You can opt for reimbursement if you can pay the hospital bills in advance. People undergoing treatment in off-grid hospitals for coronavirus infections should contact the insurer within 48 hours of hospitalization.
The second wave of Covid-19 has severely affected the country. The need for Covid insurance is increasing as the infection spreads rapidly among the rural population. As more and more people benefit from Covid insurance, the focus is on hassle-free claims settlement.
Hospitalization due to a coronavirus infection can seriously strain your finances. The coronavirus insurance plan can save you a lot of money, avoiding the need to dip into emergency funds. Additionally, coronavirus infection can affect many family members, requiring coverage of the whole family with Covid insurance.
The regular health insurance plan covers hospital costs due to Covid-19 up to the sum insured. However, you should check whether home care is covered by the regular health insurance plan. You can benefit from cashless treatment at network hospitals listed by the insurer. Otherwise, you will have to pay the hospital bills in advance and then claim reimbursements. People who do not have health insurance can opt for Covid-specific insurance plans that cover the costs of treating Covid-19.
How to benefit from cashless hospitalization via Covid insurance?
It would be helpful if you notify the insurer of the hospitalization due to the coronavirus infection within 24 hours. Present your health card to the assistance service of the network hospital to verify your contact details.
Complete and sign the pre-authorization form submitted to the insurer’s TPA (TPA). After verifying the pre-authorization request, the TPA sends an approval letter to the network hospital, which pays your medical bills directly.
How to claim reimbursement of medical expenses for Covid treatment?
You can opt for reimbursement if you can pay the hospital bills in advance. People undergoing treatment in off-grid hospitals for coronavirus infections should contact the insurer within 48 hours of hospitalization.
After the Covid-19 treatment, you should collect your hospital bills and bills from the hospital, along with the discharge record, which contains your treatment details, discharge summary, and doctor’s prescription. You must submit the completed claim form and the original copy of your medical documents along with a void check to the insurer. It allows you to upload your documents online to the insurer’s website to avoid travel during the pandemic. The insurer checks the documents and, upon approval, you receive the claim amount.
Many Covid-19 patients opt for treatment at home rather than in hospital. You have several plans specific to Covid covering the cost of treatment at home. However, you should contact the insurer as soon as possible, ideally as soon as you are diagnosed with the coronavirus infection, for a hassle-free claim settlement. Here’s how you can claim the cost of treating coronavirus infection in home isolation.
You need a positive Covid-19 test report (RTPCR test only) with the Specimen Referral Form (SRF) ID from the ICMR-approved testing laboratory. In addition, the doctor’s prescription is vital for home treatment, you can check all policy inclusions and exclusions before submitting the claim.You can make a claim for reimbursement by submitting the invoices showing the doctor’s consultation fee. physician, costs of diagnostic tests, and rental of medical equipment such as oxygen cylinders under active medical supervision. However, the insurer will not reimburse the costs of the oxygen cylinder, but only the costs of oxygen consumption and filling. The health insurer only covers home treatment for mild cases of coronavirus. In addition, food expenses and unproven treatment costs are not covered by the policy.
Many regular health insurance plans include a “home hospitalization” clause. The purpose of this clause is to provide sophisticated medical treatment at home if the patient cannot find a hospital bed. The intensive home care setup which includes doctor’s visits and nursing care costs may be covered by the health insurance plan up to the sum insured.
You must have the required documents in place when applying for home care under regular health insurance. Additionally, insurers can only approve GST registered businesses that provide itemized invoices for in-home treatment. You should check the policy’s sub-limit clause where some insurers only cover home care for up to three days or cover costs up to a fixed percentage of the sum insured.
You should pay close attention to the inclusions and exclusions of the health insurance plan for hassle-free claim settlement. Keep all original invoices on hand, as insurers only reimburse expenses on these invoices. Additionally, home treatment for Covid-19 can only be covered as part of the reimbursement process where you pay hospital bills in advance, and the insurer reimburses hospital costs after submission of claims. invoices.
by, Archit Gupta, Founder and CEO – ClearTax
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