Wednesday, March 14, 2012

Free Medical Care with a Medical Policy


When a person falls ill, the main problem is that the insurance company did not pay the cost of healthcare upfront. This situation is now changing. There are health insurance plans that provide the option of an individual getting treated without paying money. This concept is known as cashless hospitalization or cashless insurance in India. The main aim is that customers should not have to sacrifice on any form of healthcare at all. The mediclaim plans that are provided offer reimbursement to people after the payment for a medical policy has been made. However, the problem is that most people used to be skeptical of using this facility.

Earlier, people were very particular about the doctor they visited or the hospital where they got treated. However, the option of cashless hospitalization is only available in network hospitals, thus making it more difficult for such people to get the treatment needed. There are many people who would like to get the treatment without paying but were not keen on visiting new hospitals. People have now started embracing the concept of cashless hospitalization that is available with the medical policy. Therefore they agree to getting treated in a network hospital. This process also speeds up the treatment.

The term cashless insurance in India has been coined because customers get to use the medical policy without paying any money. The original term that is used by most insurance providers is either cashless hospitalization or cashless treatment. People now know that they do not need to even pay for the treatment themselves. This gives a lot of relief to the customer and therefore they are more open to the ideas of new healthcare means.

The only thing that they need to carry along with them is health insurance card that should be displayed at the hospital. This card acts as a proof of policy issuance to a person. In case of cashless hospitalization, an insured needs to intimate the insurer at the earliest. A letter for approval goes from hospital to the insurer, who if approves the coverage, pays for the medical expenses, keeping an insured and his or her family at bay from the related complication.

Companies like Apollo Munich try to give customers the choice of selecting from a vast range of insurance plans. They provide the customers access to more than 4000 network hospitals where they can get cashless hospitalization.

It does not mean that there is no coverage offered for the treatment availed in non-network hospital. But, instead the mode of financing medical bills is different. One has to raise the required medical bills for the settlement of claim. After processing, the cheque is issues to an insured. It is known as reimbursement or settling claim. One of the points to be pondered over at this stage is the timely intimation of hospitalization for the treatment of covered peril to an insurer or to TPA, as per the requirement.  The coverage or benefits have proved much beneficial for an insured in seeking medical treatment, which otherwise would be a difficult task.

In addition to these benefits, there are many more facilities and benefits that have been designed to keep insured healthy and offer him or her medical assistance to the extent possible. There are many extensive coverage offering plans, like Apollo Munich’s ‘Maxima’ that are designed to make medical treatment almost free for an insured.

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