Complete Guide to Daycare Procedure in a Group Health Insurance Policy

Daycare Procedure in a Group Health Insurance Policy

A Daycare Procedure in a Group Medical Insurance Policy is defined as any medical treatment, and/or surgical procedure which is undertaken under General or Local Anesthesia in a hospitalin less than 24 hrs because of technological advancement, and which would have otherwise required hospitalization of more than 24 hours. Treatment normally taken on an out-patient basis is not included in the scope of Daycare Procedure.

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What is the Claim Process in a Group Health Insurance Policy?

Claims Process in a Group Health Insurance Policy

Claim Settlement under a Group Health Insurance Policy can be availed in 2 ways: Cashless Claim Settlement and Reimbursement Claim Settlement.
In a Cashless Claim Settlement Process, the Employee just needs to give the Mediclaim Card to the hospital at the time of hospitalisation, and the entire medical expense will be settled directly between the Insurance Company and the Hospital.
In a Reimbursement Claims Settlement Process, the Employee will have to pay for the hospitalisation expenses out of his own pocket and then raise a claim for reimbursement separately with the Insurance Company by submitting the requisite documents

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TPA Full Form In Insurance : What is Third Party Administrator (TPA) in Group Health Insurance Policy?

Third Party Administrator (TPA) in a Group Health Insurance Policy

What is the Full Form of TPA? The full form of TPA is Third Party Administrator. A TPA is an IRDA registered and licensed intermediary which acts as a mediator between the health Insurance company & the insured. The primary role of a TPA is to process health insurance claims, provide health insurance E-cards, and […]

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