Hospital Cash Insurance

What is Hospital Cash Insurance?

There are plenty of healthcare insurances in the market which cover the medical bills, but what about the other miscellaneous expenses that a patient and their family have to look after during that period? These expenses can be anything starting from X-ray bills to food bills. However, if you have hospital cash insurance, you do not have to worry at all. A Hospital Daily Cash policy is a type of insurance policy that provides funds for miscellaneous hospital expenses in case of hospitalisation for more than 24 hours.

It is like a daily cash allowance provided to the holder. The amount of daily cash varies according to the type of insurance plan, type of medical treatment, and a few other facto₹In times of hospitalisation, this plan is very helpful for patients and their family as they do not have to worry about the side expenses.

Eligibility Criteria for Hospital Cash Plan

The eligibility criteria for the Hospital Cash plan are as follows. 

• The minimum and maximum age of an applicant must be 18 years and 65 years respectively for adults. 

• For children, the minimum age is 6 months.

• In the case of adults, a stable source of income is required.

• The applicant's medical history is checked and should match the criteria of the specific insurance plan.

Policy Plan Details & Specifications of Hospital Cash policy

The specifications of the Hospital Cash policy are -

• Lump sum benefits

• A variety of plans are available 

1. Basic Plan

2. Enhanced Plan

• Policy term of up to 3 years

• Individual and floater sum insured types

• Included day-care procedures

• Daily cash benefit of up to ₹5,000

• Hospital cash for up to 180 days

Hospital Daily Cash Policy’s Coverage Limit

The daily cash limit for you could range from ₹100 to ₹10,000. If your daily cash cover is an add-on to your health insurance, the daily coverage limit would be calculated in percentage. This means that a percentage of the sum insured will be disbursed to you as daily cash allowance for hospitalisation.

Inclusions of Hospital Cash Insurance

Before buying any insurance policy, it is extremely important to know what is covered under the policy. The main inclusions of the Hospital Cash policy are explained below. 

• Insured Sum

At the time of the hospital cash insurance claim, the policyholder gets a specific sum of money as the core coverage for the hospital expenses. This cover includes inadmissible expenses like surgical equipment, visiting member charges, etc. The lump sum amount is paid to the policyholder which is fixed earlier only.

• Covers Age Groups

Hospital cash insurance is available for all different age groups. The minimum age required is 6 months and the maximum age limit is 65 years. In the case of a 6-month child, the insurance policyholder is the parents. 

• Daily Expenses

The daily hospital daily cash policy is the biggest advantage of hospital cash insurance. Apart from the lump sum amount, the policyholder also gets a daily cash allowance to manage the daily expenses during the hospitalisation period. This is only available when the hospitalisation period exceeds 24 hours. It is a very helpful feature of the insurance policy. 

Exclusions of Hospital Cash Insurance

The exclusions of the Hospital Cash cover are stated as follows.

• Pre-existing Diseases

Any ailments or diseases that existed before the purchase of this plan will not be covered.

• Fertility Issues

Problems or complications with human fertility are not eligible for coverage. 

• Non-allopathic Treatments

Non-allopathic procedures such as ayurvedic or herbal treatments cannot be covered by this policy. 

• Cosmetic Treatments

Plastic surgeries, beauty treatments, etc. are not covered under this plan.

• Self-inflicted Physical Injuries

Any physical injuries deliberately inflicted upon oneself will not be covered. 

Process and Documents Required to Initiate a Claim for Hospital Cash Insurance

The detailed procedure to raise a hospital cash insurance claim is mentioned below -

• In case of planned hospitalisation, the policyholder must inform the insurance company within 48 hours of hospital admission. On the other hand, in case of emergency hospitalisation, the insurance company must be informed within 24 hours of hospitalisation.

• Next, you can file a claim by either contacting the insurance company through call or SMS. For this, you or your representative can contact the insurer through the customer service details provided.

• After contacting, the concerned person will have to provide the following information along with the required documents to the insurance company executive.

1. UHID number

2. Policy ID

3. Patient name

4. Name of the person claiming the policy

5. Number of the person claiming the policy

6. Relationship of the caller with policyholder

7. DOA (Date of Admission)

8. Expected hospitalisation tenure

9. Admission reason

10. Concerned doctor’s name

11. Hospital name

12. Hospital address

13. City in which the hospital is located

14. State in which the hospital is located

Once the above-mentioned details are recorded by the insurance company executive, certain formalities need to be fulfilled to raise hospital cash benefits.

1. Complete claim form

2. Discharge documents

3. Hospital Bill

4. Payment records

5. Doctor’s consultation documentation

After the submission of all the documents, the insurance company will start the fund disbursal under daily hospital cash benefits.

Customer Care Details

To contact Bajaj Markets, write to insuranceconnect@bajajfinservmarkets.in if you have any queries or concerns.