Syllabus – Health Insurance

Health Insurance

Section:1Introduction to HEALTH INSURANCE Management
Principles of Management, Insurance Industry & Hospital Administration.
Insurance or TPA as an Organization
Role & Function of Health or TPA Administrator
Insurance Planning
Management of Clinical and Supportive Services (All structure & Technology in the Hospital – Total 24 sub topics)
HR – TPA DEPT as a formal organization (9 sub topics)
Health Economics & Insurance (4 sub topics)
Materials & Maintenance Management (8 sub topics)
Banking Management (stem cells etc)
Quality Management – NABH & JCI

Section:2Marketing Management / Medical Tourism (9 sub topics)
Legal Framework in hospitals as an organization (8 sub topics)
Management of Information (5 sub topics)
Financial Management
Management of Quality (5 sub topics)

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GIHS provides the best courses helps you to get the start up in the healthcare field. These courses are ad-hoc to your professional career and provide you the additional benefit to be the part of an organization.

Fees, Payment & Program Duration

Certificate 3 Months- 22000/- INR & Fees for International Candidates – 450$ USD

PG DIploma One Year – 32000/- INR & Fees for International Candidates – 699$ USD

FT PG Diploma 4 Months – 36000/- INR & Fees for International Candidates – 750$ USD

Cheque / Demand Draft/Cash in the name of “Global Institute of Health Science”

Online Transfer through NEFT or RTGS

Fee can also be deposited in GIHS bank account (For more details Click Here).

Disclaimer: This course details are for the purpose of awareness about the program and career opportunities.

The exact information on course structure may vary from this information.

Frequently Asked Questions

What is called health insurance?

Health insurance is a financial arrangement that provides coverage for medical expenses incurred by the insured individual. It typically includes reimbursement for hospitalization, surgery, doctor visits, prescription medications, and other healthcare services, depending on the terms of the insurance policy.

What is medical management in insurance?

Medical management in insurance involves the coordination and oversight of healthcare services to ensure cost-effective and quality care for policyholders. It includes activities such as utilization review, case management, and interventions to optimize medical outcomes.

What is claim management in health insurance?

Claim management in health insurance refers to the process of assessing, processing and settling insurance claims submitted by policyholders for covered medical expenses. This involves verifying the validity of the claim, determining coverage, and facilitating reimbursement or direct payment to healthcare providers.

What is the basic knowledge of health insurance?

Basic knowledge of health insurance includes understanding policy terms, coverage limits, premiums, deductibles, and co-payments. It also involves awareness of network providers, claim submission processes, and the scope of coverage for various medical services and treatments.

What is the difference between medical insurance and health insurance?

While the terms are used interchangeably, medical insurance refers specifically to coverage for medical expenses like hospitalization and surgeries. Health insurance is a broader term and covers preventive care, medications, and wellness services.

Syllabus – Health Insurance

Syllabus – Health Insurance

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Frequently Asked Questions

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