• Cashless Health Insurance

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    Cashless Treatment

    Customer Service

    Medical Coverage

    Claim Experience

    Responsiveness

    Health Insurance
    • Claim up to Rs. 55,000 deduction under section 80D*
    • 10,000+ hospitals for cashless treatment
    • Insurers offer plans with no limit on room rent

    Overview of Cashless Health Insurance:

    To understand cashless health insurance an understanding of health insurance in general is necessary. Health insurance is an instrument that can be used to ensure that, in case of a medical emergency, policyholders are able to provide their families with the best medical help possible. There are times when this medical help might be too expensive for some people and that is where a health insurance policy steps in to help pay the bills. The cashless mediclaim policy is a type of insurance where policyholders can be hospitalised, get the relevant treatment and be discharged without having to pay anything from their pockets.

    Key Features:

    The features of any cashless policy will depend on the insurer who provides the insurance but some of the most common features are:

    • Pre & Post Hospitalization Medical Expenses
    • In-patient Care
    • No-claim bonus
    • Complementary health check up
    • Daily cash benefits
    • Cover for ambulance charges
    • Cover for domiciliary treatment
    • Cover for critical illnesses like cancer, heart attack, stroke, etc.
    • Tax benefits
    • Free-look periods

    Understanding Cashless Hospitalization:

    1. What is cashless hospitalisation?

    2. What is meant by cashless hospitalisation is that when you get admitted in the hospital for treatment, for an illness covered by your health insurance policy, you don’t have to pay for the treatment from your own pocket.

    3. How does cashless hospitalisation work?

    4. Health insurance providers enter into agreements with various hospitals which state that patients holding cashless mediclaim policies won’t have to pay the hospital for treatment. The charges will be paid directly to the hospital by the insurer.

      Cashless-Health-Insurance
    5. Is there anything that the policy will not pay for?

    6. These policies generally cover only the expense of the treatment. This could include cost of medicines, medical procedures, fee for anaesthesiologist and surgeons, ambulances, rooms, etc. They will not cover expenses that are non-medical in nature. Most insurers provide lists of items that the policy won’t pay for and should be consulted by policyholder. The list could include items like tissue paper, air conditioning, television, etc.

    7. Why is it important to take cashless health insurance?

    8. If you were to need hospitalisation for something and did not have enough money to pay for the treatment, or even a part of the treatment, your options for proper medical care would be severely limited. With cashless health insurance you can be assured of the best possible treatment even if you don’t have the money to pay for it.

    9. Is it different from other policies like family floater, individual, etc.?

    10. No, a cashless policy is essentially the same as an individual policy or a family floater policy. It will even provide the same benefits as them and have the same exclusions. The best way to describe it would be to say that the cashless part of a health insurance policy is actually a benefit or a feature rather than a type of policy.

    11. How is it different from co-pay?

    12. In co-pay policies, policyholders and insurance providers share the hospital expenses. A certain percentage of the medical bills are paid by the policyholder while the remainder, the lion’s share, is paid by the insurance company.

    13. How is it different from reimbursement?

    14. If you go for treatment to a hospital that is not a part of the network hospitals, you need to make the payments from your pocket and then submit the bills to get a reimbursement from the insurer. In a cashless policy, the payment is made directly by the insurance company if treatment is done in a network hospital.

    15. What is the tenure of the cashless health insurance policy?

    16. Cashless health insurance policies, like most health insurance products, come with a standard tenure of 1 year. They need to be renewed every year. Some insurers, however, do offer tenures of 2 years at a time.

    17. How long can I renew the policy for?

    18. Most cashless mediclaim policies can be renewed throughout the lifetime of the policyholders.

    19. What if I fail to renew the policy in time?

    20. In case you fail to make the payment for the policy by the due date, you will be given a grace period of 15 days. However, it must be noted that in most cases, insurance policies are not active during the grace period.

    21. Is this type of a policy transferable?

    22. Yes, these health insurance policies can be transferred from one insurer to another.More on health insurance portability

    23. Do these policies cover pre-existing illnesses?

    24. Yes some insurers may offer cashless policies for pre-existing conditions however, this facility may be subject to conditions set forth by the insurer.

    Advantages of Cashless Health Insurance:

    Cashless health insurance policies offer policyholders a wealth of benefits like:

    • With this policy in effect, policyholders don’t have to have ready cash to cover medical expenses.
    • Some cashless health insurance policies will be valid outside India as well. This is more of a feature and will depend on the insurer.
    • It will provide for tax benefits under section 80D of the Income Tax Act 1961. The limits defined are Rs. 20,000 per year for senior citizens and Rs. 15,000 for all others.
    • Some of the insurers will also provide policyholders free medical check-ups at regular intervals.

