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Cashless Mediclaim Policy: What You Should Know

Cashless health policy enables you to avail of health services without worrying about hand cash.

  • 10 Apr 2023
  • 3 min read

A cashless Mediclaim policy is a progressive new way to manage medical expenses. Traditionally, when someone falls ill or requires medical attention, they must pay for the costs upfront and then submit a claim to their insurance provider for reimbursement. However, with a cashless Mediclaim policy, the entire process is streamlined and simplified.

A cashless Mediclaim policy allows you to walk into any of your insurance provider’s network hospitals and receive the necessary medical treatment. The payment for the treatment is then directly settled between the insurance provider and the hospital without the need for you to pay any money upfront. This arrangement eliminates the burden of arranging for funds in times of medical emergencies while also allowing for a seamless and hassle-free medical experience.

How does cashless Mediclaim insurance work?

Cashless Mediclaim insurance works in the following manner.

  • Choose medical insurers that provide coverage for the majority of diseases.
  • Provide information about your current and previous medical conditions, and then pay the premium.

If you become ill, you can go to any accredited hospital listed on the insurer’s network and get treated without having to pay anything out of pocket.

How to avail of cashless Mediclaim insurance?

Follow the steps below to understand better how to get cashless Mediclaim benefits.

• Choose a network hospital:

The first step is to choose a hospital that is part of your health insurance provider’s network. 

• Intimate the insurance provider:

Once you have identified the network hospital where you want to get treated, you must inform your insurance provider either by calling their customer care number or using their mobile app.

• Show your insurance card:

  • When you reach the hospital, show your Mediclaim insurance card to the hospital’s billing department or third-party administrative officer. The card will have all the necessary details, such as the policyholder’s name, policy number, and coverage details.

• Get pre-authorisation:

The hospital will then contact the insurance provider to get pre-authorisation for the treatment. The hospital does this to check the coverage amount and ensure your policy covers the treatment.

• Get treated:

Once the pre-authorisation is received, you can get treated without having to pay any cash upfront. The hospital will send the treatment estimate to the insurance provider directly.

• Settle the balance:

In case the total cost of treatment exceeds the policy’s coverage limit, you will have to settle the balance amount directly with the hospital.

Also read:

  • Health Insurance Policy
  • health insurance policies
  • Health Insurance
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