Get coverage for Domiciliary Treatment (medical treatment at home) under a health plan starting @Rs. 20/per day*.
Home / Health Insurance / Domiciliary Treatment in Health Insurance
It is very beneficial if your health insurance covers health care costs even when you are receiving treatment at home. The term ‘treatment’ here alludes to a hospital-like facility being designed at the patient’s residence for the most favourable medical care.
Not all health insurance covers domiciliary treatment in the policy. That is why it is vital to ensure that your health insurance policy covers domiciliary hospitalisation. Go through this blog to learn crucial details concerning domiciliary treatment in health insurance.
Although domiciliary hospitalisation occurs rarely, it still is extremely helpful for people who need it. If your insurance covers domiciliary treatment here is how things usually work out:
Due to a lack of accommodation at a hospital or a critical health condition, the insured patient cannot get direct access to a hospital.
Doctors declare that it is optimal to treat the patient at his/her residence.
At home, the patient is taken with similar care that he/she would have gotten at the hospital.
As per the insurance policy's terms and conditions, the claim is settled after the treatment is complete.
Whether you avail medical care from hospital or from home it is expensive and getting more so by the day. Moreover, if you have to bring a hospital-like setup at home it gets even more expensive. Having a health insurance policy that covers domiciliary hospitalisation is essential nowadays.
If a qualified doctor approves of domiciliary treatment for or recommends it for the patient, and the health policy offers coverage for it then you get compensation for the health care cost arising out of the home treatment. This compensation can be vital for completing the treatment and getting out of the emergency situation successfully.
Your policy document will carry the terms of coverage and exact inclusions. The coverage varies from policy to policy, so you should check the inclusions before purchasing a policy.
Here is a list of diseases that policies generally cover in domiciliary hospitalisation :
Accidents of Serious Nature
Haemorrhages Caused by Accidents
Cancer
Osteoporosis
Leukaemia
Tuberculosis
Kidney Ailment
Paralysis
Malaria
Cerebral Palsy
Typhoid
Polio
Chronic Pulmonary Disease
You will find the exact exclusions by reading your policy documents. As they vary from product to product this list can only give a general idea. Consider checking the exclusions carefully before buying any health insurance policy.
Here is a list of diseases that policies generally do not cover in domiciliary hospitalisation:
Psychiatric Disorder
Asthma
Hypertension or High Blood Pressure
Influenza
Diabetes, Insipidus or Mellitus
Tonsillitis and Respiratory Related Infections
Arthritis
Epilepsy
Bronchitis
Diarrhoea or Dysentery Related Issues
If your health policy does not include domiciliary hospitalisation consider opting for a plan that does cover it as it comes with the following benefits:
Excellent medical care at home
Zero last-minute struggle in case hospitalisation is impossible
Offers safety to the patient and his/her family during medical emergencies
Saves the family from the massive financial burden of creating a hospital-like facility at home
Your basic health insurance policy may or may not include domiciliary hospitalisation. In some cases, insurers offer it as an add-on. That is why it is important to consider the following factors before buying a policy:
Check the inclusions and exclusions of the basic plan
If the cover does not include it, check if add-ons can cover it
Look for monetary limitations concerning claim settlement
Treat this domiciliary hospitalisation as the worst-case scenario not as a preference
Consider all the features and benefits and make a sound decision
ACKO provides a wide variety of health insurance policies to suit individual needs and circumstances. Take a look at the coverage of some of our best health insurance plans and decide for yourself:
Enhance your health insurance by exploring these unique benefits | ||||
Room Rent Limit | Unlimited Sum Insured |
A domiciliary treatment in health insurance can save you a lot of hassle and money in case the patient cannot access a hospital and has to stay at home and get hospital-like treatment. To get the best care possible and safeguard yourself financially you can opt for ACKO health plans now. Navigate our website and select a plan that suits you most.
You will need a discharge summary, test reports and cash receipts, cash receipts from the hospital, identity proofs and any other documents your insurer asks for to settle a claim in domiciliary hospitalisation.
No, for every health insurance policy to have domiciliary treatment coverage is unnecessary. This cover is an in-built feature in some policies and some offer it as add-ons.
No, a cashless hospitalisation is only available if the patient avails treatment from a network hospital.
In most cases, the minimum requirement concerning such a cover is 72 hours. However, the time frame can vary from policy to policy.
Usually, health policies do not cover AYUSH (Ayurveda, Yoga, Naturopathy, Unani, Siddha and Homoeopathy) treatments under domiciliary hospitalisation. You should confirm it before purchasing a policy.
Disclaimer: The plans, services, features, processes, and other details mentioned on this page are subject to availability and changes. Please check the applicable policy wordings before making any insurance-related decisions. Feel free to reach out to us at [email protected] for any queries.