How does a Hospital Plan work?

Friday, March 17, 2023

Get Medical Insurance outlines how a Hospital Plan works.

You never know when an accident or a medical emergency might happen. This is why you need to have medical coverage. If you don’t have medical cover, how will you get the care you need, when you need it? A Hospital Plan gives you in-hospital cover for when you have a medical emergency. 

Everything you need to know about how a Hospital Plan works

A Hospital Plan works by providing coverage specifically for in-hospital medical expenses. Here is how a Hospital Plan usually works:

Choose your plan

You need to choose a Hospital Plan that works best for your needs and budget. There are various types of Hospital Plans available. You'll find that each plan may have different cover and benefits. You need to find one that best suits your individual needs and circumstances. 

Keep up to date with your premiums

You will need to keep up to date with your monthly premiums for your Hospital Plan to maintain your cover. You don't want to miss any payments and this will affect your coverage. 

Get hospitalised

You have an accident or a medical emergency. Your injuries are serious and you need to be hospitalised for treatment. You will be admitted to a hospital covered by your Hospital Plan.

In-hospital treatment

While you are in the hospital, you will receive treatment for your needs. You may need treatment from doctors, surgeons, and other healthcare professionals. Your hospital plan will cover the cost of your in-hospital medical expenses. This will include things like:

  • In-hospital stay fees.
  • In-hospital Doctor fees.
  • Medicine prescribed in the hospital.
  • Specified tests and procedures.
  • Theatre fees.
  • Intensive care unit (ICU) fees.

Payments and co-payments

You are now discharged from the hospital. Your healthcare provider will submit a claim to your insurer for your treatment. Depending on your plan, you may be responsible for a co-payment. If your expenses are covered under your plan, your insurer will pay for your medical expenses.

Follow-up care

Depending on the extent of your injuries, you may need follow-up care. Your follow up care may not be covered by your Hospital Plan. Be sure to check your policy documents to understand the extent of your coverage.

What if I need more cover?

It's important to remember that Hospital Plans do have limitations. Hospital Plans only cover you for in-hospital treatment. If you want a more extensive cover with day-to-day benefits, there may be a better option for you. 

At Get Medical Insurance, we provide affordable Medical Insurance and Accident Cover. You can combine both Medical and Accident Cover into one policy. This combination creates an affordable comprehensive medical plan for you and your family.

Our Medical Insurance policies cover the cost of various day-to-day medical expenses. Our Accident Cover specifically covers injuries resulting from an accident or medical emergency like a heart attack or stroke. Don't wait, get coverage today.

Contact us here for a free quote.