How Reimbursement facility of health insurance works?

Reimbursement facility in health insurance is a facility where the insured person pays for the medical expenses upfront and then submits the bills and other necessary documents to the insurance company for reimbursement.

Here's an example of how reimbursement facility in health insurance works:

1. The insured person falls sick or requires medical treatment and goes to a hospital of their choice.

2. The insured person pays for the medical treatment upfront and obtains a bill and other necessary documents from the hospital.

3. The insured person then submits the bill and other necessary documents to the insurance company for reimbursement.

4. The insurance company verifies the bill and other necessary documents to ensure that the medical treatment received is covered under the insured person's health insurance policy.

5. If the treatment is covered, the insurance company approves the reimbursement claim and pays the insured person the amount due.

6. If the treatment is not covered, the insurance company rejects the reimbursement claim and informs the insured person of the same.

7. The insured person receives the reimbursement amount in their bank account or via cheque.

In this way, reimbursement facility in health insurance requires the insured person to pay for the medical treatment upfront, which can result in financial burden. However, it offers flexibility in terms of choosing the hospital and medical treatment received. Additionally, it allows the insured person to claim reimbursement for medical expenses incurred that were not covered under the cashless facility.