Everything About Cashless Everywhere

Introduction

In a significant leap forward for the Indian insurance industry, the ‘Cashless Everywhere’ initiative has been introduced by the General Insurance Council (GIC) in collaboration with health and general insurance companies. This groundbreaking system aims to revolutionize the way policyholders access medical treatment, making it more convenient, transparent, and hassle-free.

What Is ‘Cashless Everywhere’?

Under the ‘Cashless Everywhere’ system, health insurance policyholders now have the freedom to seek cashless treatment in any hospital, regardless of whether it is part of the insurer’s network. Here’s how it works:

1. Hospital Freedom: Policyholders can choose any hospital for treatment, even if it is not in the network of the insurance company. This flexibility eliminates the previous constraint that limited cashless services to network hospitals only.
2. Simplified Claims: The initiative aims to simplify claims processing. Previously, policyholders had to opt for reimbursement when dealing with non-network hospitals. Now, they can enjoy a seamless cashless experience, reducing the stress of upfront payments.
3. Boosting Trust: By expanding the cashless facility beyond network hospitals, the system aims to reduce fraud and build greater trust in the insurance industry.

Benefits to Hospitals

1. Increased Footfall: By participating in the ‘Cashless Everywhere’ system, hospitals open their doors to a wider patient base. Policyholders can choose any hospital, leading to increased footfall and potential revenue.
2. Streamlined Processes: Hospitals no longer need to wait for reimbursement approvals. Cashless transactions ensure prompt payment, reducing administrative burden and improving operational efficiency.
3. Enhanced Reputation: Hospitals that offer cashless services gain a competitive edge. Patients appreciate the convenience and trust hospitals that prioritize their well-being.
4. Reduced Financial Risk: With direct settlements, hospitals avoid the risk of delayed or rejected reimbursements. This financial stability benefits both hospitals and patients.

Guidelines for Hospitals

• Admissible Claims: Hospitals must ensure that the claim adheres to policy terms and guidelines. Admissible claims are eligible for cashless settlement.
• Timely Communication: Hospitals should promptly inform insurers about planned admissions (at least 48 hours prior) and emergency treatments (within 48 hours of admission).

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How Does It Benefit Policyholders?

• Wider Hospital Choice: With the ‘Cashless Everywhere’ initiative, policyholders can seek treatment in any hospital they choose, irrespective of network affiliations. Hospitals with 15 beds, registered under the Clinical Establishment Act, can now offer cashless hospitalization.
• Massive Ecosystem: An entire ecosystem of up to 40,000 hospitals across India will be available to all insurers. This extensive network ensures that policyholders have access to cashless services wherever they are.
• Admissible Claims: To avail of the cashless facility, policyholders need to follow these guidelines:

• For elective procedures, inform the insurance company at least 48 hours prior to admission.
• For emergency treatment, notify the insurance company within 48 hours of admission.

Industry Leaders Speak

Tapan Singhel, MD and CEO of Bajaj Allianz General Insurance, and Chairman of the GIC, emphasized the importance of a frictionless claims process. He stated, “We wanted to make the whole journey of claims a frictionless process, which will not just improve the policyholder’s experience but will build greater trust in the system.”

Conclusion

The ‘Cashless Everywhere’ initiative is a game-changer for health insurance in India. It empowers policyholders, streamlines processes, and encourages more people to opt for health coverage. As we move toward a future where healthcare decisions are made without financial barriers, this initiative stands as a beacon of progress.

Remember, whether it’s a planned procedure or an emergency, timely communication with your insurer ensures a smooth cashless experience. So, embrace the freedom, choose your hospital, and let the ‘Cashless Everywhere’ system work for you!

For all your hospital-related needs,?OASIS?is your best guide. We specialize in assisting you through the entire process of processing?Medi Claims Cashless Anywhere?– from admission and billing to pre-authorization requests and discharge. As an award-winning Claims Assistance Company,?OASIS?is committed to providing exceptional support. For more information or assistance, please contact us at?9081 777 123?or?[email protected]. Visit our website at?www.oasishospitalsolutions.com?for further details.“