Home / Travel Insurance / Articles / Travel Tips / Cashless vs Reimbursement Claims in Travel Insurance: Which Works Better?
Team AckoOct 31, 2025
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When it comes to planning a trip, we’re always excited about the sightseeing, relaxation, or adventure that awaits us, but we rarely ever think about the medical emergencies that can come up during these trips. It’s natural to think about the pros of a vacation, but sometimes it’s also equally important to think about the possible cons of one. Unexpected illnesses, injuries, or hospital visits can be costly and stressful, especially in a foreign country.
Travel insurance is made to handle these situations, offering financial protection and peace of mind. When it comes to using your insurance, claims generally follow one of two paths: cashless or reimbursement. Each of them has its own perks, limitations, and ideal use cases. In this blog, we’ll explore how cashless and reimbursement claims work, what the difference between them is, and how to decide which option will work best for you.

Contents
Cashless claims are a popular feature of travel insurance policies. Simply put, a cashless claim allows you to receive treatment at a network hospital without having to pay the medical bills upfront. The insurer directly settles the eligible expenses with the hospital.
You visit a network hospital specifically mentioned by your insurer.
The hospital coordinates with your insurer to verify or confirm coverage.
After the claim gets approved, you receive treatment without paying out-of-pocket.
If there are any non-covered or additional services, those must be paid by you.
Here are the advantages and disadvantages of cashless claims in travel insurance:
| Feature | Advantages | Disadvantages | 
|---|---|---|
| Payment at hospital | No upfront payment required; insurer settles bills directly with the hospital | Limited to network hospitals and might not be available in remote areas | 
| Speed and convenience | Quick approval and settlement with minimal paperwork | Some pre-authorisation may be required, which could delay urgent treatments | 
| Access to care | Access quick treatment at reliable hospitals | Only covers treatments listed under cashless terms; exclusions may apply | 
| Financial safety | Reduces the stress of arranging funds during emergencies | Extra or non-covered services must be paid from your own pocket | 
| Paperwork | The insurer handles all paperwork and payments | May require prior intimation or verification for certain treatments | 
Reimbursement claims work a bit differently. You pay for your medical expenses upfront and then submit a claim to your insurer to get refunded later.
You can get treatment at any hospital, whether it is part of your insurer’s network of hospitals or not.
After treatment, you need to collect all relevant documents, such as medical bills, prescriptions, and other required papers.
You then submit these documents to your insurer for review.
Once the insurer processes your claim, they reimburse the approved expenses, usually within a specified time frame.
Here are some of the advantages and disadvantages of reimbursement claims in travel insurance:
| Feature | Advantages | Disadvantages | 
|---|---|---|
| Payment at hospital | Freedom to choose any hospital, network or non-network | You must pay medical bills up front and wait for reimbursement | 
| Speed and convenience | Can access treatment immediately, even where no network hospital exists | Submission of bills and documents can be time-consuming | 
| Access to care | Wider choice of hospitals and treatments, including specialised care | Reimbursement may be partial if some items are not covered | 
| Financial safety | Covers eligible medical expenses up to the limit mentioned in the policy | Out-of-pocket payment may cause temporary financial strain | 
| Paperwork | Fewer restrictions on hospital selection and treatment | Extensive documentation is needed for claim processing | 
Let’s take a quick look at a few differences between the two:
| Feature | Cashless Claim | Reimbursement Claim | 
|---|---|---|
| Payment at hospital | Directly by the insurer | Paid by the insured, then reimbursed | 
| Network hospital | Limited to network hospitals | Any hospital | 
| Upfront payment | No | Yes | 
| Paperwork | Minimal | Extensive | 
| Processing time | Immediate or very quick | Can take days or weeks | 
| Flexibility in payment | Limited | High | 
Whether a cashless claim or reimbursement claim works for you will really depend on what your needs and preferences are. Let’s look at some common scenarios to see which option might suit you best:
Cashless claims offer convenient, quick medical access, eliminating the need for upfront payments or paperwork during international emergencies.
Short trips abroad: Carrying large sums of cash or handling currency conversions for hospital bills can be stressful. Cashless claims take that worry off your plate.
Emergencies in cities with network hospitals: When every minute counts, cashless claims make it easy to get prompt treatment without having to pay upfront.
Stress-free travels: If avoiding the stress of paperwork and upfront payments matters, cashless is the way to go.
Reimbursement claims offer flexibility and choice, allowing access to medical care anywhere, even without network hospitals.
Remote locations or small towns: If network hospitals are scarce or unavailable, reimbursement ensures you can still get treated.
Specialised treatments: Certain procedures or medications may not be covered in network hospitals.
Flexible travel plans: You have the freedom to choose your healthcare provider without restrictions.
Cashless claims give you convenience and immediate support at network hospitals, while reimbursement claims give you flexibility and freedom of choice. By truly understanding how each of them works, you can guarantee yourself a trip that doesn't give you a headache in case any medical emergencies come up. With ACKO’s travel insurance, you get the best of both worlds — quick cashless assistance and smooth reimbursement support — wherever your journey takes you.
No. Cashless claims are only available at hospitals that are part of your insurer’s network. Non-network hospitals require reimbursement claims.
Yes. If a network hospital isn’t available or if you choose to get treated elsewhere, you can pay upfront and file a reimbursement claim.
Most insurers provide a list of network hospitals on their website or mobile app, which you should check before travelling.
Yes. Many travel insurance policies let you choose both. Cashless claims work at network hospitals, while reimbursement claims cover treatment you pay for upfront at any hospital.
No.
Reimbursement usually takes 7 to 30 days after you submit all the required documents. The insurer reviews your claim and credits the approved amount to your account. Delays can occur if paperwork is missing or incomplete.
Disclaimer: The content on this page is generic and shared only for informational and explanatory purposes. It is based on several secondary sources on the internet, and is subject to changes. Please check the policy document for cancellation reasons, and terms and conditions of the policy.

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