It is broadly assumed by the common man that health insurance generally covers the cost incurred during a prolonged stay at the hospital. However the truth is that most health insurance providers pay for a host of procedures for which the patient is not required to spend more than a day at the hospital.This short term hospitalization procedure is also termed as ‘Day care procedure.'
It is crucial to understand that though day care procedures do not require 24 hour hospitalization, they are still covered by major health insurance providers. Most day care procedures may not require hospitalization but they can still burn a hole in your pocket.
Due to technological advancements there are a number of surgeries and procedure that necessitated hospitalization earlier but can now be completed within a day. The number of such day care procedures is increasing and hence the list of procedures covered under the day care is also growing extensive.
Some of the day care procedures are cataract, chemotherapy, radiotherapy, dialysis, angiography etc. Some health insurance providers cover limited day care procedures while other insurers cover almost all of the day care procedures.
Let’s understand with an illustration:
Mr. Sharma has a health insurance policy. He had been advised by his doctor to undergo a Kidney stone removal surgery (Lithotripsy). Unlike the olden days, where the individual needed hospitalization to undergo the Lithotripsy surgery, due to technical advancements the surgery lasts only for a few hours and the individual is discharged from the hospital the same day .
Mr. Sharma was aware about the Kidney stone removal surgery and had scheduled it for a later date. He had already taken the approval for cashless service prior to the admission to the hospital. The health insurance provider approved Mr. Sharma for the treatment cost as Lithotripsy was covered under the day care procedures listed by the health insurance company.
Mr Sharma was wise enough to avail the cashless facility as the kidney stone removal surgery was planned. The surgery as well as the cashless payment procedure was smooth enough and did not provide any stress to Mr. Sharma or his family.
The process for filing day care claims is similar to that of a regular health insurance policy. The provisions for pre hospitalization and post hospitalization benefits also do not change. An insured individual can avail the cashless service like Mr. Sharma if the day care procedure is planned.
Most health insurance providers highlight the number of day care procedures that are covered under their policy to lure customers. Although there is a growing awareness about the day care procedures, it has been noticed that most novice health insurance buyers make the mistakes of choosing a health insurance plan that include maximum day care procedures. It is important to remember that health insurance coverage for day care procedures is not the only factor that needs to be considered while buying a healthy insurance policy. It is important to check out various other factors like age limits, cashless facility, co pay and sub limits etc before buying a health insurance policy. The number of day care procedures listed in the policy wording should not be the only criteria while choosing your health insurance policy.
If you are confused on how to buy a health insurance plan that best suits your requirements. You can visit the website of a dedicated broker and ask for expert opinion. Your health insurance advisor would be the right person who would assist you in your buying procedure.
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