    Who should buy Cashless Medical Insurance?

    Just the convenience of cashless insurance is enough to convince anyone of buying this policy but those that could benefit the most from these policies are self-employed individuals where there is no regular income coming in. For such people a cashless policy could make a lot of difference in case of an emergency. The same can be said for individuals who cannot afford the cost of expensive medical treatments. A cashless policy could also be of great help if the person plans on traveling abroad as some companies offer health insurance cover outside India too.

    Exclusions:

    While health insurance plans do offer to cover most of the medical emergencies and conditions, the cover is subject to exclusions. These exclusion are of two types, temporary and permanent. Temporary exclusions are expenses that the policy won’t cover for a period defined by the insurers while permanent exclusions are expenses that the policy will never cover. These things could be:

    • Pre-existing illnesses
    • Congenital disease
    • HIV/AIDS
    • Non-medical expenses
    • Injuries or ailments acquired in the course of conducting illegal activities
    • Routine medical exams
    • Dental procedures
    • Joint replacements unless it is necessitated by an accident
    • Experimental treatments
    • Injuries or medical conditions caused by terrorist acts or wars

    An Example:

    Consider 2 people, Divya and Parul. Each of them is married and covered by a substantial health insurance plan. The cover provided by their health insurance plans too is the same, and covers the same medical treatments. The only difference is that Divya has a co-pay family floater plan and Parul has a cashless family floater plan. It so happens that they need to be hospitalised for the same illness. Each one of them gets admitted and receives the same medical treatment, which costs the same at both hospitals, but when the time comes to be discharged Divya’s bill is considerably higher than Parul’s. How could this be?

    The difference in the bills cropped up because Divya’s co-pay policy only paid part of the medical expenses. The remainder was to be paid by her along with the bill for the sundry expenses which means that Divya now has to dip into her savings to pay the bills. On the other hand Parul’s cashless policy paid for the entire treatment and all she had to pay for was sundries that were not covered by the policy.

    This is but one example where a cashless policy makes the most sense.

    Top Health Insurance Policies with Cashless Hospitalization:

    1. Max Bupa Health Insurance:

      Max Bupa Health Companion Health Companion:

      • It is a comprehensive family floater health insurance plan
      • Offers cover for hospitalisation, hospital accommodation, pre and post hospitalisation medical expenses and day care treatments
      • Offers cashless facility at your nearest network hospital
      • Direct claim settlement
      • Offers tax benefits

      Max Bupa Heartbeat Heartbeat:

      • Designed especially for the Indian joint family
      • Offers cover for up to 14 relationships with individual and floater sum assured
      • Cashless approval within 4 hours
      • Assured policy renewal for life
      • Offers a wide range of hospital cover including maternity facility, newborn care, vaccination cover and much more
    2. Apollo Munich Health Insurance:

      Apollo Munich Optima Restore Optima Restore:

      • Offers a wide range of cover
      • Offers restore benefit
      • Offers everyday cash for shared accommodation
      • Comes with tax benefits under section 80C of the Income Tax Act
      • Multiplier benefit

      Apollo Munich Easy Health Easy Health:

      • Offers a comprehensive cover
      • Offers cover on individual sum basis with an add on optional cover for critical illness
      • Offers daily cash for shared accommodation
      • Provides recovery benefit
      • Offers cashless service for planned admission

      Apollo Munich Optima Cash Optima Cash:

      • Optima Cash by Apollo Munich is a top up health insurance plan
      • Offers a vast cover including day care, convalescence benefit and parent’s hospitalisation and much more
      • Sum insured enhancement
      • Offers cashless service facility to ensure the policyholder doesn’t have to worry for cash at the time of a medical emergency

      Apollo Munich Optima Vital Optima Vital:

      • It is a unique critical illness health insurance policy
      • Offers cover for critical illnesses and other conditions
      • Offers sum insured enhancement
      • Offers portability
      • Provides cashless service

      Apollo Munich Optima Super Optima Super:

      • It is a top up health insurance plan
      • Offers waiver of deductible benefit on the plan
      • Cashless service with pre authorization
      • Offers portability
      • Offers tax benefits
      • Offers value added service like health risk assessment
    3. Reliance Health Insurance:

      Reliance Health Gain Plan:

