Common use of Cashless Facility Clause in Contracts

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. The Company extends Cashless Facility as a mode to indemnify the medical expenses incurred by the Insured Person Member at a Network Provider. For this purpose, the Insured Person Member 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 Member 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 Member 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 PersonMember’s Hospitalization.

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.ID

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. (iv) Company’s Authorization: a) If the request for availing Cashless Facility is authorized by the Company, then payment for the Medical Expenses incurred in respect of the Insured Person shall not have to be made to the extent that such Medical Expenses are covered under this Policy and fall within the amount authorized in writing by the Company for availing Cashless Facility. b) An Authorization letter will include details of Sanctioned Amount, any specific limitation on the Claim, and any other details specific to the Insured Person, if any, as applicable. c) In the event that the cost of Hospitalization exceeds the authorized limit, the Network Provider shall request the Company for an enhancement of Authorization Limit stating details of specific circumstances which have led to the need for increase in the previously authorized limit. The Company will verify the eligibility and evaluate the request for enhancement on the availability of further limits.