SACHA ADVICE. ACHA ADVISOR.
back arrow Back

2 Hours Minimum Admission Time for Day Care Procedure

reply Share
24 Mar, 2022 by  Vijay Kumar

In Niva Bupa Reassure Policy, there is a condition on Day Care procedures which states

The Day Care Treatment would be covered if the Insured Person is admitted for more than 2 hours and would also cover treatment taken for Angiography, Dialysis, Radiotherapy or Chemotherapy for cancer.

My questions are following:

  1. What does this 2 hours constitute? Does it include only the time taken in the surgery? Or does it include the time taken for surgery, and, recovery? Or anything else which I'm not aware of.
  2. I want to know the probability of my claim being rejected just because it took less than 2 hours. So, I would like to know what percentage of all the day care procedures can be completed within 2 hours.
like like
0
Health Insurance
Claim
Advanced

2 Answer

Post
24 Mar, 2022
connect with advisor

Dear Vijay,


Since the statement states 2 hrs what is meant is time taken from time of admission to time of discharge.

Once a person is discharged from hospital he/she is given a discharge summary. The discharge summary records this time.


In terms of your second question it is difficult to have an estimation on percentage. Frankly I can't think of any. I think if you know a doctor or surgeon they will be able to offer better guidance.


Regards

Rohit Dhingra

like like
0
icon-comment 0 Comments
icon-reply Reply
connect with advisor
24 Mar, 2022
CEO, Insurance Samadhan

Dear Vijay

I agree with Rohit , few value additions

1. Day care hospital must admit you like you are admitted in normal hospital and you should be discharged .

2. Cases is rejected when day care treatm

ent is given under OPD .

3. Case is also rejected when hospital does not have any facility of prolonged admission in case of any emergency.


Hope this clarifies


Shailesh

Insurance samadhan

like like
0
icon-comment 0 Comments
icon-reply Reply

Tired of dealing with call centers!

Get a professional advisor for life!

LIFETIME FREE

Rs. 1799

or

Discover the best tips for insurance every week!

Beshak is not regulated by the Insurance Regulatory and Development Authority of India (IRDAI) and does not have any alliance or association with any Insurance business.
© Copyright 2022 Beshak Solutions Pvt. Ltd. All Rights Reserved.

Disclaimer: The content on the website is purely for information purposes for the public at large, and does not constitute personal financial advice for a specific individual reader.
If you are reading this, it means you love reading the fine print. Why not get paid for what you love doing - Join us by writing to info@beshak.org now 🙂