Medical & Health Insurance – Medical Aspects of Hospital & Surgical Insurance

HRD Training Prog No	10001388313
Date & Time	25 – 25 June 2025, 9.00 a.m. – 5.00 p.m.
Registration Deadline	11 June 2025
Learning Format	In-Person Training

Overview

Medical Aspects of Hospital Surgical Insurance is an intermediate level course that covers the content associated with hospitalized surgical insurance. This course deals with medical aspects of hospital surgical insurance. It is designed to make you understand the terms like congenital conditions, pre-existing and long-standing conditions, waiting period, medically necessary expenses, customary and reasonable charges and discusses how to maximize these benefits for the insured.

At the end of the programme, participants should be able to:

• Explain the key terminology/definition and calculate the various elements of the Hospital & Surgical
• Match the various expense items to their respective benefit category and calculate the amount of admissible and non-admissible claims
• Explain the upgrading of rooms for medically necessary situations
• Deepen understanding of the specialist, customary and reasonable charges
• Explain M&H claims procedures and assessment
• Identify various red flags relating to possible fraud
• Identify and state the responsibilities of the various parties involved in using, delivering and financing healthcare

Recommended For

• Underwriters, claims assessors, sales intermediaries, customer service officers, trainers, product designers and those involved in pricing, healthcare professionals, software programmers, employee benefit professionals and third-party administrators and those who are managing medical insurance claims