Cashless hospitalization is a facility provided by the insurance company where the policyholder can get admitted and undergo necessary treatment without paying the hospital directly for the medical expenses.
Cashless hospitalization can be availed only at a hospital that falls within your insurer network upon approval of your pre-authorization application. After activating your Medi Assist portal, follow the steps below to avail cashless claims ONLINE.
Recommended reading: To learn the steps to activate your Medi Assist account, read this blog.
Cashless hospitalization is a hassle-free way to pre-plan your hospitalization or use cashless in cases of emergency hospitalization. You can select the preferred room, hospital, and other facilities. Once your hospitalization request is approved by Medi Assist and the partner network hospital, you get a secure code for confirmation of your request, along with the estimated cost of hospitalization.
A decision by your health insurer or plan that a health care service, treatment plan, prescription drug, or durable medical equipment is medically necessary; this process is called pre-authorization.
eCashless hospitalization is provided by the insurance company where the policyholder can get admitted and undergo necessary treatment without paying the hospital directly. Instead, the eligible medical expenses incurred are settled with the hospital by the insurance company directly.
If your treatment is not planned 72 hours before hospitalization, Emergency Hospitalization can be availed by searching for a Network Hospital in your TPA's network. Post which, during hospitalization, present your Medi Assist E-card along with any other valid Government ID.
Recommended reading: How to download your Medi Assist ecard
Ensure that the hospital sends your preauthorization form to Medi Assist, your TPA. You will receive updates on the status of your claim throughout the lifecycle of claim.
Customers can now plan for eCashless hospitalization and cut down the time on waiting at the insurance desk for pre-authorizations making admission for planned/elective surgeries at a network hospital.
Do Note:
Recommended reading - Know more about cashless hospitalization.