Table of Contents
Many people face significant hardship if they do not have health insurance on hand in the event of a medical emergency. When people don't have health insurance, they do a variety of things, from taking out a loan to pay for medical treatment to wasting their hard-earned cash. As a result, it is vital for everyone to invest in solid health insurance coverage so that they may prevent financial insecurity in the event of a catastrophic medical condition.
Health insurance not just to ensure that one receives continuous medical care, but also that one receives high-quality treatment without having to spend a single cent in the event of an emergency. Many policyholders have been able to avoid major financial losses because of the ability to receive cashless care at network hospitals. To understand more about the important role of network hospitals in health insurance, read on.
What Is The Concept Of Network Hospitals?
A health insurance provider gives a list of hospitals to the customer when they acquire a health insurance policy. The hospitals included in this list are known as network hospitals. Health insurance companies and their specialised network hospitals have partnered to provide insured individuals with the benefit of cashless hospitalisation. Whereas the health insurance company helps the insured by charging a cheaper charge to network hospitals, the hospitals gain by receiving more clients through the health insurance company's network. Non-network hospitals are those that are not included in a list of health insurers. Non-network hospitals force people to pay for their care and then file an insurance claim and wait for reimbursement.
What Is The Benefit Of Network Hospitals?
One of the most significant advantages of seeking treatment at a network hospital is that you won't have to stress about making financial arrangements at the last minute. The health insurer pays the hospital expenses directly, relieving the insured of the financial burden.
How Do Network Hospitals Function?
When it comes to network hospitals, when a patient seeks treatment or is admitted to one of the contactless insurance facilities, he or she must submit a cashless mediclaim form to the TPA. The patient might receive medical care when a cashless claim is authorised. All medical expenditures will be covered (carried) by the health insurance company in this situation. It is vital to note that the patient will not be required to submit any bills or paperwork, nor will he or she have to worry about the waiting time. The only expenditures that the policyholder will be responsible for are those that are not covered by the policy.
Therefore, anyone who does not have health insurance with a cashless medical treatment facility will be obliged to go through the whole procedure of billing and paperwork filing, even if admitted to a network hospital.
Things To Remember
It is preferable to seek medical treatment in a network facility if you have a cashless mediclaim coverage. Make sure you always have a list of the top cashless network hospitals on hand so that you don't lose time looking for the best one under your health insurance provider if you need to go to the hospital unexpectedly. At the event that the requested treatment is not available in a network hospital or in the event of an emergency, you might choose a non-network hospital.
Every policyholder's network hospitals are quite important. Furthermore, having cashless mediclaim is preferable. Now that you're familiar with network hospitals, their idea, and other vital features, make sure you don't overlook their significance in the future. Please visit our website if you want to learn more about network hospitals in your region. For example, if you wish to see HDFC ERGO's network hospitals, go to the insurer's page and select the Network Hospitals tab. Based on the city, you'll be presented with a list of all the network hospitals. After that, you may search for network hospitals in your region. Religare, Manipal Cigna, Bajaj Allianz, and other health insurance providers use the same procedure.
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.