Policyholders Can Now Avail Cashless Treatment In Any Hospital, Check New Guidelines

Policyholders Can Now Avail Cashless Therapy In Any Hospital, Test New Pointers

Well being Insurance coverage: The cashless facility was earlier accessible solely at restricted hospitals the place the respective insurance coverage firm had an settlement or tie-ups.

Health Insurance
Well being Insurance coverage

New Delhi: Until now, the policyholders have been looking out hospitals which are underneath their medical insurance coverage for therapy. However the Common Insurance coverage Council (GIC) has now launched new tips with which — ‘Cashless In all places’ initiative — policyholders can get handled in any hospital with out a lot hassle. They’ll take therapy anyplace even when a hospital just isn’t within the community of the insurance coverage firm. The brand new tips from the GIC have turn out to be efficient from January 25, 2024.

Test Current Pointers on Cashless Therapy

As a part of the prevailing medical insurance insurance policies, in case of hospital therapy, policyholders needn’t pay for therapy with a cashless facility the place insurance coverage corporations decide to protecting the therapy prices on the hospital, supplied the declare is admissible.

This cashless facility is out there solely at restricted hospitals the place the respective insurance coverage firm has an settlement or tie-ups. Nonetheless, the policyholder won’t discover this facility if he chooses one other hospital with out such an settlement and in that case, the client has to go for a reimbursement declare, which can additional delay the declare course of.

Test New Pointers From Insurance coverage Council

After consulting all Common and Well being Insurance coverage Firms, the Common Insurance coverage Council mentioned it’s launching the ‘Cashless In all places’ initiative. As a part of the brand new initiative, the policyholder can get therapy in any hospital they select, and a cashless facility will probably be accessible even when such a hospital just isn’t within the community of the insurance coverage firm.

Test Phrases and Situations

The policyholders should take observe that the ‘Cashless In all places’ initiative is topic to elective procedures and they need to intimate the insurance coverage firm at the very least 48 hours previous to the admission.

And for the emergency therapy, clients have to intimate the insurance coverage firm inside 48 hours of admission.

Additionally, the insurance coverage declare needs to be admissible as per the phrases of the coverage and the cashless facility needs to be admissible as per the working tips of the Insurance coverage Firm.



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