Now will you get the benefit of cashless health insurance even if you are hospitalized for just 2 hours? Know the new terms and conditions of IRDAI

A major change is being seen in the rules related to health insurance. Now in some cases it will not be mandatory for the patient to remain admitted in the hospital for 24 hours. If the treatment is of a category which Day Care Procedure Only if recognized under Cashless mediclaim even after being hospitalized for 2 hours Can get benefit.

Insurance Regulatory and Development Authority (IRDAI) has instructed insurance companies to make necessary changes in their policies keeping in mind the changing medical technology and modern treatment methods. Due to new medical facilities, many operations and treatments are now completed within a few hours and the patient can return home the same day.

Many treatments including cataract, dialysis, chemotherapy are now done under day-care process. In such cases, there is no need to keep the patient hospitalized for a long time. For this reason, the old condition of being admitted 24 hours a day was not being considered practical in many cases.

However, this feature Will not apply to all types of treatments. Cashless mediclaim benefit will be available only for those day-care procedures which are covered under the respective health insurance policy. Therefore it will be necessary to confirm eligibility with your insurance company or Third Party Administrator (TPA) before any treatment.

present in hospital tpa desk Helps the patient and his family to complete the cashless claim process. After submission of necessary documents and pre-authorization from the insurance company, the treatment cost is paid directly to the hospital, due to which the patient does not need to make immediate payment.

IRDAI has issued another important instruction in the interest of patients. If a patient dies during treatment, the insurance company will have to pay the eligible hospital expenses without unnecessary delay. Its objective is to reduce the financial and administrative burden on the family members in the time of mourning.

Experts believe that these changes made in line with the modern medical system will make health insurance more practical and customer-centric. Also, with the promotion of day-care treatments, faster, convenient and less expensive treatment will be available to the patients.

However, be sure to check your policy terms, list of covered day-care treatments and information on cashless network hospitals before availing the insurance, as the rules and coverage may vary across different insurance companies.