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- What is a TPA?
- What are the facilities offered by a TPA?
- What do you mean by Network /Non-network Hospitalization?
- What is Cashless access/Cashless Facility?
- What documents should one obtain before discharge from the hospital in case of cash less facility availed?
- What documents are needed for processing claims if the treatment has been done in a non-network hospital or in a network hospital where cash less facility was not granted / availed?
- When will my claim be reimbursed?
- Can I get Cash less facility / Reimbursement in the case of pre-existing diseases?
- How do I get a list of network hospitals of TPA?
- During the course of my treatment, can I change the hospitals?
- I am not keen to avail of Cash less facility. Can I go in for reimbursement?
- What is the benefit of carrying a health card?
- Should the claim be submitted to the Insurance Company or TPA?
- Will the medical costs be reimbursed from day one of the cover?
- Will I get the entire amount of the claimed expenses?
- Can any claim be rejected or refused?
- In case of part settlement can an insured claim for the balance amount?
- How can I check the status of my claim?
- What is the procedure to get Reimbursement in case of emergency hospitalization?
- What is the procedure to get Reimbursement in case of planned hospitalization?
- How does one get Reimbursements in case of treatment in non- network hospitals?
- What are the situations under which one may be denied cashless hospitalization?
- What is the information one needs to furnish while intimating a claim?
- What if I don’t remember my Card Number and Policy Number and I am in an emergency situation?
When will my claim be reimbursed?
The claim will be reimbursed by TPA/company after receipt of complete documentation from the client.
- Do I need to carry the policy along with me?
- How much of the hospital expenses are covered by the policy? Is it 100%?
- Do we need to pay upfront in case of a medical treatment and then claim, or the insurance policy will pay upfront?
- From where can I get the claim form to make a claim?
- Would I be reimbursed for the medical expenses incurred abroad, if I go specifically for the purpose of seeking medical treatment?
2160/2%Last update: 2010-09-27 15:35
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