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Friday 10 January 2014

Cashless Facility vs Reimbursable Facility

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Cashless Facility Or Reimbursable Facility - Which Is Better?

·         Under cashless facility you have to go to the hospitals approved by the Third Party Administrator. In Reimbursement facility you can choose any hospital, take high quality treatment and then get reimbursed from the TPA after the claim settlement process.

·         In your cashless facility you would avail of expensive treatment sometimes on advice of the hospital itself as you don't have to spend from your pocket and the Insurance Company is settling the claim. This leads to heavy losses for the Insurance Company and they jack up the premiums when your health policy comes up for renewal. In Reimbursable policies since you pay from your own pocket you fear that your claims might not be reimbursed and you settle for a cheaper treatment.

·         Cashless facility is good for you if you do not have ready cash and need to settle the medical bills immediately .In reimbursement policy you must have cash in your hand and you need to submit the bills in order to enjoy the claims and you will be reimbursed at a later date. There might be a long waiting period before you get that medical reimbursement.

 

 

 

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