The no-hassle cashless insurance policy – and why you need it

Cashless health plans are a blessing when you need hospitalisation urgently. Let’s take a look at how they work.

The biggest fear for any person today is to suddenly fall ill and require hospitalisation. Medical treatment costs are quite prohibitive in India, and they continue to rise every year. Also, many hospitals force patients to first pay admittance fees before starting treatment – if you are short of money at that time, this can result in loss of valuable time for you or your loved one.

Health insurance companies realise the gravity of a patient losing precious minutes of treatment. Hence, they have devised the cashless health insurance plan, which is a wonderful solution for policy holders: they can get admittance at once after giving the policy details to the hospital, and the patient starts receiving treatment. The bills are settled by the insurance provider directly with the hospital.

How the cashless health plan works

Cashless health insurance makes access to quality treatment possible in the shortest span of time. On requirement, the policy holder makes their way to the nearest network hospital (the insurer has tie-ups with hospitals in every city) and submits the policy details. On confirming the details, the hospital admits the patient and fills out a form for the Third Party Administrator (TPA). The TPA then checks the policy terms and communicates whether the cashless claim may be entertained or not. The TPA may also set an upper limit on expenses to be borne by the hospital – the difference must be paid by the policy holder.

The benefits of the cashless health insurance policy

The best cashless policies today provide the following benefits, among many others:

• No medical test is required for enrollment, and you can get a sum assured of up to Rs 5 lakh
• There are no sub limits on hospitalisation coverage
• Charges are paid for room hire, ICU, day care procedures, domiciliary treatment, organ donor expenses
• Premiums on the policy are liable for tax benefits under Sec 80D
• Possibility to increase sum assured while renewing the plan

In addition, a policy holder may even time a surgical procedure for themselves or a loved one basis their own convenience, and if the procedure is entailed in the policy terms. Thus, cashless health insurance is the best answer to both emergency and timed medical calamities, and it helps policy holders save a lot of money while providing immediate treatment.

AVIVA's all new health care programme: The eligibility criteria you must know

AVIVA’s insurance plans take health insurance to the next level with superior products and easy eligibility criteria.

In times of rising inflation and high living costs, people are under tremendous pressure to create wealth for themselves and their loved ones. Single income families, especially, find the going very tough every month. Many people try to make an additional income by getting freelance work or getting part time assignments over the weekend.

But overwork and constant deadlines can take a toll on one’s health. Stress, anxiety, pollution, lack of exercise, consuming junk food, erratic sleeping hours, etc. contribute to ill health. Soon, one may be diagnosed with a critical illness that takes a lot of money out of their precious savings. Hence, it is prudent to take health insurance to save the high future cost of treatment, especially when dealing with critical illnesses.

Health insurance provides coverage against the risk of spending a lot of money for emergency medical procedures and diagnosis. Currently, the medical treatment and hospitalisation costs in India are quite prohibitive – thus, a reliable health plan such as those provided by AVIVA Health Secure range of health care can help pay medical bills and diagnostic charges. The policy pay-out is paid as a lump sum once the critical illness diagnosis is confirmed. Thus, the policy holder can start treatment at once, and also consult with the best specialists.

Thus, AVIVA health insurance provides the best ever solution to help you get timely access to good medical care. Consider the following eligibility criteria for AVIVA’s health care programme:

• Entry age for the policy: 18 years minimum and 55 years maximum
• Maturity age: 65 years
• Premium payment frequency: Half-yearly or yearly
• Tenures: Minimum 10 years and maximum 30 years
• Sum assured: Rs 5,00,000 minimum and Rs 50,00,000 maximum. This includes the critical illness cover that you take under another policy.
• Rebates: The policy gives you a tax rebate if you have a sum assured of Rs 10 lakh or more. 

* Refer to the premium quotation to calculate the instalment premium.

Thus, taking the AVIVA healthcare plan helps to pay the high costs of treating a critical illness – thus protecting your savings for other purposes.