What do you mean by Reimbursement claim settlement?
Wherein the insured himself settles hospital bills and subsequently prefers the claim on Insurance Company through the Assistance Company or directly with the company. Reimbursement of claims takes 7 working days on submission of complete documentation. This will be applicable for all Outpatient Claims.
What do you mean by Cashless claim settlement?
Insurance Company will pay up to 100% of the claim to the hospital in case of hospitals in the preferred network (subject to deductibles under the policy conditions). The same will be done either by placing a Guarantee of Payment (GOP) or making a payment to the hospital. This will be applicable for all Inpatient Claims provided the same is Admissible under the policy.
What do you mean by Network Hospitals?
Insurance Company enters into a Memorandum of Understanding with hospitals across the world to enable Cashless Hospitalization for the insured enlisted under the policy.
What are the two types of Cashless hospitalization?
Planned & Emergency hospitalization.
What do you mean by Planned hospitalization?
Wherein the hospitalization is scheduled for a future date either for treatment or surgery based on doctor's advice.
What do you mean by Emergency hospitalization?
Wherein the hospitalization occurs due to emergencies.
How is deductible of $100 deduction applicable in case of Cashless hospitalization?
During discharge of the patient and on preparation of the final bill, all expenses that are not payable under the terms and conditions of the travel insurance policy will have to be paid by the patient to hospital. Insurance Company will directly pay the allowed expenses to the hospital.
How is reimbursement claim settled?
The claims settlement shall be made by cheque payment which will be sent directly to the Insured's address in India. Please furnish accurate details to ensure fast and efficient settlement of claims on the claims form.
