The General Insurance Council, in session with all of the General and Health Insurance Companies, is launching the ‘Cashless Everywhere’ initiative.
Under the ‘Cashless Everywhere’ initiative, policyholders can get handled in any hospital they select even when such a hospital shouldn’t be within the community of the insurance coverage firm
Policyholders until now searched hospitals which are below their medical insurance coverage for medical remedy. However, now, the General Insurance Council (GIC) has launched new guidelines below the ‘Cashless Everywhere’ initiative, the place policyholders can get handled in any hospital they select even when such a hospital shouldn’t be within the community of the insurance coverage firm. The guidelines have change into efficient from January 25, 2024.
What Are the Existing Rules on Cashless Treatment Under Health Insurance?
Under medical insurance insurance policies, within the occasion of hospitalisation, policyholders needn’t pay for remedy out of pocket with a cashless facility the place insurance coverage firms decide to protecting the remedy prices on the hospital, offered the declare is admissible.
This cashless facility is at the moment accessible solely at hospitals the place the respective insurance coverage firm has an settlement or tie-ups. If the policyholder chooses a hospital with out such an settlement, the cashless facility shouldn’t be provided, and the client has to go for a reimbursement declare, additional delaying the declare course of.
What Are The New Rules Under the ‘Cashless Everywhere’ Initiative?
The General Insurance Council, in session with all of the General and Health Insurance Companies, is launching the ‘Cashless Everywhere’ initiative.
Under Cashless Everywhere, the policyholder can get handled in any hospital they select, and a cashless facility will probably be accessible even when such a hospital shouldn’t be within the community of the insurance coverage firm.
What Are the Conditions?
The ‘Cashless Everywhere’ initiative is topic to:
1) For elective procedures, the client ought to intimate the insurance coverage firm a minimum of 48 hours previous to the admission.
2) For emergency remedy, the client ought to intimate the insurance coverage firm inside 48 hours of admission.
3) The declare must be admissible as per the phrases of the coverage and the cashless facility must be admissible as per the working pointers of the Insurance Company.
