Does cashless hospitalisation mean I can just walk into a hospital and get admitted for treatment free of cost?
First, you need to be clear that there is no free treatment. It is just that, in the case of a cashless hospitalisation, the insurance company will bear the cost of treatment either fully or partially on your behalf.
Cashless hospitalisation is a facility provided by most health insurance policies and enables an insured customer to obtain admission and undergo the required treatment without a direct payment. The assigned TPA will mediate between the healthcare service provider (hospital) and the insurance company and settle the bills on behalf of the insured customer.
Health India TPA Services Pvt. Ltd.
Paramount Health Services & Insurance TPA Private Ltd.
Health Insurance TPA Of India Ltd.
Family Health Plan (TPA) Ltd.
Hdfc Ergo General Insurance Company Ltd.
Aditya Birla Capital Health Insurance
Bajaj Allianz General Insurance Co. Ltd.
Iffco Tokio General Insurance Pvt Ltd
Medsave Health Insurance TPA Ltd.
Mdindia Health Insurance TPA Private Ltd.
Star Health Insurance Company Ltd.
Reliance General Insurance Com Ltd.
Good Health Insurance TPA Pvt. Ltd.
Tata Aig General Insurance Company Ltd.
Medi Assist Insurance TPA Pvt. Ltd
Go Digit General Insurance
Chola Ms General Insurance Co. Ltd.
Manipal Cigna Health Insurance Company Ltd.
Raksha Health Insurance TPA Pvt. Ltd.-(only New India Assurance)
Heritage Health Insurance TPA Pvt. Ltd
Safeway Insurance TPA (p) Ltd.
United Healthcare Parekh Insurance TPA Pvt. Ltd.
Liberty General Insurance Ltd.
Medsave Health Insurance TPA Ltd.
Edelweiss General Insurance Co. Ltd.
Ericson Insurance TPA Pvt. Ltd.
Bhatia Axa General Insurance Company
Nvgt Care
Nava Buda Health Insurance Company Ltd.
Care Health Insurance Ltd.
Hospitalisation happens under two circumstances – Planned and Emergency. Pre-authorisation of the estimated hospital expense is a must to avail this facility.
Planned Hospitalisation:
In the case of a planned admission, you would have first consulted a doctor who in turn would have advised you on the probable date of hospitalisation. In such a case, you must have applied for an approval of the estimated hospital expenses directly with your TPA at least 4-5 days prior to the date of hospitalisation.
In case you have not applied for a pre-authorisation sufficiently in advance or if the doctor treating you advises you to get hospitalised immediately after the consultation, our Corporate Help Desk will assist you through the pre-authorisation procedure.
However, you will need to bear in mind that the Corporate Help Desk is only a facilitator and can in no way influence the decision on the approval. The approval can be turned down.