Category: General

There are many instances hospitals will deny ‘cashless facility’ even though the insurance company has a tie-up with them. While there can be various reasons behind the denial of cashless facility, a customer who is at the door step of healthcare and insurance service providers should not be put to difficulty.

In such a situation, what is the best choice for the customer?

In these distress situations, the best choice for him/her is to depend on an expert coordinator who will support them from their side, ie., their insurance broker. The customer should, at this stage and always during claims, should rely on the claim support services of a responsible and committed insurance broker.

Whatever may be the reason for the hospital to deny ‘cashless’, even with tie-up in place, the insurance broker coordinates as the customers’ representative between the TPA/Insurer and the hospital for the resolution specific to the customer’s request of ‘cashless’ treatment.

An amount additional to the basic death/personal accident benefit payable if the policyholder dies as a result of an accident or loses any two limbs or the sight in both eyes as the result of an accident.

Insurance Broking Companies play an important role in helping the customer to understand and identify actual needs to make an informed choice. Insurance Agents or Agencies including banks usually represent one or two Insurance companies in selling Insurance Policies, where the choices available to the customer are limited.

Insurance policies that cover risks that do not come under Life Insurance. Policy periods for such products are generally one year, and have to be renewed at the end of each period.

An individual whose risk is covered by the Insurer, in return for a premium.

Insurance that covers risks that involve a policyholder‘s life. Benefits are passed on to the policyholder‘s nominee, usually a spouse or immediate family member.

A sudden, unforeseen and unexpected event, happening by chance that results in a loss.