Cashless Hospitalization Process | How To Avail Cashless Hospitalization In Hindi

[@atypicalengineerofficial]

I am in hospital tensed while watching this video. This relieved me of bill worries. Thanks for the video.

[@HealthyUForever]

My pleasure

[@raj-sm7xh]

Thank you so much sir for clearing my confusions ❤️

[@HealthyUForever]

My pleasure

[@anisshaikh4649]

Nice information

[@HealthyUForever]

Thanks

[@sapnaarya9589]

Thank u sir .... 🙏🙏

[@dmhreviews8659]

Great, cleared all doubts, very well explained

[@HealthyUForever]

Thanks

[@bhupendrasingh-ke9ri]

Aapka explain karne ka tarika bahut achha h

[@HealthyUForever]

Thank you so much

[@umeshpatil3416]

Very well explained 🙂 Keep it bro share the knowledge

[@HealthyUForever]

Thanks

[@saritasoni1196]

Thank you so much sir

[@newtonadhikari9005]

Thanks sir i am in hospital and claim approval showing 21000 approved and request is 40000 i am worried but after your video i understand the things.

[@HealthyUForever]

Get well soon. My pleasure

[@vyshurocks]

Sir well explained...thank you

[@HealthyUForever]

Thanks

[@ravimohan7924]

Best

[@HealthyUForever]

Thanks

[@soinc1158]

Solid explanation

[@HealthyUForever]

Thanks

[@richardsubrojitgomes]

Very Simply and Confidently The Matter is Explained....

[@HealthyUForever]

Thanks

[@pavan29]

Very informative 👍

[@HealthyUForever]

Thanks

[@naveenrai5888]

Very informative thanks sir

[@HealthyUForever]

Thanks

[@shubhamsharma14]

there are some insurances where no capping on room rent? is it true?

[@HealthyUForever]

There are, but premium would be high

[@shubhamsharma14]

@@HealthyUForever thank you for replying. i have anothe question, is ot worth taking these no capping on room rent health insurance? because in private min room rent is 8000 rs and can go upto 15000 too

[@HealthyUForever]

It's better to take no capping on room rent because hospitals increases room rental year on year

[@utpalchoudhury8760]

Thanks.Good information.

[@HealthyUForever]

Thank you so much for your feedback

[@Sanjana_914]

Hii sir Mera kal document upload kiye but abhi tak aproval nhi aya plz reply

[@HealthyUForever]

Apne TPA ya insurance se baat karen ki karan kya hai

[@LIF638]

Sir cashless mein hospital ko payment kab tak mil jaata hai

[@HealthyUForever]

2 hafte se 45 din ke beech

[@RcDrive2.0]

A valuable content...sir...👍👍👍

[@HealthyUForever]

Thank you so much for your words of wisdom

[@MeghanaASharma]

Sir if the disease is like we need not to hospitalise ,can we claim the opd and medicinal charges?

[@HealthyUForever]

Ideally No, Rest depend on your policy wordings if OPD expenses are covered or not

[@FocusVideoFocus]

Csahless karaya hospital me admit tha par verification nhi aayi

[@HealthyUForever]

apne insurance ke customer care se baat kare

[@mayurimore8104]

Operation ke pehle krne vale blood test cashless me include nahi kiye hopital ne . Uska alag se reimbursement kr skte kya ?

[@HealthyUForever]

Ji hospital me admission se 30 din pahle aur 60 din baad ke blood investigation, xray ultrasound aur davaiyan sab ka ka reimbursement kar sakte hain,

[@mayurimore8104]

@@HealthyUForever Thank you for the quick response doctor ☺️

[@madeehasahar1950]

very informative...nice video!!😊👍

[@HealthyUForever]

Thank you so much for your feedback

[@syankn]

Kya insurance policy se hum OPD me kuch bhi treatment kara ke medicine ka aur OPD ka expenditure ka reimbursement le sakte hai

[@HealthyUForever]

Ji agar hospital me admit hue hain tab air uska claim approve hua hai to 30 din pahle aur 60 din baad ke OPD Bill ke cliam le sakte hain. Agar admit nahi hue to OPD nahin milega. Baki policy type per depend karta hai

[@saurabhsuman9995]

Suppose i am going a insured surgery of my relative for prsotate the hospital will prepare the jacked bill considering insurance cover. If while claim it is relaised that insurance companies denies claim for any reason. Would it be beneficial to go for cash estimate as it would be lesser as compared to insurance?

