Individual
Family
Senior Citizen
SMC Insurance Brokers Pvt. Ltd.
Parsvnath Metro Mall, Near Pratap Nagar Metro Station, Pratap Nagar, New Delhi-110007
Registration No: 289, Registration Code No: IRDAI/DB-272/04/289, Valid till: 27/01/2026, License category: Direct Broker (Life & General), CIN: U66000DL1995PTC172311
Insurance is the subject matter of solicitation.
Visitors are hereby informed that their information submitted on the website may be shared with insurers.
Product information is authentic and solely based on the information received from the Insurer.
Health Insurance Benefits
Tax Benefits
u/s 80 (D)
Cashless
Treatment
Free Annual
Health Check up
Health Insurance in 2 Mins
Health Insurance Benefits
Tax Benefits
u/s 80 (D)
Cashless
Treatment
Free Annual
Health Check up
Hospital Cash And Shared Accomodation Cash Benefit
Tarun got admitted for his weekly dialysis and his hospitalisation expenses came to Rs 50,000. He also incurred hospital food expenses and medical test charges of Rs 5,000. Yet, Tharun didn't really bother about these overhead expenses because he assumed his health insurance would cover all the expenses. But when he filed a claim, his insurer explained that his policy covered only hospitalisation expenses, and not other miscellaneous expenses.
In the same hospital, Bhargav underwent heart surgery and his hospitalisation expenses totalled Rs 1,00,000. Additionally, he incurred some miscellaneous expenses too. As expected, his health insurance covered his hospitalisation expenses, but he did not have to pay for any extra expenses from his end. This is due to the reason that Bhargav had initially opted for "hospital cash benefit" along with his health insurance policy - which explains the extra expense coverage.
Health Insurance Policies Offer Two Types Of Benefits To Cover The Extra Expenses -
-
Hospital Cash Benefit
-
Shared Accomodation Cash Benefit
Let’s see how they work and what conditions apply.
What Is The Hospital Cash Benefit?
The hospital cash benefit provides you a fixed amount of money for each day of hospitalisation. This money will help you cover any extra expenses related to your hospital stay, such as food expenses, any medical tests, etc.
-
Conditions Associated With Hospital Cash Benefit
Now, let’s have a look at the various conditions that may crop up if you claim the hospital cash benefit. Please note that these conditions may vary across insurance companies. Ensure you go through your policy documents carefully.
At Least 24-48 Hours Of Hospitalisation Is NecessaryYou will be given the daily cash allowance only if your hospitalisation goes beyond 24-48 hours.
Example - Arun is hospitalised for 3 days and his policy specifies that he’ll receive the hospital cash benefit after 24 hours. In this case, the insurer will pay a cash benefit for 2 days. The initial hospitalisation period of 24 hours will not be taken into account.
Daycare Treatment - Not CoveredA hospital cash benefit is not provided by most insurers for daycare procedures, i.e., treatments or surgeries carried out within a span of 24 hours.
For instance, Manoj injured his hand while working with machinery. He needed immediate first aid and a few stitches. As he did not require a hospital stay, his health insurance did not cover the treatment.
Domiciliary Hospitalisation - Not CoveredIf there is an unavailability of beds in the hospital or if you can’t be moved to the hospital due to severe injury/illness, you can receive treatment from the comfort of your home under a certified doctor's supervision. This is called domiciliary hospitalisation. However, several insurers do not provide a hospital cash benefit for domiciliary hospitalisation.
For example, Max Bupa doesn’t cover domiciliary hospitalisation.
For example, Divya was cleaning her loft, when she slipped and broke her leg. As she can’t be moved to the hospital in this condition, her doctor arranged for domiciliary hospitalisation. She incurred additional expenses for blood tests and other tests in addition to her treatment costs. Since, her health insurance doesn’t provide hospital cash benefits for domiciliary hospitalisation, she had to bear these extra expenses.
Double Cash Allowance For ICU AdmissionFor every 24 hours you spend in the Intensive Care Unit (ICU) of a hospital, some insurers will double the daily cash allowance specified in your policy’s hospital cash benefit. The expenses in an ICU are significantly higher than a regular room, which explains the higher pay.
For example, Care Insurance and Digit Insurance provide double cash allowance.
What Is Shared Accommodation Cash Benefit?
In certain policies, while you are eligible for a private room or any room, if you choose to get admitted to shared accommodation - a hospital room with two or more beds, you can avail the shared accommodation cash benefit in your health insurance policy. A fixed amount of cash is provided for each day you're hospitalised. It is a reward from the insurance company for choosing a lower cost room, despite being eligible for a better facility.
-
Conditions Associated With Shared Accommodation Cash Benefit
Please note that these conditions may vary across insurance companies. Ensure you go through your policy documents carefully.
