What comes under hospitalization expenses?

Post hospitalization expenses are expenses that are covered after the insured has been discharged from the hospital. Post-discharge expenses like medicine, follow-ups, and tests are covered under the post-hospitalization expenses. The insurance company provides coverage to people up to 60 days post-discharge.

What are reimbursed medical expenses?

A Medical Expense Reimbursement Plan allows businesses to pay for part of their employees’ deductibles, copays, or co-insurance and any other qualified medical expense, tax-free. These plans are incredibly flexible and allow the business to come up with any sort of suitable arrangement.

Can I claim pre hospitalization expenses?

An individual can claim both pre and post hospitalization expenses upon submission of original bill receipts and relevant copies of doctor’s certificate and discharge summary.

How do I submit post hospitalization expenses in Medi Assist?

In such cases, you can claim a reimbursement after discharge.

1. Intimate us about your impending claim.
2. Present your Medi Assist e-card at the hospital during admission along with any other legally accepted identity card.
3. Submit your reimbursement claim online within 7 days from date of discharge.

How do I claim post hospitalization expenses in Medi Assist?

What is the limit of medical reimbursement?

Rs 15,000
One can claim reimbursement of medical expenses by submitting the original bills to the employer. The employer would accordingly reimburse such expenses incurred subject to the overall limit of Rs 15,000 without tax deduction.

Who is eligible for medical reimbursement?

Medical Reimbursement Rules The amount for treatment must have been spent on self or family members, including spouse, children, parents or siblings, and other dependants. The specified amount, which does not exceed Rs 15,000 in a financial year, must be reimbursed by the employer.

What is a qualified expense?

Qualified expenses are amounts paid for tuition, fees and other related expense for an eligible student that are required for enrollment or attendance at an eligible educational institution. For example, the cost of a required course book bought from an off-campus bookstore is a qualified education expense.

Is there a ceiling on the reimbursement rate?

The ceiling is defined as the maximum amount that may be reimbursed for a given treatment. Consequently, when the ceiling is applied the rate of reimbursement no longer corresponds to 80%, 85% or 100%, since the ceiling limits the amount reimbursed. For example, the ceiling for consulting a general practitioner is €35.

How does Medi assist work for cashless hospitalization?

In case coverage is available, Medi Assist will issue a preauthorization for cashless hospitalization for a specified amount depending on the disease, treatment, how much you are insured for, etc. This approval is sent to the hospital by fax and1/or email (if available).

Which is an example of a domiciliary expense?

Domiciliary expenses: Expenses related to healthcare that does not involve hospitalization are called domiciliary expense. This is include investigative labs, OPD visits, minor OPD procedures such as fractures, etc.