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Home FINANCE How many hours of hospitalization is necessary for health insurance cover? What...

How many hours of hospitalization is necessary for health insurance cover? What are your rights

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Health Insurance: Making a big change in health insurance, many insurance companies are now also covering such treatments in which the patient has to be hospitalized for only two hours. This change is different from the traditional 24-hour minimum hospital stay condition, which was earlier considered a mandatory condition for the claim.

Why are insurance companies changing the rules?

Siddharth Singhal, Head of Health Insurance at Policybazaar, said, “The development in medical technology in the last decade has completely changed the process of treatment and surgery. Now patients do not need to stay in the hospital for a long time.”

Earlier, procedures like cataract, chemotherapy and angiography also required overnight hospital stay. But due to minimally invasive techniques and better diagnostics, these treatments are now possible in just a few hours. Accordingly, insurance companies are also changing their rules.

Short-stay coverage is also included in the policy

Many insurance companies have updated their policies and included short-duration hospitalization in the coverage. Singhal said, “Now there are many policies that accept claims even for just two hours of hospitalization. There is no need for any additional condition or exclusion.”

Facility available in these major schemes

ICICI Lombard’s Elevate plan

Supreme plan of CARE Health

Niva Bupa’s Health ReAssure Plan

For example, if a 30-year-old non-smoker lives in a metro city, the annual premium for a ₹10 lakh insurance plan would be ₹9,195 for ICICI Lombard Elevate plan, ₹12,790 for CARE Supreme and ₹14,199 for Niva Bupa Health ReAssure. Experts believe that this initiative of insurance companies is not only providing better facilities to patients but is also making the health system more resilient over time.

What are the rights of a health insurance buyer?

A health insurance taker has the right to receive timely treatment and claim facility as per the coverage decided under the policy. He should get complete information about all the terms and conditions of the policy, coverage, exclusions and claim process with transparency.

The policyholder also has the right to cashless facility, option to choose network hospital, right to know the reason and appeal in case of claim rejection. Also, the insured person has the right to avail the benefits of policy renewal, portability and free-look period.

What is health insurance?

Health insurance is an insurance plan that covers the insured’s medical expenses such as treatment, hospitalization, surgery and medicines. In this, the insured person pays a fixed premium annually and if needed, the insurance company pays the hospital bill or reimburses the expenses. Many plans also provide the facility of cashless treatment, so that the patient does not have to pay money.

 

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