How To Make A Cashless Claim Under My Health Insurance Plans?

Claiming a health insurance policy on time is as important as buying a health insurance policy on time. There is no point in having a health insurance cover if it does not come in use at the appropriate time. You must be aware of the claim settlement process involved in making a claim of your health insurance policy. Also, you must know about the inclusions and exclusions of your policy to avoid any confusion at the time of making a claim. 

Cashless claim settlement is one of the advancements in the insurance market as it reduces the time taken to settle a claim and makes the whole experience smooth and hassle-free for the policyholders. A policyholder can make a cashless claim only at one of the network hospitals of the insurer. Therefore, you must be aware of the hospitals which are linked to the insurance company that you have purchased your policy from.

Why Is Cashless Claim Settlement Important?

Cashless claims are important in case of emergencies as at such times we require immediate cash. The cashless claims are quick and easy to settle. In case of such a claim process, the medical bills are cleared by the insurer without involving the policyholder. It takes less time for this process to complete than the reimbursement claim settlement process. This service ensures that all the payments are made without cash, which gives the policyholder an effortless experience. 

Cashless Claim Process Under A Health Insurance Plan

To avail the benefits of a cashless claim settlement, you must get your medical treatment in the network hospital linked with the insurance company. Through the claims, you can avail the benefits like pre and post-hospitalization expenses, in-patient expenses, domiciliary expenses, etc. while getting quality treatment at the hospital. If you are planning for treatment of any disease at the network hospital of the insurer, then you must intimate the insurance company about the same in advance. However, in case of an emergency, you must make sure that the insurance company is informed as soon as possible. Let us look at the whole claim settlement process in detail:

Claim Settlement Process For Planned Hospitalization

If you have planned to get hospitalized for treatment and you want to claim your health insurance policy for the same, then follow the below-mentioned steps: 

• Inform the insurer about your hospitalization at least 4 days in advance, so that they get enough time to process your request. 
• Fill a claim settlement request form with all the necessary details and documents and submit it via post or fax to the insurance company. 
• After processing your request and verification of your documents, you will be informed by the insurer regarding your claim.
• Get hospitalized in one of the network hospitals of the insurance company and seek your medical treatment there. 
• You will be asked to produce your health insurance card provided by the insurer at the hospital desk. 
• All your medical dues will be cleared off by the insurer without involving you in the process thus, making you stress-free about the treatment. 

Claim Settlement Process In Case of An Emergency Hospitalization 

If you get into a medical emergency follow the below steps to make the claim of your purchased health insurance policy: 

• Inform your insurer about your hospitalization as soon as possible to make sure that the claim settlement process begins at the insurers’ end. 
• You will be asked to produce your health insurance card at the hospital desk after which you must fill the claim settlement form and submit it along with your signature to the insurance company. You will have to attach the necessary documents, as asked by the insurer. 
• After the verification of the documents and processing of your request, you will be informed about the claim proceedings by the insurer. 
• All your hospitalization expenses will be taken care of by the insurer, ensuring that you get quality treatment. 

Conclusion 

Before purchasing a health insurance policy make sure that you confirm the claim settlement process of the policy from the insurer. Carefully read the fine print of the policy-related documents which consists of the terms and conditions during the free look period, to avoid any confusion while making the claim in case of an emergency. 

Also Read: All You Need to Know About Cashless Claim Policy

Factors To Consider While Buying The Best Cashless Insurance Policies In India

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.