Cashless claims
At a network hospital, show your health card, and the hospital coordinates with the insurer's TPA to settle bills directly. Pre-authorisation is needed for planned treatment; inform the insurer within the required window for emergencies.
Reimbursement claims
At a non-network hospital, you pay first and claim later. Keep every bill, discharge summary and report, and submit the claim form within the deadline.
Avoid these mistakes
- Not informing the insurer in time
- Missing documents or bills
- Non-disclosure at purchase (the top reason claims fail)
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Vijay Singh Rana — HDFC Financial Advisor · IRDAI & AMFI Registered