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Mediclaim Insurance is a hospitalisation benefit policy offered by public and private sector general insurance companies. The policy provides for reimbursement of Hospitalisation / Domiciliary hospitalisation expenses for illness/ disease suffered or accidental injury sustained during the policy period. The policy pays for expenses incurred under the following heads : A) Room, Boarding Expenses in the Hospital/ Nursing home. B) Nursing expenses. C) Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialist fees. D) Anaesthesia, Blood, Oxygen, Operation theatre Charges, Surgical Appliances, Medicines and Drugs, Diagnostic Materials, and X-Ray, Dialysis, Chemotherapy, Radiotherapy, Cost of Pacemaker, Artificial Limbs and Cost of organs and similar expenses.

[Note: The liability in respect of all claims admitted during the period of insurance shall not exceed the sum insured for the person as mentioned in the schedule.]

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Q: What is mediclaim insurance?
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I need cashless mediclaim policy?

Certainly, I can help you with that. A cashless mediclaim policy is a type of health insurance policy that allows you to receive medical treatment without having to pay for it upfront. Instead, the insurance company will pay the hospital directly for your medical expenses. There are several insurance companies in India that offer cashless mediclaim policies. Here are some of the top options: Star Health Insurance: Offers a range of cashless mediclaim policies with coverage up to Rs. 1 crore. HDFC ERGO Health Insurance: Offers cashless mediclaim policies with coverage up to Rs. 75 lakhs. Max Bupa Health Insurance: Offers cashless mediclaim policies with Full coverage up to Rs. 1 crore. I hope this helps! Let me know if you have any other questions. For more detail info please contact at 8961473988 9007255104


Why is an individual important to their family?

health insurance or Mediclaim is becoming increasingly popular in India. When you buy Mediclaim, generally there are two options that you can choose from an individual Mediclaim plan or a family floater plan. An individual plan will only cover you up to the sum insured, while a family floater plan will cover your spouse and children. Buy Mediclaim Insurance


What is a health insurance dedictable?

The expenses which do not come within the purview of Health Insurance Policy (duly provided in the Mediclaim Policy Prospectus) are called Health Insurance deductibles.


Is True that medical insurance and health insurance are interchangeable terms?

Technically, there is no difference between medical insurance and health insurance.Even they are called mediclaim insurance policy,leading to the same ocean !


What type of indeminty insurance pays for hospital room and baord?

There is a particular type of insurance which pays for your hospital bill and hospitalization expenses. It is called mediclaim.


How to get cashless mediclaim policy?

A cashless mediclaim policy is a type of health insurance policy that allows you to avail medical treatment without having to pay cash at the hospital. Instead, the medical expenses and hospitalization charges are settled directly between the insurance company and the network hospital 1234. To get a cashless mediclaim policy, you can visit the website of any insurance company that offers this type of policy. You can also use online insurance aggregators like Policybazaar to compare different cashless mediclaim policies offered by various insurance companies and choose the one that best suits your needs 1. It’s important to note that cashless mediclaim policies are only valid at network hospitals of the insurance company. Therefore, it’s advisable to check if your preferred hospital is part of the insurer’s network before availing treatment 14. For more detail info please contact at 8961473988 9007255104


Is RFQMR for Osteo-Arthiritis covered under Mediclaim in India?

Yes, our patients treated at Sibia Medical Centre, Ludhiana have been paid by the Mediclaim companies. Even the Insurance Ombudsman and the Permanent Lok Adalat have ruled in favor of the coverage by mediclaim. More details can be had from the website www.sssibia.com or anyone can email at info@sssibia.com for the detailed judgment. - Dr.Sibia


What types of insurance does United India Insurance provide?

United Insurance Company provides , Personal policieslike Householder, Personal accident, Mediclaim, Unimedicare, Bhavishya arogya and commercial policies like Fire insurance, Marine insurance, Motor insurance, Industrial insurance, Liability insurance.


What company has the lowest auto insurance rates?

When deciding whether to choose a mediclaim or a health policy, it would be wise to first understand what your requirements are, what is the existing health condition of family members, and what are the hereditary diseases in the family. Buy Health Insurance:


Difference between mediclaim insurance and health insurance?

Mediclaim is a reimbursement policy where the amount of expenses incurred during your hospitalization or pre & post hospitalization according to your policy will be given back to you. This might be cashless i.e. you will not have to pay from your pocket or reimbursed after you submit all the discharge reports etc. If there is no claim during the term as defined in the policy you will not get anything. Health Insurance policy is generally initiated by Life Insurance Corporations where a particular sum is given to you as per your policy. In this case even if your expenses are lower than the sum insured, it will be profit for you. If no such need arises they will pay back the whole with profits if any at the end of the term. They will be taking a part of your investment as their service charges.


Do insurance companies cover outpatient expenses?

Most of the insurance companies have a mandatory requirement of 24 hours hospitalization. However, insurance companies like ICICI Lombard, Apollo Munich, Cigna TTK and MAX Bupa cover OPD (outpatient department) expenses in their base mediclaim policy, while companies like National Insurance offer an OPD cover as a rider at an additional premium.


What is a tpa?

Third Party Administration (TPA) is a service given to a Mediclaim policyholder by providing cashless facility for all hospitalizations that come under the scope of his/her Mediclaim policy. A TPA is neither the insurer (provider) nor the insured (employees or plan participants), but handles the administration of the plan including: processing, adjudication, and negotiation of claims; record-keeping, and maintenance of the plan etc.