      • It is a general health insurance policy offered by Reliance
      • Provides different plans including family floater plan and individual plan
      • Cashless hospitalisation in over 4000 plus network hospitals
      • Lifelong renewal of the health insurance policy
      • Quick and hassle free claim settlements

      Reliance Health Wise Policy Health Wise:

      • Health insurance policy with a comprehensive cover
      • Provides cashless hospitalisation
      • Reinstatement of base sum insured
      • Offers a variety of options to choose from
      • Easy medical claim settlements
    4. ICICI Lombard Health Insurance:

      ICICI Lombard Health Care Plus Health Care Plus:

      • Individual health insurance cover for each member of the family
      • Flexible sum insured
      • Flexible deductibles
      • Offers cashless facility
      • Long term cover
    5. Religare Health Insurance:

      Religare Health Care:

      • Health insurance policy with comprehensive coverage
      • Speedy claim settlement
      • Cashless treatment at 4600+ hospitals & Daily allowance
      • Auto recharge of policy sum insured if it has exhausted
      • Lifetime renewability

      Religare Health Joy:

      • Offers a wide cover including new born cover
      • A combination of hospitalization and maternity insurance
      • 100% increase of sum insured with no claim bonanza
      • Cashless treatment at 4600+ hospitals
      • Waiting period of 24 hours for maternity claims

      Religare Health Enhance Enhance:

      • It is a top up health insurance policy
      • Cashless treatment available
      • No paperwork required
      • Lifetime renewability
      • Health check-ups for insured members every year
    6. New India Assurance Health Insurance:

      New India Floater Mediclaim Policy

      • It is a health insurance policy offering a wide cover
      • Offers cashless benefit
      • Offers critical care benefit
      • Hassle free claim process

      New India Asha Kiran Policy

      • Offers health insurance cover for the family
      • Offers cashless benefit
      • Critical illness benefit
      • Hospitalisation necessary to get a claim

      New India Senior Citizen Mediclaim Policy

      • Health Insurance policy designed especially for senior citizens
      • Pre acceptance health check up
      • Offers a wide health insurance cover
      • Provides cashless hospitalisation
      • Hassle free claim process
    7. Future Generali Health Insurance:

      Future Generali Health Suraksha- Individual Plan

      • It is an individual health insurance policy
      • Pre acceptance medical tests up to 40 years
      • Offers additional accidental hospitalisation
      • Provides cashless hospitalisation
      • 30 days renewal policy

      Future Generali Health Suraksha- Family Floater

      • It is a family floater health insurance policy
      • Offers portability
      • Free health check up
      • Offers cover for a wide range of medical conditions
      • Quality health insurance at a low premium

      Future Criticare Policy

      • It is a critical illness health insurance cover
      • The policy will pay a lump sum benefit on the diagnosis of specified critical illness
      • Offers cashless service at network hospitals
      • Offers tax benefits under section 80C of Income Tax Act
      • Hassle free and easy claim process

    Why Buy Online:

    With the busy schedule that most people maintain, these days, it is very difficult to sit and talk to an insurance agent, just to understand which health insurance policy is the best. With BankBazaar.com not only is this process simplified but it also offers much more flexibility. Instead of sitting with someone and talking about various plans, all you have to do is enter your basic information and we will provide you with a choice of plans, from different insurers, which suit you the most. You can even apply for these plans using the BankBazaar website.

    News About Cashless Health Insurance

    • Rajasthan Government to launch a new Cashless Health Insurance scheme

      The Government of Rajasthan today declared its plan to launch a cashless health insurance plan. The plan is designed to include more than 1 crore people starting from 13th December. To execute this plan of launching a new cashless health insurance scheme, the Rajasthan Government has signed a Memorandum of Understanding with the New India Insurance Company.

      The government has so far covered 67% of its people by creating health cards. Consumers having Bhamashah Yojna Card will also be able to enjoy the benefits of this new health insurance scheme. The e-health cards would be made ready by December 13th, 2015. As per this new scheme, a person would be able to enjoy the benefits provided under this scheme in 1700 select hospitals. The scheme would provide coverage up to Rs. 3 lakhs which is subject to pre and post hospitalization.

      25 November 2015

    • App from Remedinet Technologies for Cashless Settlement of Health Insurance Claims

      Remedinet Technologies launched two mobile apps that provide the status of cashless health insurance claims to patients and hospitals. The apps were launched on Windows 8.1, Android platforms and Microsoft Visual studio. Hospitals can download the Remedinet Hospital mobile app to access information regarding claims while the customers can download the Remedinet Consumer app to check the status of their claims. For the consumers, the application will act as a boon since it is easy to navigate and information can be accessed just by entering details such as name of the patient or reference number of the claim.

