Getting Treated At A Non-Network Hospital: Here Is What You Should Keep In Mind To Ensure That Your Claim Is Honoured
Published by Outlook Money
Abhishek Kumar's role: Quoted
Abhishek Kumar, founder of SahajMoney, explained that insurers update a list of hospitals excluded from cashless and reimbursement claims except in emergencies, and that for non-network hospitals the insurer negotiates rates case by case, failing which the patient pays and claims later.
More of Abhishek's views on insurance
The article explains health insurance claims for treatment outside an insurer's network, including the newer 'Cashless Everywhere' facility, which needs prior intimation and extra documents. It notes that insurers list excluded hospitals where no cashless or reimbursement claim is paid outside emergencies, and outlines appeals through the Insurance Ombudsman or Irdai's Bima Bharosa system. It includes comments from Abhishek Kumar.
Publisher source
Getting Treated At A Non-Network Hospital: Here Is What You Should Keep In Mind To Ensure That Your Claim Is Honoured