The claim process under group health insurance policy can be simply understood as the following: In case of network hospitals If you are visiting a network hospital, i.e., one that your health insurer has tied up with, you will be entitled to get cashless hospitalisation. It means, you just need to show your health card […]
Group health insurance offers protection to employees of an organisation against any medical emergencies by covering them for hospitalisation costs. Below infographic explains the claim filing process of group health insurance policy for cashless and reimbursement claims.
Documentation plays a very important role when it comes claims. If we submit the correct documents on time, claims get settled without any hassle. For cashless facility, health insurance card and one identity proof needs to be submitted at TPA Desk in the hospital by patient. Then, Hospital needs to submit following documents to the […]
Have you ever been accidentally injured, visited the emergency room for treatment and submitted your medical bills to your group health insurance company? Usually, in such a scenario, your health insurer will pay for your medical expenses, however, after making the payment, the insurer may contact you to discuss the injuries or how they occurred. […]
What are the things Employees Should Take Care of while Claiming Reimbursement under Group Health Policy?
A reimbursement claim for group health insurance can be made if the policyholder decides to go to a hospital of his/her choice which is a non-empaneled hospital. In such a case, cashless hospitalisation cannot be availed. In some cases, people also go for a reimbursement option, where the insurer is taking time to settle the […]
What documents are required while making a claim under a Group Mediclaim Policy or GMC? A group mediclaim policy (also called a Group Health Insurance policy) covers a group of individuals against medical contingencies. The policy is issued to a registered group and covers all the individuals who are members of the group. A group […]
How Does Insurer Settles Medical Expenses if They are More than the Capping under Group Medical Plan?
In a group health insurance plan, there are different heads under medical emergencies, for which a specific amount or limit is indicated. This is called capping. It is the maximum amount that the insured can avail for a specific head under a group health insurance plan. If the expenses under one of the heads is […]