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- Plum’s health insurance can be used via a cashless treatment at a hospital. Alternatively employees can pay out of pocket for treatment and then claim the cost of treatment via reimbursement from the insurance company.
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Plum’s health insurance can be used via a cashless treatment at a hospital. Alternatively employees can pay out of pocket for treatment and then claim the cost of treatment via reimbursement from the insurance company.
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Plum’s health insurance can be used via a cashless treatment at a hospital. Alternatively, employees can pay out of pocket for treatment and then claim the cost of treatment via reimbursement from the insurance company. Is there a limit on the number of claims during a year? No. You can make an unlimited number of claims during the policy period.
Dec 1, 2023 · ' Cashless health insurance ' is a comprehensive coverage plan that enables policyholders to receive medical treatment or services without making upfront payments. Insurance companies have a wide range of network hospitals in their network where the policyholders can receive cashless treatment.
- What Is A Cashless Claim?
- What Is A Reimbursement Claim?
- Difference Between Cashless and Reimbursement Claims
- Benefits of Using Plum Insurance
- FAQs
A cashless claim is a type of health insurance claim where you receive treatment at a network hospital without making immediate out-of-pocket payments. Instead, the hospital sends the costs directly to the insurer for settlement. To avail of this, you simply go to a hospital that's part of your insurer's network, present your health e-card and iden...
A Reimbursement claim is a type of health insurance claim where your choice of hospital isn't restricted to your insurer's cashless network. You can receive treatment at any hospital, bear the initial costs, and subsequently file a claim with your insurer to get these expenses reimbursed. To initiate this process, you must submit all relevant docum...
Network of Hospitals
Cashless claims can only be availed at the facility on the insurers' network. The insurance company covers all the expenses within the policy parameters when intimation is provided by the insured as per the set guidelines. For reimbursements, the insured can avail of the treatment at any hospital if the treatment is within the scope of the insurance. On filling in all the necessary documentation and successfully verifying the same, the insurer's claim gets approval.
Payment for Treatment Expenses
On availing, cashless benefits, the insured can avail of the treatment without shelling out cash for treatment expenses. All the costs incurred for the insurance company directly settle treatment until the same is within the scope of the insurance policy chosen. For reimbursements, the insured must pay the hospital bills and then file for claims in the required format with the insurance company. Upon successful completion of the claim settlement process, the insured gets reimbursed for the cl...
Claim Process
For choosing the cashless option, the insured must inform the insurance company in advance and file for a claim, after which the insurance company directly settles hospital bills. A reimbursement has to be filed post-treatment with all the bills, original and verifiable receipts for treatment.
Dashboard:A dashboard from where employers can access all the required information and make the necessary modifications as and when required.Chat-based support:Plum Insurance provides a claim filing facility over WhatsApp that makes usability an excellent experience.Flexibility:The Plum Insurance dashboard can be used over any device, which provides employers greater flexibility.1. What is a cashless claim? The cashless claim is a health insurance feature, which enables the insured to get treatment at an insurance network hospital without any upfront payment. 2. How do I claim cashless benefits? To avail of cashless benefits at a network hospital, file your claim along with a health insurance card and the required paperwor...
To raise a cashless claim request, you can start your journey through selecting 'use my insurance' on the Plum dashboard and our Plum claims team will reach out to you. Here's a demo video on generating a cashless claim.
You should get cashless approval within 3-4 hours. The final approval (or rejection) comes in from the insurer along with the discharge summary. Once again, we recommend you go through the fine print of all deductions and seek all clarifications with the help of the Plum Care team.
What is Cashless facility in Health Insurance? Every insurer has tie up with 3,000 - 4,000 hospitals across India called as Network Hospitals. You are entitled to get a cashless treatment in these hospitals.
