Cashless Facility Sample Clauses
Cashless Facility. Cashless facility “means a facility extended by the insurer to the insured where the payments, of the cost of treatment undergone by the employee and the dependent family members of the insured in accordance with the policy terms and conditions, or directly made to the network provider by the insurer to the extent pre-authorization approved.
Cashless Facility. The Company extends Cashless Facility as a mode to indemnify the medical expenses incurred by the Insured Person at a Network Provider. For this purpose, the Insured Person will be issued a “Health card” at the time of Policy purchase, which has to be preserved and produced at any of the Network Providers in the event of Claim being made, to avail Cashless Facility. The following is the process for availing Cashless Facility:-
(i) Submission of Pre-authorization Form: A Pre-authorization form which is available on the Company’s Website or with the Network Provider, has to be duly filled and signed by the Insured Person and the treating Medical Practitioner, as applicable, which has to be submitted electronically by the Network Provider to the Company for approval. Only upon due approval from the Company, Cashless Facility can be availed at any Network Hospital.
(ii) Identification Documents: The “Health card” provided by the Company under this Policy, along with one Valid Photo Identification Proof of the Insured Person are to be produced at the Network Provider, photocopies of which shall be forwarded to the Company for authentication purposes. Valid Photo Identification Proof documents which will be accepted by the Company are Voter ID card, Driving License, Passport, PAN Card, Aadhar Card or any other identification proof as stated by the Company.
(iii) Company’s Approval: The Company will confirm in writing, authorization or rejection of the request to ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Facility for the Insured Person’s Hospitalization.
Cashless Facility. Cashless facility is available only at our Network Hospital. The Insured Person can avail Cashless facility at the time of admission into any Network Hospital, by presenting the health card as provided by Us with this Policy, along with a valid photo identification proof (Voter ID card / Driving License / Passport / PAN Card / any other identity proof as approved by Us).
Cashless Facility. 16.1 The Provider agrees to provide total cashless transaction to the Beneficiary right from his reporting to discharge under the scheme.
16.2 The Provider agrees to issue a test requisition slip to the patient which will empower the patient to approach the concerned diagnostic/test centers with in the hospital or otherwise and do the tests without any cash transaction. The details of the Tests done and their results will be uploaded in the portal by the Medical Officer of the Provider.
Cashless Facility i. Wherever Cashless Facility is available, the You/Insured Person shall contact Us or Our Assistance Service Provider as soon as possible, but in any event, before completion of the treatment or services availed. Where any service under an Benefit/Cover Option is only covered on a Cashless Facility basis, it shall not be covered by this Policy unless You/Insured Person consults with Us or Our Assistance Service Provider and the cost for such services are authorized in advance by Us or Our Assistance Service Provider.
ii. To avail of Cashless facility at any Medical Practitioner, Hospital, or other service provider, the Insured Person’s health card along with a valid photo ID proof (Voter ID card / Driving License / Passport / PAN Card / any other identity proof as approved by Us) should be provided, or a pre-authorization may be sought from Us or Our Assistance Service Provider by providing the Certificate of Insurance number and a valid photo ID proof to the service provider, who can co-ordinate with Us to provide Cashless facility for the Insured Person’s treatment or services.
iii. We or Our Assistance Service Provider shall process the request for pre-authorization after having obtained accurate and complete information in respect of the claim for which Cashless Facility is sought to be availed. We or Our Assistance Service Provider shall confirm in writing authorization or rejection of authorization to avail Cashless Facility.
iv. Where such pre-authorization is confirmed, We or Our Assistance Service Provider shall contact the service provider for communicating the confirmation and extent of such coverage. If pre-authorization as per Cashless Facility is denied by Us, or is unavailable at such service provider, then You/Insured Person may still subsequently write to Us seeking reimbursement of the expenses covered under the Policy.
v. Cashless facility is only available at specific service providers and geographies, and updated list of which shall be available at Our website or can be confirmed through a phone call made to Us or Our Assistance Service Provider.
Cashless Facility. The Company extends Cashless Facility as a mode to Indemnify the Medical Expenses incurred by the Insured Person at a Network Provider. In order to avail Cashless Facility, the following process must be followed:
1. Submission of Pre-authorization Form: A Pre-authorization form which is available on the Company's Website or with the Network Provider, has to be duly filled and signed by the Insured Person and the treating Medical Practitioner, as applicable, which has to be submitted electronically by the Network Provider to the Company for approval. Only upon due approval from the Company, Cashless Facility can be availed only at Network Hospital. A health card issued to the insured person at the time of Policy purchase, should be preserved and produced at any of the Network Providers in the event of Claim being made, to avail Cashless Facility.