What is a Day care Treatment Procedure?

What is a Day care Treatment Procedure?

As the name suggests, a day care treatment involves medical treatments, operations or surgeries that require less than 24 hours of hospitalisation. Few examples of day care procedures are cancer chemotherapy, dialysis, cataract, radiotherapy and more. There lies a huge wall of difference between day care treatment and OPD since OPD consultations are related to smaller medical procedures such as fractures, root canal treatment etc. While day care treatment has been made possible due to the intervention of modern medical technology for complex procedures. 

What makes a medical treatment eligible as a day care procedure?
Since, we have learnt the difference between day care treatment and OPD we would have to understand that the eligibility of medical treatment under day care procedure cover comes down to two factors:
  1. The procedure/treatment has to be medically necessary, i.e., it is a complex medical procedure requiring assistance of modern medical technology. For example: cataract, chemotherapy, radiation therapy etc. 
  2. The procedure/treatment should require the patient to be admitted to a hospital and it should require less than 24 hours because of advanced medical technology. 
How do I raise a claim for a day care treatment? 
The insured can either go for cashless claim or reimbursement claim to cover day care treatment expenses. The process is similar to any other claim procedure for IPD. To understand cashless claim procedure, click here. To understand reimbursement claim procedure, click here. 


If you require any help or further assistance, kindly reach out to us at care@nova-benefits.com or 04049174207.

    • Related Articles

    • What is AYUSH Treatment in my policy?

      AYUSH stands for the different alternative treatments to modern medical procedures that are covered under health insurance policies that include Ayurveda, Yoga, Unani, Siddha and Homoeopathy. As the name suggests, these treatments rely on enhancing ...
    • It is written in my policy- "newborn coverage from day 1". How should I raise a claim for a newborn then?

      In order to avail newborn baby coverage, the primary insured has to share their baby's details with the HR. In case you haven't decided on a name for the baby, you can share the following name with your company's HR, "baby of (name of parent)". The ...
    • Frequently asked questions (Maternity)

      Are pre and post-natal expenses covered under my policy? Pre and post-natal expenses for 60 days prior to hospitalization and 90 days post-hospitalization are usually covered in the GMC policy. However, it is best to check the specific terms and ...
    • Does my policy cover OPD expenses?

      Not every sickness necessitates being hospitalised. OPD (Outpatient Department) expenditures are similar to dental expenses in which it arises when you attend a clinic or hospital for treatment, receive care and medication, and recover from your ...
    • Does my GMC policy cover pre-existing diseases?

      Pre-existing conditions are those that you already have while purchasing (and occasionally even before) an insurance coverage. They already exist, as their name implies, before you pay the insurance premium. According to the severity, if you've ...