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Ref. No. KLI/22-23/E-BB/492
Health insurance policy includes a benefit called domiciliary hospitalization, which allows the policyholder to be treated at home. Click here to know more.
Due to a shortage of hospital wards during the second wave of the COVID-19 epidemic, many seriously ill people were compelled to remain at home and treat symptoms there. To assist such patients, several hospitals established COVID home care packages that included medical consultations, medications, and occasional home care for a set fee.
Some health insurance policies in India, particularly those issued in the last 4-5 years, offer the provision of domiciliary hospitalization as one of the health insurance benefits, that covers the expense of therapy at home as part of their health insurance coverage.
Medical insurance policy includes a benefit called domiciliary hospitalization, which allows the policyholder to be treated at home while still being considered hospitalized. Because hospitalization is taken care of by health insurance cover, the insurance provider is obligated to pay for medical treatment in this situation.
The insured must fulfil the following requirements and criteria in order to claim health insurance benefits for domiciliary hospitalization:
All hospital expenditures, including drug prices, doctor consultation fees, and hospital equipment rentals such as oxygen cylinders, will indeed be reimbursed in domiciliary hospitalization.
If the medical insurance policy has a sub-limit, the total cost is not covered even though it is acceptable. The reason being, a small percentage of your cover is allocated for domiciliary hospitalization. Some insurance providers offer domiciliary care up to a specified fraction of the covered amount, while others only cover it as an addition.
Let us help you understand the concept without using jargons. Let’s say, you have a health care policy with a ₹10 Lakh cover and it covers domiciliary hospitalization up to 10% of the total cover. In this case, you will be eligible to claim up to ₹1 Lakh out of the total cover.
Because the reimbursement procedure is based on paperwork, one must save all essential documents in order to have a smooth claim experience.
The insured must provide documentation that hospitalization was necessary. A doctor could have even prescribed hospitalization. All inquiry findings, including scans and other testing, would be needed. All receipts for expenses would have to be submitted for reimbursement.
In conclusion, health insurance policy in India progressively expanded their coverage and demand, particularly after the second wave of COVID, when individuals realized the need of looking for policies that provide domiciliary hospitalization. As a result, it is recommended that before purchasing a healthcare plan, one must thoroughly research the various benefits and optional riders available.
Amit Raje is an experienced marketer who has worked in various Fintechs and leading Financial companies in India. With focused experience in Digital, Amit has pioneered multiple digital commerce in India. Now, close to two decades later, he is the vice president and head of the D2C business department. He masters the skill of strategic management, also being certified in it from IIMA. He has challenged his challenges and contributed his efforts in this journey of digital transformation.
Prasad Pimple has a decade-long experience in the Life insurance sector and as EVP, Kotak Life heads Digital Business. He is responsible for developing user friendly product journeys, creating consumer awareness and helping consumers in identifying need for life insurance solutions. He has 20+ years of experience in creating and building business verticals across Insurance, Telecom and Banking sectors
Ref. No. KLI/22-23/E-BB/2435
The information herein is meant only for general reading purposes and the views being expressed only constitute opinions and therefore cannot be considered as guidelines, recommendations or as a professional guide for the readers. The content has been prepared on the basis of publicly available information, internally developed data and other sources believed to be reliable. Recipients of this information are advised to rely on their own analysis, interpretations & investigations. Readers are also advised to seek independent professional advice in order to arrive at an informed investment decision. Further customer is the advised to go through the sales brochure before conducting any sale. Above illustrations are only for understanding, it is not directly or indirectly related to the performance of any product or plans of Kotak Life.
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