Mediclaim And Health Insurance

The first book about Mediclaim and Health Insurance.The book details the Mechanism of Mediclaim policy, How it works, How Underwriting is achieved and most important How to get Claim! The Book distinguishes health insurance policies and products offered by various General, Life and Health Insurance Companies. The book is a perfect guide for Health Insurance planning for the family and self. It denotes the barriers and hurdles in the process of buying and claiming the benefits under the Health Insurance Policies. Cashless Facilities, TPA and Consumer Grievances Redressal procedures are the key notes of the book. A detailed roadmap and pathway for smooth claim procedures with specimen forms and value added information in annexure. The book explains on how to avail Central and State Government sponsored Health and Medical facilities with additional information on How to get Medical Help!This is a book to be read Before Buying Mediclaim and Health Insurance Policy…A book useful After buying Mediclaim and Health Insurance Policy…_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ContentsForeword — Pgs. 51. Concept of Health Insurance — Pgs. 132. History and Scope of Health Insurance — Pgs. 233. Structure and Working of Health Insurance — Pgs. 304. Principles of Health Insurance — Pgs. 385. Types of Health Insurance — Pgs. 486. Health Insurance Policies ofGeneral Insurance Companies — Pgs. 55 7. Health Insurance Policies ofHealth Insurance Companies — Pgs. 758. Health Insurance Schemes ofLife Insurance Companies — Pgs. 809. Government Medical Services andHealth Insurance Schemes — Pgs. 8810. Underwriting of Health Insurance — Pgs. 9911. Claim Processing of Health Insurance — Pgs. 10812. Cashless Mediclaim Processing and TPA — Pgs. 11713. Health Insurance Planning—When? Which?How Much? How? and From Whom? — Pgs. 12514. Health Insurance Grievance Redressal andInsurance Ombudsman — Pgs. 13615. What If There is No Health Insurance?Medical Aid…. 142Annexure – 1Toll-Free Numbers and Websites ofInsurance Companies and TPA — Pgs. 148Annexure – 2Frequently Asked Questions alongwith Answers about Health Insurance — Pgs. 160Annexure – 3Difference between Medical orHealth Card and Mediclaim (Health Insurance) — Pgs. 172Annexure – 4Portability of Health Insurance — Pgs. 176Annexure – 5Health Insurance or Mediclaim? — Pgs. 179Annexure – 6Third Party Insurance and Hit and Run Accidents — Pgs. 183Annexure – 7Various Definitions underMediclaim-Health Insurance Policies — Pgs. 186Annexure – 8What is Meant by Exclusions? List ofCertified Exclusions — Pgs. 193Annexure – 9Hospital Empanelment: Criteria and Procedure — Pgs. 199Annexure – 10List of Insurance Ombudsman and Their Jurisdiction — Pgs. 202Annexure – 11Specimen Forms — Pgs. 204