Cashless Family Health Insurance
  • How does it work?
  • Best cashless family plans
  • Pros of Cashless Everywhere
Cashless Family Health Insurance
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Cashless Health Insurance for Family

Earlier, the overall process of health insurance was a lot of pain. More paperwork, more time, more information, and more effort. But things are pretty easy now with the new scheme ‘Cashless Everywhere’ by the General Insurance Council (GIC). The National Health Claim Exchange (NHCX) has made life super simple by providing a platform for cashless claim settlement.

Now the question arises,

What is Cashless Health Insurance for a Family in India?

Cashless, as the name suggests, there will be no use of cash transactions. And it doesn’t mean that you have to pay with the UPI or card. With cashless health insurance, you can receive medical facilities without paying any bills. Meaning, the insurance company will directly settle the medical bills with the hospital, instead of you paying upfront. In India, a cashless family health insurance policy has become a reliable solution to make the financial burden easy during medical emergencies.

Now let me tell you,

How does Cashless Health Insurance for Family Work?

  • You buy the policy. Keep the important things in mind before buying a health insurance policy. We have curated a guide for you, that will help you to choose the right health insurance policy the one that fits you well.
  • Check out the network hospitals that your insurance company have. These hospitals have an agreement with the insurer to offer cashless services to the policyholder.
  • Pay premiums on time to continue your services.
  • Get medical treatment from any of the network hospitals and inform them about your cashless health insurance coverage.
  • The insurance company will evaluate the treatment request and send the approval to the hospital defining the approved expenses.
  • Receive the required treatment without worrying about the bill payment. Your insurer will directly settle the bill with the caregiver.

POV- You might need to pay for some expenses as per the policy. Like if there is any clause of deductible, co-payment, non-covered items, etc.

Top 5 Cashless Health Insurance for Family

By accessing the features and premiums we have come up with the best 5 cashless health insurance plans for families in India.

Plan Sum Insured Members Covered Premium (monthly approx.)
Niva Bupa Aspire Gold+ Up to 1 Crore Upto 7 Rs 2175
Star Family Health Optima Up to 25 Lakhs Upto 9 Rs 3266
ManipalCigna Prime Protect Up to 1 Crore Upto 5 Rs 2400
Aditya Birla Activ Fit Plan Up to 2 Crores Upto 6 Rs 2722
Niva Bupa Reassure 2.0 Bronze+ Up to 1 Crore Upto 6 Rs 2501

The premiums are calculated for a family floater plan, a family of 4 members aged between 5 years to 34 years, living in a tier 1 city, and the sum insured is 10 Lakh

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Advantages of Cashless Health Insurance

Choosing a cashless health insurance plan for your family and investing in the same comes with a lot of benefits.

  • Providing financial protection in case of emergency.
  • Freedom to choose your suitable network hospital as per the medical requirement.
  • No need to pay cash at the hospital.
  • The cashless treatment gives comprehensive coverage.
  • You will get many additional benefits like ambulance services, daycare procedures, and maternity expenses.

How to Choose the Right Cashless Health Insurance Plan?

Selecting the right cashless health insurance plan for your family requires some checklist, that you need to follow.

  • Understand the needs of your family and their medical conditions before choosing the plan.
  • Make sure that the insurer has tie-ups with the most reputed hospitals in your city.
  • Understand all the clauses and limitations imposed by the policy.
  • Check whether the policy covers pre-existing diseases (PEDs) or not.
  • Understand the efficiency of the company by knowing its claim settlement ratio. (Check the CSR here)
  • Explore more add-ons or benefit riders the plan offers.

Wrapping it Up

Almost 9 years ago, PM Modi started a mission ”Digital India”, and it seems like it is becoming true now. Cashless health insurance has revolutionised healthcare in India. It offers financial security and peace of mind to everyone in your family. But before buying cashless health insurance for a family, you need to understand how it works and how it is beneficial for you.

POV- Read the policy document before buying any cashless health insurance policy. For any assistance like queries about health plans, buying, claiming, etc. processes, give us a call today!

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Cashless Health Insurance for Family: FAQ

1. What is the difference between cashless and reimbursement health insurance?

In the cashless claim process, the insurer pays the bill directly to the hospital, and in reimbursement, the policyholder has to pay the bill first, and then the insurer will refund the lump sum amount.

2. Is cashless health insurance available in all hospitals?

As per the new scheme “Cashless Everywhere”, cashless services are available in all the accredited hospitals.

3. Can I add or remove family members from a cashless health insurance policy?

Yes, many cashless health insurers allow adding or removing family members, but there might be some terms and conditions, so check the policy documents before buying it.

4. What documents are required for a cashless claim?

You need to show the insurance policy-related documents, ID proof, and hospital bills.

5. What is a pre-authorization and why is it necessary?

Pre-authorization in cashless health insurance is when the insurance company approves the proposed treatment and its cost. It is very much necessary when it comes to a smooth approval of your claim request.

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Simran saxena

Written By: Simran Saxena

An explorer and a curious person, Simran has worked in the field of insurance for more than 3 years. Travelling and writing are her only passion and hobby. Her main agenda is to transform insurance information into a piece that is easy to understand and seamlessly solves the reader’s query.