- HDFC ERGO Community
- :
- Health Insurance
- :
- Health Insurance - Product Coverage
- :
- Treatment cost excedes the sum insured
04-09-2016 01:44 PM
04-09-2016 01:44 PM
If suppose my treatment cost excedes the sum insured for my policy. How will I able to cover under my cashless claim provision?
18-09-2016 09:50 AM
18-09-2016 09:50 AM
At times the hospital requests the insurer to increase the sum insured subject to terms and conditions of the policy.
13-04-2017 04:40 PM
13-04-2017 04:40 PM
I guess excess amount which is above your insured amount,that charges you have to pay depending on terms and condition
07-06-2017 12:59 PM
07-06-2017 12:59 PM
The TPA only approves the expenses of the treatment, once the hospital has sent the final bill along with the discharge summary and other required documents and reports.
In certain cases, the hospitals request the TPA to increase the amount approved if needed during the treatment. However, maximum liability of the insurance company is upto the sum insured. Any expenses above the sum insured will have to be borne by the insured himself/herself