Cashless Everywhere : Medical Bills For Health Insurance

Payment of medical insurance bills upfront has always been a hassle, and that too of great significance. Covering the cost upfront can be challenging. Especially in cases of emergency when treatment is nothing but avoidable. That is why the new initiative, called the ‘Cashless Everywhere’ and Cashless Health Insurance, has been introduced. This government initiative helps the healthcare payment system by enabling seamless transactions. That too, without the need for you to pay upfront. How does it work? Through collaboration between insurance providers and healthcare facilities.

Read the article to learn more about the Cashless Everywhere IRDA, ranging from its objectives to its benefits to eligibility, and the application process.

Latest Updates

Some latest updates issued by the IRDAI concerning the health insurance scheme are as follows:

• IRDAI has strictly instructed the hospitals to approve cashless authorisation requests within an hour of receiving them.

• IRDAI also issued that the patients are to be released within 3 hours, during which all the payments are to be sorted by the insurer.

What Is The Need For The Cashless Everywhere Initiative?

The need for the Cashless Everywhere IRDA Initiative is broken down in the following points for one’s reference:

1. It gives the insured individual medical treatment without having to pay out of their pocket all at once. However, medical insurance providers settle it with the healthcare facility on their own.

2. This initiative streamlines the payment process.

3. It reduces the administrative hassles and eliminates the need for reimbursement claims.

4. Moreover, it enhances accessibility to healthcare services, particularly for those facing financial constraints.

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What Are The Benefits Of Cashless Treatment?

The following pointers showcase the important benefits offered by the Cashless Anywhere Care health insurance:

• No Hospital Restrictions: Cashless treatment is a facility available in all hospitals in India.

• Quick Treatment Access: No need to approach a network hospital to avail cashless medical treatments without any delay.

• No Reimbursement Hassle: Expenses are paid individually with the hospital as the contractor.

• Reduced Fraud: Direct billing is the reduction of instances of fraud since it provides utmost transparency.

• Time-Saving: Few compliance documents are often needed.

• Enhanced Health Insurance Reach: Some of them come with a proposition of going for a fully cashless process for claims, and will achieve easy insurance services across the country.

How Does Cashless Everywhere Facility Work?

This Cashless Everywhere Star Health operates under IRDAI’s guidelines to simplify cashless claims:

For Planned Treatments: Inform the insurer 48 hours before the admission of a member to a hospital.

For Emergency Treatments: The insured person should inform the insurer within 48 hours of admission to be eligible for cashless privileges.

How To File A Claim Under Cashless Everywhere?

To file a claim under the Cashless Everywhere Initiative, people need to follow the steps that are laid down below in a step-wise manner:

Step 1: Intimate the Insurer: Report the insurer upon planned or emergent admission to a health facility.

Step 2: ID Card Presentation: The patient’s insurance identification card should be produced during admission.

Step 3: File Claim Request: Fill out an online cashless claim request form through email, mail or fax.

Step 4: Submit Documents: Submit the required identification documents (know your customer and medical history).

Step 5: Final Approval: The insurer approves documents for claims.

Step 6: Bill Settlement: Once approved, the insurer pays the bill as a whole to the concerned hospital.