What are Pre & Post Hospitalization Expenses?

Pre-hospitalisation expenses are medical costs incurred by the insured before getting admitted in a hospital. Post-hospitalisation expenses are medical costs incurred after discharge from the hospital. These are covered by most health insurers.

Health insurance not only entails medical expenses during medical emergencies, but also encompasses pre and post hospitalization expenses. It is common knowledge that when an individual is hospitalised, he or she undergoes several tests in addition to taking medication, both of which are covered by most of the health insurance policies.

Pre-hospitalization Expenses:

Pre-hospitalization expenses include various charges related to medical tests before an individual gets hospitalized. Doctors/physicians conduct a slew of tests to accurately diagnose the medical condition of a patient before prescribing treatment. It is important to note that the number of days which are covered, tends to vary depending upon the type of health insurance provider. However, in most cases, charges incurred by an individual 30 days prior to his or her admission to any hospital fall within the ambit of pre-hospitalization expenses. For instance, several tests such as blood test, urine test and X-ray among others are categorised as pre-hospitalization expenses.

Pre And Post Hospitalization Expenses
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Post hospitalization Expenses:

Post hospitalization expenses include all expenses or charges incurred by an individual after he or she is hospitalized. For instance, the consulting physician may prescribe certain tests to ascertain the progress or recovery of a patient. It is important to note that the number of days which are covered tends to vary depending upon the type of . However, in most cases, charges incurred by an individual for 60 days from the discharge date comes under the ambit of post hospitalization expenses. Expenses related to various therapies, namely, acupuncture and naturopathy are not included by insurance providers in the category of post hospitalization expenses. However, diagnostic charges, consulting fees and medicine costs are covered.

An individual can claim both pre and post hospitalization expenses upon submission of original bill receipts and relevant copies of doctor’s certificate and discharge summary. Policyholders should have detailed knowledge of the list of inclusions in their health insurance policies to avail of the maximum benefits from them.

GST rate of 18% applicable for all financial services effective July 1, 2017.

Disclaimer: Premiums may vary depending upon factors like age, location and prevailing taxes/GST.

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