An important aspect of the cashless mediclaim process is the network hospital. Every health insurance company has a list of network hospitals across the country where they provide cashless service. Health insurance companies tie up with various hospitals after examining their rates and quality of service. When the policyholder is admitted to a network hospital, he does not have to settle the bill with the hospital. The insurance company or TPA settles the bill directly with the hospital. You can also get information about network hospitals of an insurance company from their official website. If the policyholder undergoes treatment in a hospital, which is not listed under Network Hospital, then he / she cannot avail cashless mediclaim for that round of treatment.
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TPA Stands For Third Party Administrator. It is intermediate between the policy holder and the health insurance company. It provides a supporting role to the insurer in terms of claim.
Health insurance is a type of insurance that provides the policy holder with coverage for medical expenses in case of a health emergency.
If there is a medical problem and you need to be admitted, look at the list of network hospitals of your health insurance company in the area near you and select one.
An important aspect of the cashless mediclaim process is the network hospital. Every health insurance company has a list of network hospitals.
The Sum Assured is the maximum value for one year that your insurance company can pay upon your hospitalization.
The co-payment amount is usually a fixed amount for various services and medicines, which vary depending on the nature of the treatment or medication required.
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Claimbuddy is not registered and not regulated by Insurance Regulatory and Development Authority of India and doesn't have any tie up with insurance companies and Third party administrator.
