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What Role Network Hospitals Play In Health Insurance?

Updated On Jun 14, 2022

Many people face significant inconvenience if they do not have health insurance on hand during a medical emergency. People who lack health insurance do a variety of things, like taking out a loan to pay for medical treatment or wasting their hard-earned funds. As a result, it is vital for every individual to invest in a solid health insurance coverage in order to avoid financial insecurity during a crucial medical condition. Health insurance not only offers continuous medical treatment, but also exceptional healthcare without the need to spend a dime in the event of a medical emergency.Many policyholders are able to avoid major financial losses due to the availability of cashless treatment at network facilities.

What Role Network Hospitals Play In Health Insurance?

The Network Hospital Concept

A health insurance company gives a list of hospitals to the customer when they acquire a health insurance policy. This list of hospitals is referred to as a network hospital. Health insurance companies and their specialised network hospitals have partnered to provide the insured client with the benefit of cashless hospitalisation. While the health insurance company delivers benefits to the insured by charging cheaper fees to network hospitals, the hospitals gain by receiving more patients through the health insurance company's network. Non-network hospitals are those that are not covered by a health insurer's network. While a network hospital provides cashless treatments to the insured, non-network hospitals need patients to pay for their treatment, file a claim with their insurance company, and wait for payment.

Network Hospital - Advantage

One of the most significant benefits of receiving treatment from a network hospital is that one does not have to worry about making financial arrangements at the last minute. The health insurer pays the hospital expenses directly, relieving the insured of the financial burden. Furthermore, the insured client receives the requested medical therapy without sacrificing its quality.

How Do Network Hospitals Function?

When it comes to network hospitals, when a patient seeks treatment or is admitted to one of the cashless insurance, he or she must submit a form to the TPA for cashless mediclaim. The patient might receive medical care when a cashless claim is authorised. In this instance, the health insurance company will cover (bear) all medical expenditures. 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 have to face are those that are not covered by the insurance. Anyone who has not chosen health insurance with a cashless medical treatment facility will be compelled to go through the entire procedure of bill submission and paperwork, even if hospitalised to a network hospital.

How To Choose Network Hospitals?

Finding a network hospital is not as tough as it appears. All you have to do is go to the websites of several health insurance companies and check for the network hospitals option. Finding a network hospital will be easy because most health insurance providers have a list of network hospitals based on state and area. If you cannot locate the list, do not hesitate to contact the insurance company representatives and request it.

Take Away

Network hospitals provide rapid medical care without the hassles of paperwork and bill submission. As a result, health insurance policyholders prefer them. Because the insurance company covers the medical costs immediately, the patient does not have to pay them at the network hospital. It not only saves time, but also the aggravation of double-checking bills.

Also Read: What Exactly Is a Comprehensive Health Insurance Policy?

When Is It Appropriate To Buy A Health Insurance Policy?



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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