There are two primary ways to claim Health Insurance: reimbursement or cashless facility. Under reimbursements, you pay for the treatment cost upfront and then claim the Insurance.  Under a cashless facility, you need not pay for your medical expenses upfront. The Insurance provider directly settles the treatment cost with the hospital. However, you can avail the cash facility only at partner hospitals approved by the Insurance provider.

Maximum people prefer opting for the cashless facility for the innumerable benefits it offers. Let us understand the benefits and the process of claiming a Health Insurance cashless facility.

Benefits

Instant fund access

You do not want to scramble around to gather funds when your loved one’s life is at stake. You can avail a large amount instantly with the cashless facility.

Paperless process

The cashless facility saves you from extensive paperwork. You only need to show the medical claim card at the hospital bill desk, and the insurer takes care of the rest.

No waiting period

There is no waiting period when you avail the cashless facility under Health Insurance Plans. The insurer covers the medical cost within the shortest time frame. This way, you can focus on getting better without worrying about finances.

Procedure to avail cashless facility

• As mentioned, you can avail the cashless facility at partner hospitals only. Hence, learn about the hospitals that you can avail them. You can find the list of partner hospitals on the provider’s website. Consider the hospitals in your vicinity and select one.
• Every hospital has a help desk you can reach out to for assistance. They may ask you to fill out a pre-authorisation or third-party administrator (TPA) form. Fill in all details correctly and submit them for approval.
• Once your cashless facility request gets approved, you are informed about it via email. The approval mail also mentions the maximum insured amount you are eligible to claim for the treatment. Contact your Medical Insurance provider in case of any doubts. They guide you through the claim procedure.
• Once your cashless request is approved, the insurer will directly settle your medical treatment cost with the hospital, so you need not worry about anything.

Note: If you are opting for planned treatment, inform the Insurance provider at least two days before your hospitalisation. In emergency cases, raise a cashless request within 24 hours of admission.