[@a9450154247]

Kya isme ayurved operation k liye b paisa diya jayega....????

[@HealthyUForever]

Ji kuch policies me Ayurvedic ilaaj bhi cover hota hai, apko apna policy document padhna hoga

[@prabhatranjan1506]

Sir pregnancy me tpa ka bareme bataie ,media assist he mera insurance policy.. please 🙏🙏

[@HealthyUForever]

Thank you for your question. अधिकतर रिटेल पॉलिसी जो अपने खुद सीधे insuarnce से खरीदी हो उसके प्रेगनेंसी covergae नही होता है। लेकिन कुछ इंश्योरेंस कंपनी एक अधिक प्रीमियम देने पर कुछ साल के waiting पीरियड के बाद ये सुविधा देती है। Depend करता है आपकी पॉलिसी में ये ऑप्शन है या नही। जितने भी कॉरपोरेट इंश्योरेंस पॉलिसी होते हैं (जो आपको आपकी कंपनी देती है) अधिकतर मे प्रेग्नेसी coverage होता है लेकिन उसमे भी एक amount की लिमिट होती है। ये अपने आपके employer या HR से पता करना होगा।

[@prabhatranjan1506]

@@HealthyUForever sir mera corporate insurance policy he .aur ek saal me one lakh insurance he..

[@HealthyUForever]

Ok, maternity limit check kar lena, agar total 1 lakh ka insurance policy hai to maternity limit kam hogi, agar 1 lakh maternity limit hai to apko pura benefit mil jayegs

[@prabhatranjan1506]

Thank you sir.

[@rohitsinha4200]

My mother has no pancard but i have to submit all documents including pan card for cashless pre-authorization request form of kokila behan Dhirubhai ambani medical and research centre Mumbai as per his self service counter form and there is clearly mentioned in form that photo I'd proof as pancard is mandatory .we have voter id card, Aadhar card and income certificate proof of my mother smt Manju devi so please guide me because my mother is in critical condition she is suffering from cancer and can i submit cashless pre-authorization form with out pancard .

[@HealthyUForever]

Hi Rohit, As per new guidelines PAN and Adhaar is mandatory for cashless process. But in case patient doesn't have PAN card then request can be processed with Form 60, please ask TPA desk to provide Form 60 to fill and submit.

[@_Subhadwip_Podder]

Sir I am having many problems and under doctor checkup can I take hospital admission with cashless for allover checkup

[@HealthyUForever]

No, untill you are not diagnosed and advised admission by doctor for active treatment. Admission and Expenses only for investigation can be denied by your insurance company which will be paid by you to hospital if claim is denied

[@syankn]

Assalamualaikum husain sahab please advise me which insurance policy I can take for dental treatment, thanks

[@HealthyUForever]

وعلیکم السلام Generally dental treatments other than accidents are not covered in helath policies but now few products in market, you can search on policy bazaar to compare

[@syankn]

@@HealthyUForever Musharraf sahab bahut bahut shukriya, tafseel se batane ke liye, Jaza-kalah khair

[@Vickyrbkk]

Very good

[@HealthyUForever]

Thank you

[@mayurimore8104]

Hello doctor, hospital did not refund the whole deposit amount. We asked the insurance company they deducted some amount bcz hospital did not submit enough reports. Who's fault is here ? Can they do something like this with patients? All the operation & other test where done in hospital only .

[@HealthyUForever]

Check with hospital what documents your insurance company is asking, hospital dont do like that process the claim as per your Policy guidelines, of any doubt discuss with hospital staff and your insurance company too

[@mayurimore8104]

@@HealthyUForever Ohkay doctor thank you so much .

