Pre post hospitalization expenses sheet

Expenses hospitalization

Pre post hospitalization expenses sheet


Hospitalization Expenses Rs. Pre- hospitalization medical expenses incurred up to pre 60 days are payable. Claim Documents to be submitted - Check List: 3. Pre- hospitalization Expenses ` ii. Post- Hospitalization - Medical Expenses incurred in 90 days after the date of discharge from the hospital 4.

Pre- hospitalisation Expenses up sheet to 30 days Post- hospitalisation Expenses up to 30 sheet 60 days are generally payable under the Health Insurance Policy. sheet Post hospitalization period days b) Claim for Domiciliary Hospitalization Yes No ( If post yes, provide details in annexure). Health- Check up Cost ` v. Pre post hospitalization expenses sheet. Health- Check up Cost 6. Details of pre Treatment Expenses b) Claim for pre Domiciliary Hospitalization c) Details of Lump sum/ Cash benifit claimed.

7) Pre Post Hospitalization Expenses - Under the terms of the policy, the insurance company will not only reimburse for the medical expense incurred during hospitalization, but also pay for medical expenses incurred upto a certain number of days prior to post hospitalization. Others Total ( 1 to 6) b) Claim for Domiciliary Hospitalization c) Details of Lump sum. Others ( code) ` vii. Pre- Hospitalization - Medical Expenses incurred in 60 days before the post date of admission to the hospital 3. Pre- hospitalization Expenses Rs.

• All hospitalisation claims post- hospitalization claims, including pre- post should post be raised within 90 days from the date of discharge. Ambulance Charges Rs. Pre post hospitalization expenses sheet. Ambulance Charges ` vi. Pre- hospitalization period days Total ` viii. Pre post hospitalization expenses relating to diagnostic test. We will also send you the settlement particulars along with the computation sheet to the.

Post- hospitalization Expenses Rs. sheet v pre Pre- existing Diseases : Covered after 48 months Diagnostic expenses to be recommended by MD or a doctor with equivalent qualification evidencing present complaint necessitating the test to be carried out. Original hospital bill along with break- up bill of all hospitalisation expenses. a) Details of Treatment Expenses b) Claim for Domiciliary Hospitalization c) Details of Lump sum/ Cash benifit claimed d) Claim documents Submitted- Check List Enter the amount post sheet claimed as treatment indicate whether claim is for domiciliary hospitalization Enter the amount claimed sheet as lump sum / cash benefit indicate which supporting documents are. a) Pre- hospitalization any other Medical sheet Expenses as a result of the harvesting from the donor; ( b) Costs directly , screening expenses sheet of the donor , post- hospitalization Medical Expenses indirectly associated with the acquisition of the donor’ s organ.
a) Pre- hospitalisation post- hospitalization Medical Expenses , pre screening expenses of the donor , any other medical expenses as a result pre of post the harvesting from the donor; ( b) Costs directly indirectly associated with the acquisition sheet of the donor‟ s organ. a) Details pre of the treatment pre expenses claimed 1. Enter reason for not obtaining pre- authorization number Indicate if hospitalization is sheet due to injury. Post- hospitalization medical expenses incurred up to 90 days are payable. Guidelines for Raising Reimbursement Claims. In- patient Benefits– Covers hospitalization expenses for period more than 24 hrs. Hospitalization Expenses ` iii. Post- hospitalization expenses ` iv.

Understanding Insurance. Such medical expenses are called Post- Hospitalization Expenses. Date Enter the date of Hospitalization Use mm- yy format.


Sheet post

Pre- Hospitalization - Upto 1% of admissible claim amount or actual expenses whichever is less per hospitalization towards medical expenses incurred in 30 days before hospitalization Post- Hospitalization - Upto 1% of admissible claim amount or actual expenses whichever is less per hospitalization towards medical expenses. The medical expenses incurred prior to Hospitalisation are called pre- hospitalisation expenses and those incurred subsequent to discharge as post Hospitalisation expenses. To claim pre hospitalization expenses, Any expenses incurred on OP treatment which leads to IP hospitalization prior to 30 days prior to the date of hospitalization is. CLAIM ACKNOWLEDGMENT SHEET.

pre post hospitalization expenses sheet

Pre - hospitalization expenses iii. Post- hospitalization expenses. not be making any supplementary claim except the pre/ post.