https://www.pazcare.com/insurance-glossary/claim-settlement-ratio
Claim Settlement Ratio shows how reliably an insurer settles health insurance claims and helps HRs compare insurance providers effectively.
https://www.pazcare.com/insurance-glossary/age-band
An age band is a range of ages used by insurers to calculate health insurance premiums. Employees and their dependents are grouped into predefined age brackets with premiums increasing as the age band rises due to higher health risk.
https://www.pazcare.com/insurance-glossary/health-insurance-renewal
Health insurance renewal means extending your policy to continue coverage without a break.
https://www.pazcare.com/insurance-glossary/super-top-up-health-insurance
Super top up health insurance is an add-on health plan that increases coverage at a low cost once medical expenses cross a fixed deductible.
https://www.pazcare.com/insurance-glossary/maternity-cover
Maternity cover refers to insurance coverage that pays for pregnancy-related medical expenses, including pre-natal care, delivery, post-natal care, and newborn baby coverage, subject to policy terms and limits.
https://www.pazcare.com/insurance-glossary/insurance-age-limit
Insurance age limit refers to the minimum and maximum age at which a person can buy or be covered under an insurance policy. Buying insurance at a younger age helps secure lower premiums, wider plan options, and easier renewability throughout life.
https://www.pazcare.com/insurance-glossary/ambulance-cover
Ambulance cover pays for emergency medical transport through road or air ambulance. It ensures employees get timely care without worrying about high ambulance charges.
https://www.pazcare.com/insurance-glossary/copay
Copay is the part of the medical bill that the insured person must pay while the rest is covered by the insurance company.
https://www.pazcare.com/insurance-glossary/blacklisted-hospital
A Blacklisted hospital is that an insurance company has been excluded from its network due to fraud, malpractice, or non-compliance; treatment received at such a facility will result in claim denial.
https://www.pazcare.com/insurance-glossary/cashless-claim
Cashless claims help employees receive medical care without financial stress during hospitalization. The insurer pays the hospital directly, making the process faster and hassle-free.
https://www.pazcare.com/insurance-glossary/endorsement
Endorsement is a formal update to the existing policy that allows adding or removing members, or modifying details like names, dates of birth, and dependent information. It helps keep the policy accurate by reflecting changes such as new hires, employee exits, or life events like marriage or childbirth
https://www.pazcare.com/insurance-glossary/domiciliary-hospitalization
Domiciliary hospitalization refers to medical treatment taken at home instead of a hospital, but still considered as hospitalization under a health insurance policy.
https://www.pazcare.com/insurance-glossary/day-care-treatment
Day care treatment refers to any medical procedure or surgery that requires hospitalization for less than 24 hours due to advanced medical technology and equipment.
https://www.pazcare.com/insurance-glossary/ipd
IPD full form is In-Patient Department. It refers to hospital care where a patient is admitted for more than 24 hours for treatment, surgery, or recovery under medical supervision.
https://www.pazcare.com/insurance-glossary/network-hospital
A network hospital is a healthcare facility that has a tie-up with your insurance provider to offer cashless treatment. When you visit a network hospital, the insurer directly settles the medical bills, so you don’t have to pay upfront.
https://www.pazcare.com/insurance-glossary/opd
OPD full form is Outpatient Department. It is the section of a hospital or clinic where patients receive medical consultations and treatments without being admitted overnight.
https://www.pazcare.com/insurance-glossary/health-card
A health insurance card is an ID card to show that you are covered under a health plan. It has name, policy number, coverage, and insurer details. It’s used to access cashless treatment at network hospitals and verify your coverage during hospitalization.
https://www.pazcare.com/insurance-glossary/pre-existing-disease
A pre-existing disease refers to any illness, or medical condition that a person already has before buying a health insurance policy. Such conditions are usually covered only after a waiting period, as mentioned in the policy terms.
https://www.pazcare.com/insurance-glossary/insurance-premium
An insurance premium is the amount you pay to an insurance company to keep your policy active. It can be paid monthly, quarterly, or annually. The premium amount depends on factors like coverage type, and age.
https://www.pazcare.com/insurance-glossary/waiting-period
A waiting period is the time you must wait after buying a policy before certain benefits become active. During this period, you can’t claim for specific illnesses or pre-existing conditions.
www.pazcare.com/insurance-glossary/sum-insured
Sum-insured is the total amount that policyholders can use towards their medical expenses as directed by the policy’s terms and conditions. Sum-insured is given by the insurer to the policyholder.