[@TarunKumar-tp1oo]

Sir mera wife abhi pregnant hai aur 2 months time hai delivery ke liye, lekin maine current company se 5 days me relieve honewala hun. Actually mera medi assist card ka validity toh September 2023 tak hai, can I eligible to claim at the time of my wife's delivery? Please let me know sir.

[@HealthyUForever]

No, this policy will be terminated the day leave your organisation, baki aap apne HR se cheque kar len

[@vikaschawla2605]

Sir aaj (Sunday) TPA ne 7.04 pm me insurance company ko mail kia hai.. Jiska approval abhi tk nhi aaya.. Esa kyu... Abhi raat ko gyi isliye subh tk aa jaega? Ya koi or reson ho skta hai.. Plz tell

[@vikaschawla2605]

Hospital k TPA ne kia hai mail

[@drbnsatyadev5212]

Hi Sir, Is photo id proof mandatory for 1yr baby for admission?

[@HealthyUForever]

Yes this is required and insurance companies ask for photo ID proof, but if 1 yr old baby photo ID proof is not available then parents ID proof and baby birth certificate works and is accepted by insurance companies to process the claim.

[@drbnsatyadev5212]

@@HealthyUForever Thank you sir

[@prabhodhini6147]

Hii due to excess room rent half ammount is deducted the hospital management and insurance policy agent not informed about room category and we are also not aware about room type is there any other way to get reimbursement of that money or we have to pay

[@HealthyUForever]

Hi, actually agents always give half information and customers like us get suffered. Insurance company clearly says to read the policy document carefully and will not accept this now. There is a propionate deduction of you opted for higher room category.

[@mohammedmoiz3983]

Sir agar cashless admission karwaenge to co-pay amount nahi dena padega?

[@HealthyUForever]

Copayment apki policy ka clause hai jo apko pay karna ho padega

[@gsr757]

sir we have 50 bed hospital sir guide me how to linked with tpa company and insurance company

[@HealthyUForever]

You have to connect with the insurance companies and TPA's network service providers department. Your hopsital should be NABH accredited

[@santoshchalwadi890]

Sir govt. Cashless kya hota hai

[@HealthyUForever]

I dint get, actually 4 PSU insurance companies you can call them govt insurance companies. Or CGHS kind of cover is also fall in govt insurance coverage for central govt employees

[@prabhodhini6147]

Hii sir in my insurance my mother name is wrong it is not according to aadhar will they accept and provide cashless service because in 5 days she has operation.

[@HealthyUForever]

Get this corrected with an affidavit and a govt ID proof, otherwise insurance company an trouble at the time of cashless

[@subratamajumder5999]

Mera father ko admit karna hai hospital mai but hum nahi rahenge Mera insurance hai corporate Koi problem hoga Plz suggest

[@HealthyUForever]

Generally corporate insurance mein maximum disease cover hoti hain, apke na hone se koi pareshani nahi honi chahiya. Agar policy me koi copay ya capping hogi to utna amount apko pay karna hoga agar copay nahi hai to sirf mamuli se no payable items pay karne honge baki insurance se approval aa jayega

[@ganeshprasad4439]

Medibuddy mai cataracts eye surgery kesa hoga and full payment company korega kiya ? How to get benefit of my insurance details

[@HealthyUForever]

This depends on your policy wordings, please check your policy document if there is any capping on Cataract surgery. If there is no capping then insurance will pay full amount otherwise the amount is capped for the procedure. In few policies lens cost is fixed and if you opt high value lens then differential amount will be borne by you.

[@Maverick_team]

Great information sir, sir kindly tell I have taken religare care family floater 5 years ago, now I have to admit hospital for c section can we claim under this plan? It's actually not a direct maternity plan, so I m confused tht can we take any benefit out of this plan

[@HealthyUForever]

Not sure if your policy gives maternity cover. Please rwd the policy document or connect with customer care to check the maternity cover in your policy

[@bhavikkoradiya4728]

Dear sir, Mene apane father ki laproscopic surgery k liye hospital through planned cashless intimation karavaya hai .. but hospital ne eligible room se upper room k liye intimate kia hai aur uski vajah se surgery and ot charges mese 30 to 40 percentage deduct hua hai and around 60% jitna pre approved hua hai.. abhi me higher room k jagh eligible ya usse Kam room occupy karvata hoon father k lie to fir final settlement m se b 30- 40 percentage deduct hoga kya? In short final settlement pre-approval time p jo bed k lie intimate karavaya tha uspe depend karta hai ya actual m Jo bed opt Kia hai us per depend karata hai ? Thank you.

