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There are several bills that need to be paid when it comes to hospitals and medical emergencies. While you are running around filling up all the paperwork and worrying about the treatment and/or recovery of the patient, it could sometimes get difficult to keep track of how much money is being spent in the entire process. To make things easier for you, a hospital daily cash policy could be helpful. 

Important Update (Dated May 30, 2024) – Good news for Health Insurance policyholders! According to the Master Circular on Health Insurance Business 29052024 rolled out on May 29, 2024 by IRDAI, insurers are to decide on the request for cashless claims within 1 hour of receiving the request. Also, the final claim is to be granted within 3 hours after the policyholder’s discharge from the hospital. Insurers have been directed by IRDAI to establish necessary systems and procedures for this process by July 31, 2024.

 

The Master Circular on Health Insurance Business 29052024 circular is available here - https://irdai.gov.in/document-detail?documentId=4942918

What Is Hospital Daily Cash Insurance?

Apart from your hospitalisation bills, there are several other miscellaneous and inevitable expenses that may crop up during the hospitalisation period. While your health insurance plan may cover your hospitalisation charges, you will have to pay out-of-pocket for these miscellaneous overheads. This is where hospital daily cash policies come in handy. 

 

Under a hospicash insurance policy, you will be entitled to a fixed sum insured every day during the hospitalisation period.  This hospi cash or daily allowance can be used to meet miscellaneous expenses resulting from your hospital stay like the cost of travel. Such fixed allowances can also be used to compensate for the loss of income for the days you are confined to the hospital. Usually, this cash allowance ranges from ₹250-₹5,000, but can vary depending on the terms of your insurance document. You can either health insurance plan with daily cash benefits or opt for the same as an optional cover along with your existing health plan.

Documents Needed for Getting Hospital Daily Cash Benefits

You would need the following documents to claim the daily cash benefit in your health insurance policy: 

  • Proof of your hospitalisation for any length of time

  • Discharge summary from the hospital

Conditions Under a Hospicash Policy

You can only claim the benefits from your hospicash policy if you meet the following list of conditions:

  • Minimum Duration of Hospitalisation 

Every hospicash insurance policy will stipulate the minimum period of hospitalisation required to qualify for the daily hospital cash benefits listed under it. Most insurance policies have a 24-48-hour hospitalisation requirement for the hospicash benefit to be activated.

  • Total Days Covered

Your insurer will extend the daily hospital cash benefits for a certain prefixed tenure. While the tenure covered under this benefit can range from 15-180 days, it may vary from one plan to the next. Thus, to know your specific eligibility period, it is important to read your policy document carefully. 

  • Waiting Periods and Pre-Existing Diseases

Your hospital daily cash policy may also include certain waiting periods during which you are disbarred from filing a claim against the policy. For instance, some daily hospital cash policies may not offer coverage for illnesses contracted within the first 30 days of purchasing the plan. 

 

Similarly, there might also be a clause in your hospicash insurance policy relating to pre-existing diseases (PED). Under this clause, you might be able to claim benefits for hospitalisations related to the PED only after the lapse of a certain period, say 24-48 months. 

  • Deductibles 

Most hospital daily cash policies come with a one-day deductible in health insurance that needs to be paid to activate the daily cash benefit clause in your health insurance plan. Thus, for instance, if you are hospitalised for 10 days, you will be eligible for 9 days of daily hospital cash benefits, after the one-day deductible is subtracted from your total. 

  • Policy Exclusions

Every hospicash insurance policy has certain exclusions like day-care procedures that necessitate hospitalisations of less than 24 hours, maternity-related expenses, etc. It is important to carefully assess your policy document to know these exclusions before purchasing the policy and filing a claim. 

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Benefits of Opting for a Hospicash Insurance Policy

  • Fixed Daily Cash Allowance

The fixed daily cash benefits in health insurance plans help you take care of all miscellaneous expenses during a hospital stay. This amount is fixed, irrespective of your actual expenses, and can be used in a way you deem fit. 

  • Eases Financial Burdens During Emergencies

Having access to a daily cash reserve to fall back on can make a significant difference when faced with a healthcare emergency. In times of unfortunate events like accidents or emergency ICU admissions, the financial support provided by hospital daily cash benefits helps mitigate some of the financial stress on an individual. For instance, such policies offer twice the normal cash allowance if the policyholder is admitted to the ICU. This helps ease the financial burden on the family members of the policyholder. 

  • Tax Benefits under Section 80D

If you opt for a hospicash policy, you can claim a tax-deductible of up to ₹25,000 under Section 80D of the Income Tax Act, 1961. The deductible amount can go up to ₹30,000 for policyholders above the age of 60 years. 

Conclusion

A hospicash insurance policy provides you with the peace of mind you need when dealing with a dire medical crisis. While a regular health plan covers your medical expenses, a hospicash plan ensures that all the additional expenses during your hospital stay remain covered. In other words, this fixed daily cash allowance covers all your bases to ease the financial burden on your pocket. 

Health Insurance Plans Available at Bajaj Markets

FAQs

What is the minimum age to buy a hospital daily cash policy?

The minimum eligible age for buying a hospicash policy is 18 years.

What is the coverage limit of a hospicash insurance policy?

The coverage limit of a hospicash policy will vary from one insurer to the next and will also depend on the plan you pick. The daily cash allowance ranges from ₹250-₹5,000 for most such policies.

Can I buy a hospicash cover as an add-on to my existing policy?

Yes. You can either buy hospicash insurance plans as standalone policies or opt for them as add-on riders to your existing healthcare plan.

Are pre-existing diseases covered under hospital daily cash policies?

Yes. Most hospital daily cash policies cover pre-existing conditions, however, they may have certain injunctions vis-a-vis such conditions. For instance, you might be eligible for PED coverage only after the lapse of a certain period- say 24-48 months- after the policy is purchased.

Are maternity benefits covered by hospicash policies?

No. Most hospicash policies don’t cover maternity-related hospitalisations. However, this clause varies from one insurer to the next and thus, must be cross-checked when buying a policy. 

What can I use the hospicash benefits for?

This fixed daily cash allowance can be used for hospital expenses, meeting miscellaneous overheads, and other costs not covered by your health insurance. In other words, you can spend this allowance as per your need.

Are day-care procedures covered by hospicash insurance plans?

No. Most hospicash insurance plans stipulate at least a 24-hour hospitalisation requirement to qualify for daily cash benefits. This disqualifies day-care procedures from their coverage umbrellas.

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