Mediclaim Policy

Mediclaim policy or mediclaim insurance is a form of health cover that shields you from hospitalization expenses as well as any specific illnesses or treatments arising due to hospitalization. A mediclaim insurance policy keeps you financially protected even in times when the medical expenses are on a rise. Similar to other forms of insurance, the benefits under a mediclaim policy can be availed by paying a premium periodically.


To continue availing of policy benefits, you must renew the policy before it gets expired. Under a mediclaim insurance policy, you can either opt for cashless hospitalization or reimbursement hospitalization, as per your convenience.


The need for Health insurance is rising, especially during the coronavirus pandemic. This is because it comes in handy especially at the time of unplanned or emergency hospitalization. Many customers of health insurance pay more attention to the premium they will be required to pay and sum insured for a particular health insurance policy but there is a lot more to look at when it comes to health insurance.


Mediclaim Policy Coverage

The coverage varies from one policy to another, but usually, the following expenses are covered:


  • Hospitalization charges

It covers the all direct charges incurred during hospitalization such as OT charges, diagnostic procedures, blood, oxygen, medicines, chemotherapy, x-ray, radiotherapy, donor expenses, pacemakers, etc.


  • Day-care Charges

Expenses incurred on specified technically -advanced treatments like cataract surgery etc. that do not require hospitalization for more than 24 hours.


  • Pre and post-hospitalization expenses

Expenses incurred on hospitalization for a period of 30 days before admission and up to 60 days after discharge including ambulance cover are reimbursed.


  • Hospital Room Charges

Charges of regular wards or Intensive-Care-Unit are fully recompensed, or taken care of with cashless hospitalization in the network hospitals.


  • Fees Charged by Medical Professionals

Compensation is provided for fees charged by the doctor, surgeon, nurse, anesthetist, etc.

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