Emergency Hospitalisation

Travel Insurance is alternatively referred as overseas medical policy and  can be bought for specified purposes such as a)      Business and Official purposes b)      Holiday c)      Employment d)      Studies etc Business and official purpose, Holiday purpose policies can be further classified as single trip and multi trip travel policies based on the frequency of travel. For further details on general and multi trip travel insurance,read our guide on overseas medical insurance in India Single Trip Insurance As the name indicates single trip insurance covers the insured for a single trip only. Single trip insurance can be availed both as an Individual single trip insurance and family single trip insurance. Single Trip Individual policy Single Trip Individual travel insurance policy covers an individual going abroad for the purpose of holiday or a business trip. The policy period is valid for the single trip only. Single trip Insurance provides for the payment of medical expenses in case of illness or accident occurred to Indian citizens during their overseas trips. Who can avail Single trip Insurance (Eligibility) The age limit of the individuals opting for single trip insurance a)      For children above 6 months to adults to an age of 70 years b)     …

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Health Insurance claims are managed by Third Party Administrators (TPA’s) . The Insurance Regulatory Development Authority(IRDA) regulates the TPA’s and provides the guidelines under the regulatory frame work based on which the TPA’s perform their functions. Third Party Administrators (TPA’s) – Defined TPA is defined as “ as an Insurance intermediary licensed by the authority  who, either directly or indirectly, solicits or effects coverage of, underwrite, collect, charge premium from an insured or adjust or settle claims in connection with health insurance, except as a broker or an Insurer.” 1) TPA’s are separate organisations facilitating the Policy holders, Insurers and the health care providers. TPA’s have their in-house team of doctors, managers for hospitals, Insurance and legal experts and other technological consultants. 2) They are licensed by the Authority and one of the top directors should be a qualified doctor and he/she should be registered with the medical council of India. 3) The start up working capital for a TPA is Rs 10 Million and it should be maintained at any given point of time of its functioning. 4) The TPA’s will have network of hospitals across the country and are mainly formed to provide cashless facility to the policy…

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Overseas Medical Insurance The insurance policy which covers illness suffered or accident sustained by Indian residents during their overseas trips for a specific purpose and pays for the medical expenses is called overseas medical insurance. Who are eligible? a)    People going abroad on a holiday b)    Employment c)    Studies d)    Business and official purposes e)    Foreign nationals on Indian assignments for Indian employers of MNC’s drawing their salary in Indian Rupees, covering their official visits abroad undertaken on behalf of their employers f)     Accompanying spouse and children of the person going abroad is treated as going under holiday travel. Also Read about Family Travel Insurance in India Guide Age Limit a)Adults are covered up to the age of 70 years. However cover for those aged above 70 years is granted at extra premium. b) Children above 6 months of age are covered with exclusion of certain child diseases such as Mumps, Measles etc upto an age of 5 years. What is covered a)    Expenses for physician services, Hospital and medical services, local emergency medical transportation. b)    Dental services for immediate relief of dental pain only covered upto US$225 subject to the limit of cover and deductible. c)    Expenses for physician…

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