      13 May 2015

    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.

    Cashless Health Insurance Reviews

  • Page 1 of 50 1 2 3 4 5
    • Star Health Health Insurance
      "Good Service"
      0.5 4.0/5 "Great!"
      I've a health insurance policy with the Star Health Insurance Company. It offer health insurance benefits for the Whole full family, I am paying premium of 6000 per year and do not have any claim experience. The service is good. They have partnered with many hospitals in my area . Based on the features it has been a god experience with them.
      Was this review helpful? 0
      , coimbatore
      Reviewed on Jun 21, 2018
    • Royal Sundaram Health Insurance
      "Good Service"
      0.5 3.0/5 "Satisfactory"
      I've a health insurance policy with the Royal Sundaram. I am paying the premium for myself . I pay a premium of 2500 per years. I do not have any claim experience with the policy and th premium amount gets auto debited from my account.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Jun 21, 2018
    • Reliance General Health Insurance
      "Hopeless Service"
      0.5 0.5/5 "Unacceptable"
      They are a joke to the insurance sector. They will never give you any claim and even if you write to them, they will never bother to reply. I took a policy medical from Reliance and trust me during the time of claim they did not pass it when we inquired they did not reply. Thief company
      Was this review helpful? 0
      , kolkata
      Reviewed on Jun 21, 2018
    • Star Health Health Insurance
      "Good Service"
      0.5 4.0/5 "Great!"
      I've a health insurance policy with the Star Health. I have claimed this policy for 2 lacs. The whole claim process was easy, after discharge. The service was very good. I am really happy about the service of Star Health and it is a recommendable health insurance policy to have.
      Was this review helpful? 0
      , chennai
      Reviewed on Jun 20, 2018
    • ICICI Lombard Health Insurance
      "Good Service"
      0.5 5.0/5 "Blown Away!"
      I've a health insurance policy with the ICICI Lombard . I pay a premium of 5500 per year for this policy. I do not have any claim experience with the policy. They offers 5 lacs coverage for the entire family and the network list of hospitals are also pretty solid with their services.
      Was this review helpful? 0
      , new delhi
      Reviewed on Jun 20, 2018
    • Cigna TTK Health Insurance
      "Good Service"
      0.5 3.0/5 "Satisfactory"
      I've a health insurance provided by the Employer from the Cigna TTK . I do not have any claim experience , Company is paying the premium. It offers an annually coverage of 2 lacs for me and 1 lac for my wife and 50000 for my children. So far it has been a smooth experience and I'll have to wait and see how they respond to my claim in future.
      Was this review helpful? 0
      , chennai
      Reviewed on Jun 20, 2018
    • HDFC Ergo Health Insurance
      "Good policy to use"
      0.5 5.0/5 "Blown Away!"
      Got the health insurance policy from the HDFC ERGO around a year ago. The customer support service and the response is good with the HDFC ergo . This policy covers only one member in my family. I have the medical coverage up to Rs,3,00,000 and I am satisfied having the health insurance policy.
      Was this review helpful? 0
      , mumbai
      Reviewed on Jun 20, 2018
    • Star Health Health Insurance
      "Excellent"
      0.5 4.0/5 "Great!"
      I am having the health insurance policy with the Star health insurance company. Customer service is good one and their response too. Coverage value is fine one too with the Star health insurance company. I have not faced any such claims with them till now.
      Was this review helpful? 0
      , bangalore
      Reviewed on Jun 20, 2018
    • Max Bupa Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have my health insured with MAX BUPA from last 3 years and it is one of the good policy. It is a family coverage where spouse and children are covered. I pay a premium of Rs 18000 for this health insurance. My claim experience was good and they covered 70% of the billed amount.
      Was this review helpful? 0
      , bangalore
      Reviewed on Jun 19, 2018
    • Religare Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I was using health insurance policy with Religare from last 2 years, i am happy with the coverage value of this insurance policy. I am satisfied with the claim experience and it was a cashless treatment. I have a coverage value of Rs 3 lakhs for this insurance policy.
      Was this review helpful? 0
      , navi mumbai
      Reviewed on Jun 19, 2018
    • ICICI Lombard Health Insurance
      "Good Policy"
      0.5 5.0/5 "Blown Away!"
      I took health insurance from Icici health insurance . I have choose this insurance mainly because of convincing premium with too many benefits . This policy covers Cashless hospitalization. Pre diseases coverage . Overall am satisfied with customer care and service. Am getting income tax benefits
      Was this review helpful? 0
      , new delhi
      Reviewed on Jun 19, 2018
    • New India Health Insurance
      "Very good service"
      0.5 5.0/5 "Blown Away!"
