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2. With the many of the survey it is proved that
purchase of medical insurance can keep you
healthy for a long time. Health insurance may be
one of the most important purchases of your life.
Health policy essentially covers your medical
expenses. Like other insurance policies, Mediclaim
Policy is a contract between the insurer and the
individual/groups. Anyone can buy medical
insurance for individual or for all family members
as per the need. But before buying medical
Insurance Policy one should understand the
following claim processes.
4. In cashless hospitalization schemes, Insurer
pays directly to the hospital for your treatment.
For Health-Insurance Claim on cashless bases,
your treatment must be at network hospital.
You do not have to pay bill with the hospital.
The Insurance Company represented by the
TPA, co-ordinates with the hospital and pays
the bills.
5. Network Hospitals- Companies tie-ups with
hospitals after checking the medical facilities
and negotiating the rates, these hospitals are
called network hospitals. Cashless Health
Insurance Facility available only in network
hospitals.
6. TPA (Third party Administrator licensed by
the Insurance Regulatory and Development
Authority (IRDA) ) - An organization that
ensure better services to policyholders. It is a
middle layer between the insurers and insured
and provides cash less services at the time of
hospitalization.
7. Reimbursement is process of compensating
someone for an expense. In reimbursement
Mediclaim plan, the patient can be admitted to the
any hospital. Money spent on the treatment paid
by individual at that time, which can be further
compensated by the insurance company as per the
terms and conditions. For claiming a
reimbursement, document related with the
treatment like bills etc. have to produce in original
while filling a claim. Following are the four
common documents which have to be in original
while filling Health Insurance Reimbursement-
9. Both Cashless and Reimbursement policies are
very much common now these days, You can
choose any one as per your need. But before
buying any Health Insurance Policy must
aware of the terms and conditions of the
insurance provider.
10. Bajaj Capital Insurance provides you a
comprehensive on-line insurance platform to
compare and buy best insurance policies
offered by leading insurance companies in
India.
To know more about health Insurance and get
a free insurance quote call 1860-266-1226, we
will happy to assist you. For more information
you can also log on
to http://www.bajajcapitalinsurance.com