[@HealthyUForever]

App Jo bhi actual room occupy karoge uske according hi final bill ur final approval milega discharge ke samay. Jo bhi apke room ko elegibility hai wahi room opt karen anytha apke pocket par bhaar padega

[@bhavikkoradiya4728]

@@HealthyUForever Thank you sirji for your quick reply. To abhi Jo deduction bata rahe hai due to higher room wo fir eligible room lene se hat jaega . M I right? And rmo and nursing charges usually companies pay karti hai kya?

[@HealthyUForever]

Yes, possibility yahi hai ki room category ke according deduction kam ho, lekin apki policy ka koi capping ya copya clause hoga to wo apko Dena padega. RMO charges generally company pay nahi karti

[@golusingh-cj8lk]

Sir kaise pata kare kitna claim pass cashless m

[@HealthyUForever]

Insurance company ne Hospital TPA desk par approval letter bheja hoga, usi me approved claim amount likha hota hai

[@govindyadav8808]

Sir muje AVN h Dr ne hip replacement k liye kha h mere insurance me 1lakh ki policy h to claim paas ho Sakta h surgery me

[@HealthyUForever]

Depend karta hai apki policy kitni purani hai, generally hip replacement ke liye 3-4 yrs ka waiting period hota hai

[@Julab_Gamun]

Card m UNITED INDIA hain aur letter p aur upper right side m Heritage Health insurance tpa pvt . Ltd likha h toh meri mummy ka operation karwana h toh step by step bta skte h ki mai pehle claim karu ya baad m aur ya fir discharge k waqt mujhe payment karna hoga ya fir company krega mujhe nhi karna hoga .. Plz btaye 🙂

[@HealthyUForever]

आपका insurance company का नाम United India Insurance है और TPA Heritage है, आपको हॉस्पिटल TPA Desk पर अपना card दिखाना चाहिए वो आपका cashless claim process करेंगे, initial approval लेकर admit करा दें फिर DISCHARHE वाले दिन बाकी Approval भी आ जाएगा, आपको थोडे बहुत देना पड़ेगा

[@himanshu4788]

mera retina laser hua tha uska cash m 7k tha cost,, but hospital ne 10k charge kiya insurance mediclaim se jisme 7.5k approve hua ,, n 25% co payment b h jo ki mujhe pay krna tha,,,but jb cost 7k h to 10k kyu?? is it correct??plz reply asap...

[@HealthyUForever]

Ye depend karta hai ki apki insurance company ke Saath hopsital ka kya rate agree hua hai. Agar hopsital kuchh galat rate charge karta to insurance hopsital se query karta aur bill approve hi nahin karta. Fir bhi apko agar doubt है तो aap apni insurance company se baat karke jankari le sakte hain

[@ayanrizvi5250]

Sir insurance lene k 2 mhine baad maloom hota h k aap k takleef h surgery honi h kiya hum claim le sakte hai

[@HealthyUForever]

Agar wo surgery apki policy के waiting period clause me aati hai to nahin

[@ayanrizvi5250]

@@HealthyUForever itne saare to paper hai sir vo bhi english me agar aap ko maloom ho avn ki to bta dijiye plz

[@HealthyUForever]

Kon si surgery honi hai

[@ayanrizvi5250]

@@HealthyUForever sir hip joint ki

[@HealthyUForever]

Nahin milega, agar ye accidental injury ki wajah se hua hai wo bhi policy lene ke baad tabhi mil sakta hai warna nahin

[@suddhasattwasinha9181]

Sir, approx how much payment I should have to pay in a cashless treatment, suppose mera dad ka ek cardio surgery hua, jisme bill aya 4 lakhs 50 thousand. And I've a sum insured 5lakhs.

