Thursday, September 8, 2011

Aspects of Health Insurance Claims

There are an extensive range of benefits that people can get by simply availing the right sort of health insurance coverage. When people buy a plan, they tend to only look at the expense and the ailments covered. But, in reality, people should look at the medical procedures covered too. Health insurance claims are paid on the basis of the steps as well as the illness for which treatment is sought. There are many aspects of the treatment that the plan may cover — pre-hospitalization, post-hospitalization, just the cost of the operation (if any), etc.

It is the steps of the treatment that should be properly covered by the plan. Any health coverage policy would have an in-depth description about the aspects of treatment covered by it in the plan wordings. People should understand these wording to make the health insurance claims easier.

There are a lot of times that the person says that so and so illness is covered by the plan and therefore it is good. But, unless a person knows the steps of the medical procedures covered people cannot judge how the efficiency of a plan or the health insurance claims process.

There are a number of aspects of the treatment:

• Pre-hospitalization: the expenses that are acquired in getting the diagnostic tests done, before hospitalization. There are insurance policies that cover such expenses up to 60 days before the hospitalization.
• Post-hospitalization: the costs that a person has to face when going for follow-ups of the medical care. The medical coverage in some plans also covers this facet of medical care and treatment.
• Inpatient treatment: this should preferably cover the aspects of healthcare like operation theater costs, blood, room rent, ICU costs, cost of medicines and anesthesia needed during treatment, cost of implants, etc.
• Outpatient costs: there are certain health insurance plans that provide medical health coverage for those treatments that are connected to the OPD i.e. those treatments that do not call for hospitalization.

Apollo Munich provides a very simple claim health insurance process and ensures that the plans provide all-round medical care.

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