Mediclaim Policy: By purchasing Mediclaim policy, you can take financial help during hospitalization in case of medical emergency.
Benefits of Mediclaim Policy: In today’s time, with rising inflation, the cost of hospitalization and health care is also skyrocketing. In such a situation, by purchasing Mediclaim Policy, you can take financial help while getting admitted in the hospital in case of medical emergency. This will not affect your savings.
That is, now you will not have to spend money on savings. Because Mediclaim is a type of health insurance that covers your medical expenses up to the sum insured in any medical emergency. A Mediclaim policy also gives the facility of cashless treatment to the policyholder in the network hospital. This policy is available in both individual and floater sum insured form.
Let us tell you that Mediclaim policy gives the benefit of health care service without destroying your savings. Mediclaim policy covers the expenses for hospitalization due to illness or accidental injury.
It covers OT expenses, doctor’s fees, nursing fees, medical costs etc. Mediclaim policy also gives the option of lifetime renewability to the policyholder on the basis of the policy chosen by you. Along with this, tax benefit can also be taken on the policy premium paid every year under section 80D.
Individual Mediclaim Policy
An individual mediclaim policy provides health insurance coverage only to the policyholder. Only one person can avail health insurance for the premium paid under this type of policy. Many health insurance companies offer individual mediclaim plans in India.
Family Floater Mediclaim Policy
A family floater mediclaim policy provides coverage to the policyholder as well as his/her family members such as parents, spouse and children. Under this type of policy, all the family members get the same sum insured on a floater basis.
Senior Citizen Mediclaim Policy
Senior Citizen Mediclaim Policy is designed to cover hospitalization expenses for elderly people who have crossed the age of 60 years. Senior Citizen Health Insurance Policy is designed to cover the health needs of senior citizens.
Cashless claim
Cashless claim is done on cashless basis in the hospital. Because the policyholder decides the amount of the bill directly with the hospital. The policyholder does not have to pay a single penny to the hospital for treatment. To claim cashless, get your treatment done in a listed hospital of your insurance company.
Collect the pre-authorization form from the insurance desk in the hospital. Fill the form with correct information and get it stamped by the hospital. The hospital will send it to the Third Party Administrator (TPA) or the insurer for approval. After checking the form, the company will approve the treatment and send it to the hospital by fax stating their covered amount. Get all the documents signed when you are discharged after your treatment. After this your insurer will pay the amount of the hospital bill.
Reimbursement claim
In case of reimbursement claim, it is important to inform your insurance company. So that they can know whether the patient has been admitted to the hospital or is likely to be so soon. You can do this by sending an email or calling the customer care of your insurance provider. After the treatment is complete, collect all the medical documents from the hospital. To claim reimbursement, you need to submit all hospital bills and medicine bills along with payment receipts to your insurer along with the original discharge card and claim form. The insurance company will review your claim. After the claim is approved, the reimbursement amount will be paid.
These documents will be Needed
For this, correctly filled application form, age proof like Aadhaar card, passport, voter ID card, etc. For ID proof, you can apply passport, Aadhaar card, driving license etc. At the same time, driving license, passport, Aadhaar card etc. are valid for address proof. Along with this, passport photo and pre-policy medical test report will be required.
