Room rent tariff is the agreed price set for a room between the hospital and insurer/TPA. This is applicable only in case of cashless claims. Hospitals are supposed to follow the same tariff for room rent and other charges like nursing, consultation, surgeries, and investigations, OT rents for the particular insurer/TPA. This is very important in your claim decision as it impacts the overall cost of treatment.
Why is the document important?
- Compliance With Policy Terms: Different insurers have different policy terms regarding room rent tariff, wherein cost of facilities and additional services vary according to the type of room. Room rent tariff details help determine if you exceed the room rent limit offered by your policy.
- Prevent Delays: Providing room rent details can speed up the claim process as it can be quickly compared with the policy guidelines.
- Get Rid of Co-Pay and Deductibles: As certain policies mandates higher co-pays or deductibles for those with higher room rent, submitting the correct room rent tariff ensures any extra payment.
- Resolve Discrepancies: In case any dispute arises regarding the room rent charged and the coverage amount, room rent tariff details helps resolve it. Excess tariff in case of cashless claims will be borne by the hospital or they’ll send the bills as per agreed rates initially.
How to Get This Document?
You can avail your room rent tariff details from your hospital/ healthcare provider.
Remember, collecting and submitting your claim-related documents on time helps you avail the most out of your health insurance benefits.
