Important Points for IC 27 - Health Insurance Exam
Page 19 Of 27
Go to:
- Pre Existing diseases: It is estimated that an overwhelming majority of claim disputes in non-life sector are related to medical insurance and majority of these pertains to pre-existing diseases.
- A claim also refers to the documents and process by which the insured demands the admissible insured from the insurance company.
- Cashless hospitalisation is a service provided by an insurer wherein the insured is not required to settle the hospitalisation expensers at the time of discharge from hospital , to the extent covered by policy.
- A hospital, which has an agreement with a TPA/insurer for providing cashless treatment, is referred to as a Network Hospial.
- Non-network hospitals are those which do not have tie-up with TPA or Insurer and any policyholder seeking treatment in these hospitals would have to pay for the treatment and later claim as per the reimbursement procedure.
Previous 
Demo
Buy