Projected settlement

Final Settlement

A live projection of what your cashless settlement will look like, built from your pre-auth and policy terms. Final numbers will be frozen on discharge.

Draft
Case
PRU-PA-2026-001142
Hospital
Fortis Memorial Research Institute
Sector 44, Gurugram
Procedure
Phacoemulsification with monofocal IOL — right eye
Admission
11 May 2026 · 1-night stay
Paid to hospital
₹40,000
This will be finalised on discharge.
Hospital billed
₹60,000
Prudential paid
₹40,000
67% of the bill covered
Your out-of-pocket
₹20,000
Non-medical items collected at discharge
Money trail
Every rupee, line by line — from hospital bill to final settlement
Hospital billed amount
₹60,000
Non-medical items (IRDAI List-I)
Registration, admission kit, sanitary consumables
−₹2,400
Cataract sub-limit / room-rent deduction
Cataract benefit is capped at ₹40,000 per eye
−₹17,600
Admissible amount
₹40,000
Co-pay (0% for member < 60)
Approved amount
₹40,000
Paid to hospital (cashless)
₹40,000
Payable by member
Non-admissible items collected at discharge
₹20,000
Preview only

Final figures are locked when the hospital raises the discharge bill and our team completes the final review.

Policy impact
Sum insured
₹10,00,000
Utilised this year
₹40,000
Remaining
₹9,60,000

Restoration benefit
Available
NCB for renewal
+20%

Because this is your first claim, the full sum insured is auto-restored under the policy's restoration benefit.