'Cashless Everywhere' initiative by the
General Insurance Council
In brief:
To get 'Cashless Everywhere' facility at a non-empanelled hospital, according to the guidelines set by the GIC, there are three rules that health insurance policy holders need to keep in mind:
1) For elective procedures, the customer should inform the insurance company at least 48 hours before the admission.
2) For emergency treatment, the customer should inform the insurance company within 48 hours of admission.
3) The claim should be admissible as per the terms of the policy and the cashless facility should be admissible as per the operating guidelines of the insurance company.
Do keep in mind that the charges at the non-network hospital will be based on the rates that the hospital charges to the existing empanelled insurers.
The cashless facility at non-network hospitals
will be effective immediately, says the General Insurance Council on January
24, 2024.
Applicable
for type of Hospitals
Hospitals
with 15 beds, and registered with the respective state health authorities under
the Clinical Establishment Act can offer cashless hospitalisation now.
In case of difficulty with the Hospital re this Scheme SAIL Retirees may write to
customercare@newindia.co.in, complaints@irdai.gov.in, customercare@mdindia.com,
with copies to
edpna.co@sail.in , manas@sail.in , forsesail@gmail.com,
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