Health Insurance Glossary (5) -INDIA

Posted by Hannah Punitha on Sat, Dec 19, 2009  
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Third Party Administrator(TPA)


Third Party Administrators are the authorized claim settling agents of the Insurer. They scrutinize the expenses incurred vis-a-vis coverage under the policy. And ensure compliance of the policy terms and conditions and warranties and subject to the limit of sum insured.
The insured needs to interact with them for settlement of claims. The TPA also empanels hospitals to be part of the network to facilitate cashless settlement of claims.

 

5 Important Tips On Health Insurance

 

1. Define your requirements of health coverage
2. Decide which members of your family need to be part of the health insurance policy - you might find splitting     policies to be beneficial.
3. Decide the total amount of health coverage needed.
4. Read through the list of exclusions of the health insurance policy - both permanent and first year.
5. Check the network coverage of the Third Party Administrator (TPA) being employed by the health insurance company.

 

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