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  • 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
    • HDFC Ergo Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have a health insurance policy with HDFC ERGO from last 2 years, i am happy with the coverage value of this insurance policy. I have no claim experience so far with this insurance policy. A premium of Rs 6000 has to be paid for this insurance and the coverage value is Rs 3-4 lacs.
      Was this review helpful? 0
      , vadodara
      Reviewed on Sep 17, 2018
    • Star Health Health Insurance
      "Average Service"
      0.5 3.0/5 "Satisfactory"
      I was using the health insurance policy with the Star Health. I am paying a premium of 35K per year. On one occasion I claimed the policy and they were able to reimburse only 75% of the amount claimed which wasn't satisfactory.
      Was this review helpful? 3
      , hyderabad
      Reviewed on Sep 15, 2018
    • Reliance General Health Insurance
      "Average Service"
      0.5 3.0/5 "Satisfactory"
      I've a health insurance policy with the Reliance General Insurance. I am paying a premium of 27000 per year. It is for the entire family. There hasn't been any claim experience so far. I will have to wait and see how they respond to my requests in future if I will have any.
      Was this review helpful? 1
      , hyderabad
      Reviewed on Sep 15, 2018
    • New India Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      My health insurance is with New India Assurance from last 1 year, i am not aware of the premium amount as my company pays it. I have no claim experience so far with this insurance policy and the coverage value is Rs 2 lacs for individual.
      Was this review helpful? 1
      , bangalore
      Reviewed on Sep 14, 2018
    • Apollo Munich Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have a health insurance policy with Apollo Munich from last 7-8 years, i have no claim experience so far with this insurance policy. I pay a premium of Rs 12000 for this insurance policy and the coverage value is Rs 5 lacs for this policy.
      Was this review helpful? 0
      , pune
      Reviewed on Sep 12, 2018
    • Cigna TTK Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have a health insurance policy with CIGNA TTK from last 2 years, i am happy with the coverage value of this insurance policy. I pay a premium of Rs 12000 for this insurance policy. I have no claim experience so far with this insurance and the coverage value of Rs 4.5 lacs.
      Was this review helpful? 0
      , bangalore
      Reviewed on Sep 12, 2018
    • Max Bupa Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have a health insurance policy with MAX BUPA from last 6 years, i am happy with the coverage value of this insurance policy. I have no claim experience so far with this insurance and i get no claim bonus every year. The coverage value for this insurance is Rs 15-20 lacs.
      Was this review helpful? 0
      , faridabad
      Reviewed on Sep 12, 2018
    • ICICI Lombard Health Insurance
      "Good Policy"
      0.5 3.0/5 "Satisfactory"
      I have recently taken a health insurance policy with ICICI LOMBARD. I have to pay a premium of Rs 15000 on yearly basis. This policy i got it along with the personal loan taken from Fullerton. They gave a coverage of Rs 3 lacs for this insurance policy.
      Was this review helpful? 1
      , rajahmundry
      Reviewed on Sep 12, 2018
    • Star Health Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      My health is insured with STAR health from last 1year and it is a good policy to use. It is a family policy where the coverage value is Rs 3 lacs per individual. I do not have claim experience with this insurance and i pay a premium of Rs 15000 for this insurance.
      Was this review helpful? 1
      , coimbatore
      Reviewed on Sep 12, 2018
    • Religare Health Insurance
      "Best policy"
      0.5 5.0/5 "Blown Away!"
      I have a health insurance policy with Religare from last 1.5 years, a premium of Rs 14000 has to be paid for this insurance policy and it is a family coverage. My claim experience was very good and they covered 100%. Coverage value is Rs 5 lacs +5 lacs (auto refill) for this insurance.
      Was this review helpful? 0
      , ahmedabad
      Reviewed on Sep 12, 2018
    • Reliance General Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have my health insured with Reliance general insurance from last 3 months, i pay a premium of Rs 10000 for 2 individuals and each one has the coverage value of Rs 5 lacs. It is a good policy to use and i have not claimed anything so far from this insurance.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Sep 12, 2018
    • National Insurance Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I hold an Individual health insurance policy with National insurance from last 4 years, i have not claimed anything so far from this insurance policy. I pay a premium of Rs 3000 for this insurance policy and the coverage value is Rs 1.5 lacs for this insurance.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Sep 12, 2018
    • HDFC Ergo Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have my health insured with HDFC ERGO from last 1.5 months, i am happy with the coverage value of this insurance policy. A premium of Rs 6000 has to be paid for this insurance policy. I have no claim experience with this insurance the coverage value is Rs 5 lacs.
      Was this review helpful? 0
      , palanpur
      Reviewed on Sep 12, 2018
    • ICICI Lombard Health Insurance
      "Normal Service"
      0.5 4.0/5 "Great!"
      I've a health insurance policy with the ICICI Lombard. I am paying low premium, there hasn't been any claim experience with the policy so far. Considering the premium I pay it has been a normal experience with the policy so far.
      Was this review helpful? 1
      , udaipur
      Reviewed on Sep 11, 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 am paying the premium and I do not have any claim experience with the policy so far. I'll have to wait and see how they respond to my claim requests in future. It has been a hassle free experience so far.
      Was this review helpful? 0
      , bangalore
      Reviewed on Sep 11, 2018
    • Star Health Health Insurance
      "Start Health Insurance Fraud"
      0.5 0.5/5 "Unacceptable"
      My father purchased Star health insurance for family safety and was paying premium from last 2 years but when time came insurer refused to give claim stating that throughout the hospitalization and all investigation reports are within normal limits. My brother was admitted in family hospital delhi for 24 hours, doctors diagnosed him and billed approx 13500.
      Was this review helpful? 3
      , new delhi
      Reviewed on Sep 08, 2018
    • Chola Ms Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have my health insured with Cholamandalam health insurance from last 2 years, i am happy with the coverage value of this insurance policy. I am not aware of the premium amount as my company pays it. It is a family coverage and they cover up to Rs 5 lacs for this insurance.
      Was this review helpful? 0
      , bangalore
      Reviewed on Sep 08, 2018
    • Apollo Munich Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have a health insurance policy with Apollo Munich from last 3 months, i am happy with the coverage value of this insurance. I am not aware of the premium amount as my company pays it. The coverage value is Rs 10 lacs for accidental policy and Rs 10 lacs for death policy.
      Was this review helpful? 0
      , pune
      Reviewed on Sep 08, 2018
    • National Insurance Health Insurance
      "Very Good Service"
      0.5 4.0/5 "Great!"
      I had taken this insurance policy almost ten years back and the premium had been paying online. The premium amount has not been higher and it was nominal. Their customer support and their staff responses also had been good as well. They also covers most of the hospitals in our locality.
      Was this review helpful? 0
      , coimbatore
      Reviewed on Sep 07, 2018
    • ICICI Lombard Health Insurance
      "Good Policy"
      0.5 4.0/5 "Great!"
      I have an Individual health insurance policy with ICICI Lombard from last 4 years, i pay a premium of Rs 6500 for this insurance policy. I have not claimed anything so far from this insurance policy. The coverage value for this policy is 7 lacs.
      Was this review helpful? 1
      , faridabad
      Reviewed on Sep 06, 2018
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