What's a TPA (Third Party Administrator) In Health Insurance | Pazcare
TPA in health insurance, Advantages of TPA, Role of TPA, Top TPA companies
September 21, 2022
Table of contents
Before diving into the various coverages, let's understand what is group coverage in health insurance.
A group health insurance coverage refers to the amount and multiple benefits policyholders can avail themselves of from the policy. Coverage is the various treatments included in the policy. Some of the various healthcare expenses that are covered by the corporate health insurance policy are ambulance expenses, in-patient hospitalization expenses, pre-hospitalization, and post-hospitalization expenses, daycare procedures, etc.
Some of the common inclusions that a group health insurance policy provides are -
Right from day 1, all your pre-existing diseases are covered under your group health insurance policy.
With respect to the insurance policy, ambulance charges are covered as well.
Maternity coverage includes expenses for normal and cesarean deliveries up to the sum insured as per the policy.
Domiciliary expenses rise when the patient undergoes treatment at home. Daycare on the other hand includes the expenses that arise on hospitalization for less than 24 hours. These two expenses are covered under the group health insurance policy.
Pre and post-hospitalization expenses are covered which include various tests and diagnoses carried out pre and post-treatment.
These are all the in-patient expenses that are covered under the group health insurance policy. For eg: childbirth, a serious illness that needs constant monitoring, major surgery, etc.
All hospitalization expenses related to covid-19 are covered by your group health insurance policy.