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MEDICAL REIMBURSEMENT PROCEDURE
Should you buy OPD cover in health insurance? Over 40% of healthcare costs are paid out-of-pocket in IndiaOPD cover in health insurance addresses out-of-pocket expenses for doctor visits, diagnostics, and medicines without hospitalization. While...- Missed insurance claim submission deadline? Don't worry, you are still eligible for reimbursement. Here's whyA Bombay High Court ruling favored policyholders, stating insurers cannot reject claims solely for delayed document submission beyond the 9...
- Healthcare isn't a luxury: Balancing private equity growth with patient affordability in IndiaPrivate equity has boosted India’s healthcare capacity and efficiency, but rising costs and premiums risk limiting access. Strong regulatio...
- Insurance companies can't time bar health claims: Bombay HCThe Bombay High Court has ruled that insurers cannot reject hospitalisation claims solely because they were filed after the time limit ment...
- NPS pensioners to get fixed medical allowance directly in their accounts without submitting billsNational Pension System (NPS) pensioners and family pensioners will now receive their Fixed Medical Allowance (FMA) directly in their bank ...
- CGHS medical reimbursement limit hiked to Rs 10 lakh for these cases: Who is eligible and how they can availThe Ministry of Health and Family Welfare has significantly increased CGHS medical reimbursement limits for central government employees. H...
- CGHS claim struggle: Rs 13.17 lakh reimbursement claim of a retired IAS officer was denied, she fights back and wins in Karnataka High CourtThe Karnataka High Court has ruled that the Central Government Health Scheme (CGHS) cannot arbitrarily deny medical reimbursements, especia...
- What is ‘Cashless everywhere’ facility in health insurance?The General Insurance Council (GIC) introduced 'Cashless Everywhere' on January 24, 2024, aiming to extend cashless facility to non-network...
- IRDAI proposes to restrict proportionate deduction in health insurance claims to help policyholdersIn most health insurance policies, if the rent of the room taken by the insured exceeds the rent covered in the policy, then the hospital b...
- How health insurance claims get paidMost people buy indemnity cover, commonly known as mediclaim. There are primarily two ways in which an indemnity type health insurance clai...
- Ayushman Bharat 2.0 improves cancer coverCancer cover based on drug regimen & not on type of cancer; better implants in cardiology & orthopaedics.
- Filing mediclaim? Here's what you should doThough the guidelines gives a detailed claim-process description and set formats for all types of claim forms, the documentation process is...
- Cardiac stent prices dropped but patients charged high : IMS StudyThe report, coming in the backdrop of the government's moves to control prices of stents and other such medical devices.
- Punjab government's health insurance scheme to employeesA decision to this effect was taken by the Cabinet in its meeting chaired by Punjab Chief Minister Parkash Singh Badal here at Punjab Bhawa...
- More group health policies now cover OPD expensesThere are cashless OPD treatments available in the market where insurance companies give a voucher for consultations.
- How to make the most of 'day- care' health insurance covers?IRDA chairman urged insurers to launch more 'day-care' covers, highlighting that non-hospitalisation expenses amounts to twice the hospital...
- What should you know while buying health insurance?People often assume that only the cost incurred during a prolonged stay at hospital qualifies for reimbursement.
- Get more out of your health insurance planInsurance cos offer cover for various day-care procedures to lure customers. Here's how you can benefit from it.
- Procedure for reimbursement claims for hospitalisationET gives a gist of the procedure typically followed by insurance companies or the third-party administrators associated with them and point...
- Health insurance Cos reluctant to support AyurvedaDespite its growing popularity across the globe, the Ayurvedic system of medicine is meted out a "step-motherly" treatment by health insura...
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