The Medical Insurance program takes care of out-patient and in-patient costs. Medical Insurance plans operate in two basic ways. One is on reimbursement basis while the other is on direct settlement basis. The direct settlement schemes provide a cashless facility whereby no money has to be paid by the insured (but for the agreed excess) for treatment. If the reimbursement basis is opted for, thenpatients settle the bills/invoices with the concerned clinic/hospital/pharmacy, and submit paper claims to get their reimbursement.
Medical Insurance is full of ifs, buts and exclusions. It is very important that the patient is aware of all extensions and provisions. There are options to buy back many of the exclusions.




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