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Day Care Procedure in Health Insurance

By Finserv MARKETS - Apr 28,2020
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Day Care Treatment And Procedure In Health Insurance

What is a Day care treatment?

Before availing any health insurance policy, it is imperative for you to know about day care procedures under the policy. A day care procedure is a medical procedure, where patients are discharged within 24 hours, or within a day. Because of advancements in medical science, many medical procedures requiring prolonged hospitalisation, can now be easily completed within hours. These medical procedures come under the ambit of day care treatment.

Day care treatment List

You must read your health insurance policy document carefully to know about the scope of coverage in day care procedures.With Bajaj Allianz Health Insurance, available on Finserv MARKETS, you can get access to the following day care procedures:

  • Cataract
  • Radiotherapy
  • Chemotherapy
  • Septoplasty
  • Dialysis
  • Angioplasty
  • Tonsillectomy
  • Lithotripsy
  • Hydrocele
  • Piles and Fistula
  • Prostate
  • Sinusitis
  • Appendectomy
  • Liver aspiration
  • Colonoscopy

All costs, including room, boarding and nursing expenses, along with the fees of surgeons, consultants, specialists, and anesthetists will be covered for the medical procedures. Further, medical expenses, like the cost of prosthetic devices, medicines/drugs, orthopaedic implants, vascular stents, X-rays, medical reports, surgical appliances, operation/theater charges etc. is also covered under the day care treatment.

Benefits of including day care treatment in a health insurance policy

If you are planning to purchase the best health insurance policy, always remember to have a policy which includes day care treatment. It can provide you with the following benefits:

  • Top-notch medical care

With the day care treatment facility in a health insurance policy, you no longer have to worry about the quality of medical treatment. You can avail cashless, cutting-edge medical treatment at a wide network of empanelled network hospitals. These hospitals have well-trained medical practitioners and staff for providing state-of-the-art medical services.

  • Cashless claims

The day care procedure, in a health insurance policy, provides financial assistance at the critical time of availing medical treatment through cashless service. For availing this key benefit, you have to inform the insurance company, in advance, about the details of your impending day care procedure. With the pre-approved request, you can receive medical treatment, without requiring to pay cash. The medical bills will, instead, be directly settled by the insurer.

  • Tax benefits

Did you know that a health insurance policy, equipped with the day care procedure facility, can also provide you with added tax benefits? You can avail tax-benefits on making premium payments towards your health policy, as deduction under Section 80D of the Income Tax Act.

  • Health CDC benefit

Also known as Click by Direct Claim (CDC), this is a key highlight of Bajaj Allianz Health Insurance, available on Finserv MARKETS. This unique app-based feature allows you to raise and settle claims, up to Rs 20,000, in a convenient and hassle-free manner. Here, you have to use the Bajaj Allianz Insurance Wallet app to make claims. Once you provide the requisite details, including discharge date, estimate of expenses and details about diagnosis and treatment, the claim amount will be shortly transferred in your account.

  • Complete peace of mind

The last thing you need at the critical time of undergoing medical treatment is stress and worry. The assured quality of treatment at empanelled network hospital, along with the financial assistance ensures that you receive any day care procedure with zero worries, and complete peace of mind.

Exclusions in day care procedure facility

  • There can be certain medical procedures that are not covered under day care treatment. Usually, day care procedures don’t cover cosmetic surgeries. Unless such a surgery is required to save the life of the policyholder, cosmetic surgery will be in the list of exclusions.
  • Out-patient Department (OPD) treatments, like dental cleaning will not be covered under the day care treatment facility. Insurance companies also do not reimburse the cost of surgeries or any medical treatment availed as an OPD patient.

Things to keep in mind before availing day care treatment

  • You must always remember to submit the original documents of your prescription, medical reports etc. to the insurance company. If you fail to submit the requisite documents, while filing a claim, it can result in rejection.
  • You must always proceed in a time-bound fashion. Along with timely submission of claims, don’t forget to inform the insurance company, a few days in advance, before undergoing any planned day care procedure.

Conclusion

The medical procedures, which would earlier require continuous hospitalisation, can now be easily completed within a day. In sync with the rapidly evolving medical science technology, insurance companies have provided for day care procedures. Now day care procedures cover a wide slew of medical procedures, like surgeries of eyes, nose and ears along with orthopaedic and oncological procedures. A widespread myth among people is that health insurance companies only provide for medical treatment, which requires a longer period of medical treatment. This is, however, false. Health insurance policies have now been adopted to include short-term hospitalisation procedures. You can zero in on the various Bajaj Allianz Health Insurance policies, available on Finserv MARKETS to get access to the ideal plans that open up better healthcare options.

“Finserv MARKETS, a subsidiary of Bajaj Finserv, is a one-stop digital marketplace that has been created for consumers on the go. It offers 500+ financial and lifestyle products, all at one place. At Finserv MARKETS, we understand that every individual is different. And that’s why we have invested in creating a proposition – Offers You Value. A value proposition that ensures you get offers which are tailor made for you. We also offer an amazing product range and unique set of online offers across Loans, Insurance, Investment, Payments and an exclusive EMI store. Be it in helping you achieve your financial life goals or offering you the latest gadgets, we strive to offer what you are looking for. From simple and fast loan application processes to seamless and hassle-free claim-settlements, from no cost EMIs to 4 hours product delivery, we work towards fulfilling all your personal and financial needs. What’s more! Now enjoy the same benefits in just one click with our Finserv MARKETS App.”

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Bajaj Finserv Direct Limited ("BFDL"), erstwhile Bajaj Financial Holdings Limited is a registered corporate agent of Bajaj Allianz Life Insurance Company Limited and Bajaj Allianz General Insurance Company Limited under the IRDAI composite registration number CA0551 valid till 10-Apr-2021. BFDL also renders services to Bajaj Finance Limited (‘BFL’) and Bajaj Housing Finance Limited (‘BHFL’) (referred hereinafter as ‘Lending Partner’) in sourcing of customers, providing preliminary credit support activities, fulfilment services and post-acquisition customer services related to lending business. Registered Office: Bajaj Auto Limited Complex, Mumbai – Pune Road, Akurdi, Pune – 411 035 CIN: U65923PN2014PLC150522