Question:
Under an Individual Health Insurance policy, what is the process for direct billing or cashless claim settlement with hospitals in the UAE?
Answer
Direct billing, or cashless claim settlement, is a common feature of health insurance in the UAE. Here's how it generally works:
- Network hospitals: You must use a hospital or clinic as part of your insurer's network.
- Health Insurance ID or Emirates ID: You must provide valid proof of health insurance or Emirates ID at admission or treatment.
- Preauthorization: Preauthorization from the insurance company might be required for some procedures.
- Claim submission: The hospital will typically submit the claim directly to the insurance company.
- Payment: If the treatment is covered, the insurer or broker will help you claim it directly at the hospital, and you'll only be responsible for any co-payments, deductibles, or non-covered services.
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