The Sum Assured is the maximum value for one year that your insurance company can pay upon your hospitalization. The amount over and above the insurance amount needs to be taken out of your pocket
Let’s take an example: According to your policy, your room rent limit is Rs 6,000 per day. Now, if you go to the hospital and choose a room for rent of Rs 12,000, then you have to pay an additional Rs 6,000 from your pocket.
Note :- ClaimBuddy experts helps you to file your Claim.
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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