[@HealthyUForever]

Depending on your insurance policy terms, if there is any capping on disease than you will have to pay differential amount if no then only a minimal amount upto 10 k as non paybale consumables items. If any copay% defined in policy then you have to the amount as per the defined copay otherwise nothing except non payable amount

[@shashanksharma8775]

Namaskar sir. Mene November 2020 m insurance Lia thaa aur Mera accident December m ho Gaya jisse mere per Ka ligament tear ho Gaya to Uske liye m march tak bed rest prr Raha aur Uske baad doctor ne surgery Ka Kaha h....to ab June mera PCL reconstruction Hoga to Kya m claim k liye Eligibile Hu?

[@HealthyUForever]

Accident injuries are covered and you should get benefit according to your policy terms. Go first for planned admission and apply for initial approval.

[@shashanksharma8775]

@@HealthyUForever thank you sir.🙏 I'll again disturb you if needed.

[@globetrekker777]

सर मैने एसबीआई जनरल हेल्थ इंश्योरेंस लिया है पांच लाख वाला, दो वर्ष हो गए हैं। इसमें मैं और मेरी पत्नी का नाम है सिर्फ। मेरी एक बेटी है पांच वर्ष की, उसको दिल में छेद है, ऑपरेशन का खर्चा पांच लाख है। सर क्या ऐसा हो सकता है कि मैं बेटी का इलाज इस इंश्योरेंस से करवा सकता हूं?? बेटी एडमिट हो जाए और इंश्योरेंस वालों को डॉक्यूमेंट्स मैं अपने नाम से भेज दूं। क्या कोई अधिकारी ये जांचने आता है कि किसका इलाज चल रहा है?? मेरे पास पैसे नहीं है, मैं जानता हूं कि ये गलत है ,शायद हॉस्पिटल भी इसके लिए तैयार ना हों। उचित सलाह दीजिए। मेरी मदद कीजिए। धन्यवाद।

[@HealthyUForever]

ये fraud होगा, आप ऐसा नही कर सकते. Claim तो रिजेक्ट होगा ही जैल भी हो सकती है अगर Insurance कंपनी ने केस कर दिया तो

[@shashanksharma8775]

Sir Mera cashless authorise ho chuka Hai aur ab mujhe hospitalise Hona Hai aaj aur surgery kal hai. Final approval kab Milta h sir? Aur sir admission k baad bhi query ho skti h? Final approval reject bhi Ho skta h Kya?

[@HealthyUForever]

Final Approval hopsital se discharge ke samay aata hai, hopsital discharge के samay final bill और discharge summary insurance company को bhejta है और उसी के according फाइनल approval आता hai. हाँ अगर documents me ya patient history me कोई अन्तर होता है तो ही Insurance company query raise करती है.

[@shashanksharma8775]

Sir please reply kariye

[@HealthyUForever]

Medical query hopsital reply kar deta hai lekin agar patient history या documents को लेकर अन्तर होता है तो आपको documents देने होते हैं. यदि Insurance Company reply से satisfy nahi hoto to cashless reject कर देती है for आपको reimbursement me jana होता है लेकिन 1-2% cases ही discharge पर deny होते हैं बाकी सब Approve हो जाते हैं

[@shashanksharma8775]

Thanks a lot sir. Can I get your number? Or any other mean to connect to you?

[@HealthyUForever]

You can write me a email please at [e-mail]

[@MrAelish]

Mane apni wife ke liye navi ka HI liya hai 5 lakh ka isme room ka koy caping nahi hai. Lekin ye pata hi nahi tha ki isse use kaise krna hai. Bohot pyar aapko nagaland se.

[@HealthyUForever]

Thank you so much

[@SalmanKhan-sn4ri]

Assalamu alaikum.. Bhai meri wife pregnant hai 4 months chal raha h kya koi abhi insurance policy mai le sakta hu jisme delivery ka kharcha cover ho jaaye

[@HealthyUForever]

Wlalaikum assalam Impossible