Cashless facility definition
Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the policy terms and conditions, are directly made to the network provider by the insurer to the extent pre-authorization approved.
Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the policy terms and conditions, are directly made to the network provider by the insurer to the extent pre-authorization is approved.
Cashless facility means a facility provided to the insured by the insurance company, to make payments of treatment costs directly to the hospital in respect of treatment undergone in a network provider, to the extent of approval given where such treatment is in accordance with the policy terms and conditions.
Examples of Cashless facility in a sentence
Cashless facility “means a facility extended by the insurer to the insured where the payments, of the cost of treatment undergone by the insured in accordance with the policy terms and conditions, or directly made to the network provider by the insurer to the extent preauthorisation approved.
Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the policy terms and conditions, are directly made to the network provider by the insurer to the extent pre-authorisation approved.
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 for hospitalisation will not be available for treatment in non-Network Hospital / Nursing Home and may be declined even for treatment at Network Hospital / Nursing Home where the information available does not conclusively establish that a claim in respect of the treatment would be admissible.
The card is issued to the Insured Person by the TPA to avail Cashless facility in the Network Hospital only.
More Definitions of Cashless facility
Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the policy terms and conditions, are directly made to the network provider by the insurer to the extent pre authorization approved. Claim means a demand made by You for payment of any benefit under the Policy in respect of an Insured Person. Condition Precedent shall mean a policy term or condition upon which the Insurer's liability under the policy is conditional upon. Congenital Anomaly refers to a condition(s) which is present since birth, and which is abnormal with reference to form, structure or position. a) Internal Congenital Anomaly -Congenital anomaly which is not in the visible and accessible parts of the body b) External Congenital Anomaly- Congenital anomaly which is in the visible and accessible parts of the body. Contribution is essentially the right of an insurer to call upon other insurers, liable to the same insured, to share the cost of an indemnity claim on a ratable proportion of Base Annual Sum Insured. This clause shall not apply to any Benefit offered on fixed benefit basis. Cumulative Bonus shall mean any increase in the Base Annual Sum Insured granted by the insurer without an associated increase in premium. Day care center means any institution established for day care treatment of Illness and / or injuries or a medical set -up within a hospital and which has been registered with the local authorities, wherever applicable, and is under the supervision of a registered and qualified medical practitioner and must comply with all minimum criteria as under:- 1) Has qualified nursing staff under its employment; 2) Has qualified medical practitioner (s) in charge; 3) Has a fully equipped operation theatre of its own where surgical procedures are carried out 4) Maintains daily records of patients and will make these accessible to the Insurance company's authorized personnel. Day Care Treatment refers to medical treatment, and/or Surgical Procedure which is: i) Undertaken under General or Local Anesthesia in a Hospital/Day care centre in less than 24 hrs because of technological advancement, and ii) Which would have otherwise required a Hospitalisation of more than 24 hours. Treatment normally taken on an out-patient basis is not included in the scope of this definition. Dental treatment is treatment carried out by a dental practitioner including examinations, fillings (where appropriate), crowns...
Cashless facility means a facility extended by the Insurance Company (insurer) to the Beneficiary (insured) where the payments, of the costs of treatment undergone by the Beneficiary (insured) in accordance with the Guidelines (policy terms and conditions), are directly made to the Network Hospital by the Insurance Company (insurer).
Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment
Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the policy terms and conditions, are directly made to the network provider by the insurer to the extent pre-authorization approved “Co-payment” means cost sharing arrangement under this Health Insurance policy that requires the Policyholder to bear a specified percentage of the admissible costs. A co -payment is applicable on a claim and does not impact the sum Insured.
Cashless facility means a facility extended by the insurer to the insured where the payments, of the costs of treatment undergone by the insured in accordance with the policy terms and conditions, are directly made to the network provider by the insurer to the extent pre-authorization is approved Claim means a demand made by You for payment of any benefit under the Policy in respect of an Insured Person Condition Precedent means a policy term or condition upon which the Insurer's liability under the policy is conditional upon Congenital Anomaly means a condition which is present since birth, and which is abnormal with reference to form, structure or position a) Internal Congenital Anomaly Congenital anomaly which is not in the visible and accessible parts of the body. b) External Congenital Anomaly Congenital anomaly which is in the visible and accessible parts of the body Co-Payment means a cost sharing requirement under a health insurance policy that provides that the policyholder/insured will bear a specified percentage of the admissible claims amount. A co-payment does not reduce the Sum Insured.
Cashless facility means a facility extended by the insurer to the insured where the payments of the costs of the treatment undergone by the insured in accordance with the Policy terms and conditions, are directly made to the network provider by the insurer to the extent of
Cashless facility means a facility provided to the insured by an insurer, to make payments of treatment costs directly to the hospital in respect of treatment undergone in a network