      New India Assurance was the first health insurance provider with the Employer provided health insurance, They've partnered with the many hospitals in Pan India and also offered protection for the entire family. They were also offering cashless treatment facilities. Overall it has been a smooth experience.
      Was this review helpful? 0
      , chennai
      Reviewed on Jun 18, 2018
    • SBI General Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have a health insurance with SBI general insurance from last 2 years, i am happy with the coverage value of this insurance policy. I have not claimed anything so far from this insurance company. I pay a premium of Rs 50 per month for this insurance policy.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Jun 18, 2018
    • Star Health Health Insurance
      "Good to have insurance policy"
      0.5 3.0/5 "Satisfactory"
      Idon't have any experience of claim hence i never get a chance to call their customer care. They used to call me for renewing the policy. I can claim about 3.5 lakhs per annum. If i use 10% or not claim the policy, they wont give additional benefits for the next year. Their is a insured amount by 10%. My premium amount will be same but the claim amount they will increase by 10% next year. Cashless treatment is available in this policy
      Was this review helpful? 0
      , noida
      Reviewed on Jun 18, 2018
    • National Insurance Health Insurance
      "Very late back policy"
      0.5 3.0/5 "Satisfactory"
      My company people have taken health insurance policy to the employees. Once i have claimed the policy for my mother. The service is not good as per experience. They have a separate hospital list, in that they have mentioned cashless facility is available but when i went for those hospital, they said their is no cashless facility for this insurance. They will not response from the National Health insurance. The number will keep on ringing. After that my company asked me to send the bill. But i never done to this company. The claim is very low which is less than 20000.
      Was this review helpful? 0
      , bangalore
      Reviewed on Jun 18, 2018
    • Religare Health Insurance
      "BEST"
      0.5 4.0/5 "Great!"
      From past 7months i am using this health insurance. Documents i have done through the on line. The coverage is for 10k. Per annual i pay of rupees 7-8k. Disease coverage is there. Free medical checkup once in a year is also available in my insurance.
      Was this review helpful? 0
      , new delhi
      Reviewed on Jun 17, 2018
    • New India Health Insurance
      "Chatting with customer at clamp time"
      0.5 0.5/5 "Unacceptable"
      This is a type of fraud company.This does not pass the claim.When they go to the customer to make a claim, it only rotates it, this time of direction can be more than 8 months.thay do not have any response anymore, only you have to call them these times and you have to consider the information.Out of which it does not raise your phone more than half the time. Each time they constantly ask for something new, they never tell you once and after 8 or 9 months of the final, you cancel your claim according to the new rule.They do not deliberately describe the whole processor, either by either losing the customer tired or in the last. I will request all individual personal and special corporate offices to never do any bonding with this type of company.Because the new rules which it says in 8 or 9 months, how will the customer know at first sight, they deliberately conceal the rules so that the customer does not get disturbed and do not claim.
      Was this review helpful? 0
      , neemuch
      Reviewed on Jun 16, 2018
    • National Insurance Health Insurance
      "Good Service"
      0.5 4.0/5 "Great!"
      I've a health insurance policy from the National Insurance. I am paying the premium of 1400 per year. You can claim this policy at any network hospitals in the country. The need to nofity the customers about the partnered hospitals. If they have tie up with the a new hospital they need to send updates to the customers or publish it on their website.
      Was this review helpful? 0
      , chennai
      Reviewed on Jun 16, 2018
    • Star Health Health Insurance
      "Average Service"
      0.5 2.0/5 "Expected more"
      I'm using the Star Health insurance policy. I do not have any claim experience yet. I pay a premium of 8000 Per year. They don't send any renewal notifications. Their Service is good. The coverage is 1 lac for whole family per year. They need to improve their notifications and keep the customer posted about important dates.
      Was this review helpful? 0
      , chennai
      Reviewed on Jun 16, 2018
    • Royal Sundaram Health Insurance
      "Good Service"
      0.5 3.5/5 "Pretty good"
      I've been using the health insurance policy from Royal Sundaram for a while. I am paying the premium of 8000, many of my friends recommended Royal Sundaram. I never had any claim experience with the policy. Overall it has been a smooth experience. I'll have to wait and see how they respond to my requirement in future.
      Was this review helpful? 0
      , chennai
      Reviewed on Jun 16, 2018
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