How Cashless Health Insurance Works

Cashless Health Insurance: A Comprehensive Guide

Cashless health insurance is a type of plan where your insurance provider pays your covered medical bill directly to the network hospital. So, you do not need to pay anything upfront to get treatment. 

Benefits of Cashless Health Insurance.

1. Convenience and Accessibility: One of the most important benefits of a cashless system is the convenience to the insured, especially in times of urgent hospitalisation it offers to policyholders. You do not have to worry about arranging funds to pay and get proper and timely treatment without worrying.
2. Access to Network Hospitals: A major benefit of the cashless policy is the network of hospitals. These are mostly top-tier hospitals that have a direct connection with your insurance provider. Therefore, you can directly access quality healthcare without worrying about costs.
3. Quick Settlement: Cashless claims are mostly settled faster compared to reimbursement claims. This allows you to focus on your recovery rather than the administrative aspects of the claim. However, you must consider choosing a reliable and credible health insurance company to ensure faster settlements. With Star Health Insurance, about 90% of the cashless claims are settled within 2 hours of authorisation. 
4. Financial Relief During Medical Emergencies: Lastly, a cashless plan eliminates any need for upfront payments thereby reducing stress, especially in case of unexpected health emergencies.

How Does Cashless Health Insurance Work?

To take advantage of the cashless policy, the policyholder needs to visit a network hospital for treatment affiliated with their insurance company. The claiming process will then start with pre-authorisation, where the policyholder has to inform their insurance provider. After that, the hospital needs to submit a request detailing all the costs required for treatment. Once it is approved by the insurer, the patient will get the treatment without upfront payment. After treatment, the hospital will send the final bill to the insurer, to settle the expenses directly as per the policy terms.

How Can You Access Cashless Health Insurance?

To avail of cashless health insurance, you need to submit your policy copy and ID proof at the hospital's insurance desk. The hospital will fill out a pre-authorisation form with treatment details and send it to your insurance company for processing.

• Planned Hospitalisation

If you have surgery planned in advance, you can go to a network hospital, provide your policy details and documents, and the hospital will send everything to your insurer. If the claim is approved, you will get cashless treatment, valid for seven days.

• Emergency Hospitalisation

In case of an unexpected illness, you need to send your policy details to the network hospital, and they will send the necessary documents to your insurer for approval. If accepted, the treatment will be cashless.

Cashless health insurance offers a convenient solution that ensures treatment without any stress of upfront payment. With top providers like Star Health Insurance, you can enjoy cashless treatment at over 14,000 network hospitals across India. With 90% of cashless claims approved in under 2 hours, you can rest easy knowing you are covered anytime, anywhere. 

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