Mandatory Stay Of At Least 24-48 Hours At A Network HospitalSome insurance companies offer this benefit only if you’re admitted to a hospital for at least 24-48 hours.
Claim Under Inpatient Benefit - MandatorySome insurers restrict this benefit to inpatient hospitalisation only. You must be admitted to the hospital for at least 24 hours and your insurance company must approve your inpatient benefit claim.
Only Network Hospitals Are CoveredInsurers will usually provide a shared accommodation cash benefit only if you get treated at a network hospital, i.e., a hospital listed with them.
For instance, Ravi receives treatment for his heart problem in a private hospital not listed with his insurance company. As he was not treated at the network hospital, he is not eligible for the shared accommodation cash benefit.
Cash Allowance Is Available Up To Certain LimitA specific amount is set as the daily cash limit for the shared accommodation cash benefit by every insurer. Detailed information about this limit can be found in your health insurance policy document.
No Coverage For ICU AdmissionMany insurers don't offer the shared accommodation cash benefit if you're admitted to the ICU.
For example, Megha chose a shared accommodation when she was admitted to the hospital for a surgery. Her condition dipped and she was transferred to the ICU. And so, she didn’t receive the shared accommodation cash benefit.
Wrapping Up!
The hospital cash benefit and shared accommodation benefit are meant to cover expenses that are otherwise not covered by your health insurance plan. However, there are some conditions that must be met in order to qualify for these benefits. These conditions may vary across insurance companies. Ensure you go through your policy documents - to avoid any unpleasant surprises.
Partners - We Are Proud To Have
We have over 30+ insurance partners on our back. Rest assured, you won't be short of choices.
Why Customers Love Us?
- We provide quick claim assistance.
- We are easily approachable through phone, email, and text.
- We are transparent operations with no hidden cost.
- We pursue your claims till the very end.
- We understand your needs, and advise most suitable insurance products to you.
Our Customers' Stories
Sharing the experience of happy and satisfied customers with you.
Sameer Yadav
I was searching for investment plan but I couldn't find it, then I got the call from SMC insurance and they aligned a call with Ishita Sharma as point of contact (POC) for all my queries and she explain me very well. Ishita explain me all investment plan with advantage and disadvantage, I really appreciate her. Ishita always enthusiast towords work and ready to answer all my questions .I have taken two policies ( HDFC click to invest) plan with 15k premium per month. I always recommend SMC insurance to all, for better life and happy retirement with huge health and wealth. Thank You SMC insurance for your best service. Special thanks to Ishita for E2E help and endless support, you did fabulous work. Show More
Dheeraj Bhatia
I am associated with SMC insurance since 2011 and found them to be most ethical, trustworthy and highly responsive. Some of my precious policies done thru other agencies are still running on SMC’s advice. That is a strong testimony to their customer-centric approach. I am glad to be associated with SMC and strongly recommend their services to all concerned. Wishing the very best to Team SMC !Show More
Jyoti Sharma
We were fortunate enough to have selected SMC as our Health Insurance Broker for they have been very helpful in resolving our queries related to health insurance. I would like to cite two examples where SMC's role has been very crucial. One was when payment for cashless hospitalization was not coming through as the insurance company was taking undue longer time to approve the Hospital Bill. It was then I talked to Neha and it was she who through her contacts in the Insurance co. facilitated and expedited the approval for payment of hospital bill. Second was very recently when the Insurance co. had proposed a top up "Enhancer" policy for our existing policy. When I talked to Neha she immediately told me not to take this policy being offered without any medical test as it will not be beneficial to us and may create problem later on account of recent hospitalization. If I had I not consulted Neha, I would have into a big trouble with the insurance co. These two instances speak very high of sincere advice and timely help rendered by the SMC Staff, Ms. Neha Khanna which helped us a lot in time of need.Show More
Sumit Khanna
Hi, I am Sumit here, purchasing insurance policies from SMC for almost 8 years. Would like to recommend this company to other customers because they are taking care of my insurance broking services in a fabulous way. I would like to extend my gratitude and thanks to policy servicing and also insurance claim backend services. They have rendered fantabulous services for me and would like you guys to definitely go and rely on them for all your insurance needs.Show More
Kishor Kumar Bijlani
My experience with SMC Brokers is excellent. They provide support from the beginning till end i.e from issuance of insurance policies till settlement of claims. They explain very nicely various provisions relating to Insurance Policy also facilitate settlement of claims with Insurance Companies. Show More
Megha Singhal
I have purchased HDFC policy from SMC Insurance with the help of Harsh Sharma. I have got the satisfactory services from SMC Insurance. Thank you SMC Insurance.Show More
