Top Cashless Health Insurance Plans
Here are the top 3 cashless health insurance plans in India:
Bajaj Allianz Health Insurance Plan
Aditya Birla Health Insurance Plan
Care Health Insurance Plan
You can take a look at the Cashless Health Insurance plans available at Bajaj Markets and choose a policy that is appropriate for your needs:
Plans Available |
Sum Insured |
Starting Rate of Premiums (per annum) |
Check Plans |
Bajaj Allianz Health Insurance |
Rs. 3 Lakhs to Rs. 50 Lakhs |
Rs. 5,912 |
 |
Aditya Birla Health Insurance |
Rs. 3 Lakhs to Rs. 50 Lakhs |
Rs. 5,200 |
 |
Care Health Insurance |
Rs. 4 Lakhs to Rs. 50 Lakhs |
Rs. 8,065 |
 |
Features of Cashless Health Insurance
The features of Cashless Health Insurance are pretty much the same as that of your primary health plan. They are:
You can get cashless insurance at any of the network hospitals listed by your insurer across India.
Types of Cashless Health Insurance Plans in India
Cashless Health Insurance plans in India are available under the following categories:
Individual Cashless Health Insurance
This type of cashless insurance is for individuals seeking health coverage for themselves.
Family Floater Cashless Health Insurance
This type of health insurance is for families seeking to get cashless health coverage under a single plan.
Senior Citizens Cashless Health Insurance
This type of insurance is meant for senior citizens, i.e. people above the age of 60 seeking cashless healthcare services.
Exclusions Under Cashless Health Insurance
Any cashless Mediclaim policy will invariably have exclusions. This simply means that these charges are not covered under the policy, and you need to make separate payments for them. You may have to cover the following charges since they will not be covered under a cashless policy:
Service charges
Registration fees
Admission fees
Charges on toiletries
Attendant’s fees
How Does Cashless Medical Insurance Work
Your insurance provider will have a large network of empanelled hospitals across the country for providing medical treatment to policyholders. If you or one of the insured members under your health insurance plan falls sick, you can take them to a nearby network hospital affiliated with your insurer. The network hospital will take your insurance details and verify the authenticity of your insurance plan. Once the insurance details are verified, your cashless hospitalisation treatment will begin. In this case, you will not have to pay for any medical bills as your insurance provider will settle the expenses directly once the treatment is complete.
How to Buy Cashless Health Insurance at Bajaj Markets
You can buy Cashless Health Insurance on Bajaj Markets in just a few minutes by following the given steps:
Your Cashless Health Insurance will be activated shortly and the policy details will be sent to you through email.
Why is it Important to Have a Cashless Health Insurance
It is important to get Cashless Health Insurance for the following reasons:
A cashless treatment will provide you with financial support during any planned or emergency medical treatment, requiring hospitalisation.
The policy covers a wide range of medical procedures, like surgeries on the eye, bones, skin, ear, etc. It also covers critical illnesses, including cardiac ailments, kidney failure, stroke, organ transplant, and limb paralysis. You can also get cashless treatment for ailments, like piles, cataracts, sinusitis etc. after having completed a minimum number of policy years as stipulated in the policy.
Health Protection During Travel
Along with pre and post-hospitalisation expenses, a cashless Mediclaim policy also covers your health while travelling. In the case of an emergency during travel, you can avail cashless hospitalisation at an empanelled hospital across all of India.
You can avail health insurance tax benefits under Section 80D of the Income Tax Act on premium payments made for availing a Cashless Health Insurance policy.
Important Points to Remember Before Availing a Cashless Health Insurance Policy
You must always remember to consider the following factors before purchasing a Cashless Health Insurance Policy:
Treatment Only at Network Hospitals
The cashless insurance policy is only valid at the empanelled network hospitals. You must verify the details of the hospital before getting admitted.
Display Health Insurance Card
You must display your health insurance card to the concerned authorities at the time of getting admitted to the network hospital.
All details pertaining to the medical treatment should be provided to the insurance company in a time-bound manner. Remember, delays could result in the rejection of claims.
All original documents, including doctor’s prescriptions, medical tests, laboratory reports etc. should be provided to the insurance company. In case you fail to submit the requisite documents, your claim can be rejected.
Careful Perusal of the Policy Document
You must always read the fine print, or the terms and conditions of any Cashless Health Insurance policy carefully. This will help you know the scope and coverage of the policy.
How to Claim Cashless Health Insurance in India
If you want to make a Cashless Health Insurance claim, here’s what you need to do:
Step 3: Submit the duly filled pre-authorisation form as soon as possible
Step 4: Get in touch with your insurer as per the mentioned time and submit the necessary documents
Step 5: The insurer will verify the documents. Based on the verification and further assessment, the claim management team will approve/reject your claim.
How to Avail Cashless Hospitalisation
Here’s how you can avail cashless hospitalisation:
1. Planned Hospitalisation
This is when you are aware of the fact that you must get hospitalised in the coming few days. In such a case, all you have to do is opt for a specific network hospital to avail the cashless services. Follow these steps in that case:
Call on your insurer’s toll-free number to enquire about your nearest network hospital.
After finalising the network hospital, collect your policy card and pre-authorisation form. This can be collected from the hospital’s insurance desk or the insurer’s website.
Submit that form to ensure its authenticity at the insurance desk of the hospital.
The form will then be faxed to the Third Party Administrator who will have to process it and decide whether it will be accepted or rejected.
If the pre-authorisation request gets approved, you will receive an authorisation letter from them. This letter will contain a detail with the treatment’s sanctioned amount.
2. Emergency Hospitalisation
If there is a case of an emergency hospitalisation, you are required to receive immediate care. In such a case, you must initiate a cashless Mediclaim facility within twenty four hours of getting hospitalised. Follow these steps to avail cashless hospitalisation:
Submit your health insurance card containing your policy’s number, insurer’s name, and health policy type at the network hospital.
Enter the pre-authorisation form to allow the insurance executive process your claim. Wait for the approval from the TPA or make the payment instantly and get it reimbursed from your insurer later.
According to the protocol passed on for emergency conditions, a Third Party Administrator must process an emergency hospitalisation within six hours.
Top Reasons for Claim Rejection in Cashless Health Insurance
You should avoid making the following mistakes to ensure that your claim does not get rejected:
Providing Incorrect Information
If you have intentionally or unintentionally added any wrong information while registering for your policy or in the claim application process, the insurance provider will most likely reject your claim.
Similarly, if there are any documents that you have not submitted such as the relevant medical bills or the documents that you have submitted are not satisfactory to the insurance provider, your claim can get rejected.
If you make an insurance claim on your health policy which has already expired, your claim will also be rejected.
If you make any insurance claim for diseases or medical conditions that are not covered under your policy, the claim will most likely get rejected.