Health Insurance
November 17, 2023 2024-02-12 3:32Health Insurance
Not having health insurance by their side at the time of a medical emergency can lead many people towards massive inconvenience. Right from taking a loan to spending their hard-earned savings, there are multiple ways in which people suffer when they lack health insurance. Therefore, it is of massive importance for every individual to invest in a good health insurance policy so that they can avoid financial instability during a critical medical situation.
Shri Dharmasthala Manjunatheshwara Hospital provides insurance privileges to around 40 organizations as per the agreement and regulations of the respective organizations.
As Health Insurance is an emerging market in the health sector, industries, corporates and Government institutions tie up with all major hospitals for the medical needs of their employees through Third Party Administrators in case of Private Insurance, through Employees State Insurance (ESI) for Govt./ Statutory compliance and through Govt insurance. SDM Hospital has an exclusive department to cater to the needs of patients covered by insurance. Our friendly, cooperative and dedicated team has been specially trained in insurance and medical reimbursement modalities.
Patients have to provide a checklist of documents within 24hrs of admission i.e. policy card, Aadhar card etc. and should be submitted for each Gov/corporate insurance which helps in quickening the claim processing. This cashless facility will create an expeditious and hassle-free facility for admission as it is recognized by all the insurance and leading corporate companies.
- Patients with Medical Insurance or Medical Reimbursement who need an IPD treatment should register by providing various details like name, age, ID number, policy number, nature of the illness, diagnosis and treatment details.
- The patient also needs to declare the medical insurance scheme of the respective insurance company.
- Once the patient is diagnosed and the treatment is finalized, the insurance department will send the pre-authorisation request to the concerned Insurance/Corporate. It takes a minimum of 24 hours for the hospital to get the approval or authorisation for the patient’s treatment.
- In case of emergency, the patient is admitted and the information will be shared with the insurance on the same day or on the next working day if the admission falls on a Sunday or a public holiday. After the approval from the insurance/corporate, the patient will be informed the same accordingly.
- Patients who don’t get approval due to some reason stated by the insurance company are also treated under the general patients’ category without cashless hospitalization benefits.
- In case the hospital does not receive this authorisation within 48 hours of admission and the patient is getting discharged, the patient must settle the hospital bill and claim reimbursement from their insurance provider.
