in-patient and out-patient

Discussion in 'SP1' started by amaster, May 18, 2008.

  1. amaster

    amaster Member

    what is the difference between in-patient and out-patient services, costs etc?:confused:
     
  2. Charlie

    Charlie Member

    I think in-patient costs are just the costs incurred by patients who have actually been admitted to hospital.

    Out-patients are the ones who go into hospital for day visits.

    Read through Chapter 4 P4,5 again as this is consistent with what it says there.

    :)
     
  3. bystander

    bystander Member

    Charlie is right. The 'in' part always involves an overnight stay - could just be a one-nighter or longer.

    What becomes a more grey area is whether any follow-up treatment on an out patient basis could be covered under a contract.

    I suppose too you could get re-admitted for follow on procedures and how that affects claims could also be a consideration.
     
  4. b_colgan

    b_colgan Member

    A simple rule of thumb is you're an in-patient if you have to stay in hospital and an out-patiend if you don't.

    People stay in hospital for many different reasons but the main ones being to have surgery and recover afterwards. People visit hospitals on an out-patiend basis to have simple procedures done (e.g. laser eye-surgery, change a dressing) or when having a meeting with their consultant.

    In-patient care costs more because of the higher costs associated with staying in hospital plus the stay itself would trigger a Hospital Cash benefit to be paid if applicable.

    The main issue is that some benefits might only be paid if the condition can be treated on an out-patient basis or follow up care from an in-patient stay might only be provided on an out-patient basis.

    I don't think there's any hard and fast rule about what is covered and on what basis. I guess you'd have to read the particular product guide.

    Hope this helps!
     

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