Insurance & Mediclaim

If you have a medical insurance please check out the following details:
Have you received the insurance cards from Third Party Administrator? If not contact your agent or TPA.
If you have received the Insurance ID cards check the name of the TPA before getting hospitalized.
If you have fresh policy / first year policy or recently got your policy renewed check with your TPA about your policy enrollment, failure of which can result in rejection of your cashless authorization request.
Medical insurance do not cover your OPD consultation / procedure / investigation done before being hospitalized.
All claims of the discharge from the hospitals will be processed by the TPA directly / or for reimbursements of all your post discharge expanses directly file all originals documents, bill, prescription in TPA.

Mediclaim & Insurance Department- Medicare Hospital, Indore
Mediclaim & Insurance Department- Medicare Hospital, Indore

Emergency Hospitalization

Policyholder can be hospitalized in emergency after showing their Insurance card or policy copies and are supposed to fill an undertaking form at the emergency reception. They should complete pre-authorizations formality filled by the concerned doctor.
TPA will issue an authorization letter for the coverage as per the policy to Medicare Hospital & Research Centre. The answer will come from TPA in the form of authorization letter.
Medical insurance do not cover your OPD consultation / procedure / investigation done before being hospitalized.Policy holder can directly approach the hospital Admission Counter for admission with the ID Card and one copy of the authorization letter will be given to the Admission / IP billing counter.
Hospital will extend cashless treatment to the policyholder up to the authorized amount.
In case the authorized limit get exhausted get in touch with Insurance helpdesk.At the time of discharge, policyholder has to inform the Insurance desk & is supposed to signs the claim form.

Cashless Mediclaim Processing

Insurance Service offered by TPA for policyholder & Health care provides & Healthcare Provider:

  • Cashless Hospitalization
    Each policy holders is provided with a list of empanelled hospitals where in he/she can avail cashless hospitalization
  • ID card
    TPA provides ID cards to all their policy holder in order to validate their Identity at the time of admission
  • Claims Management
    On behalf of insurance companies TPA administers & settle claims for hospitals & policyholders
  • 24 hours customers support services
    TPA provides assistance through its 24 hrs call center information regarding policyholder’s data, provider network, claim status, benefits
    available with existing card holder, etc is furnished on request.
Mediclaim & Insurance Department- Medicare Hospital, Indore

Specialties Include

What is a Third Party Administrator (TPA) & How does it work?
Third Party Administrators (TPA) is an important link between Insurance company’s policyholders & healthcare providers (Hospitals and nursing homes). TPA’s role is to provide administrative support to the insurance companies for servicing their insurance policies.

LIST OF TPA'S / INSURANCE COMPANIES

TPA’S TPA’S INSURANCE COS
ALANKIT HEALTH CARE TPA LIMITED HERITAGE HEALTH TPA PVT. LTD. BAJAJ ALLIANZ GENERAL INSURANCE
ANMOL MEDICARE TPA LTD. MD INDIA HEALTHCARE (TPA) SERVICES (PVT.) LTD. BHARTI AXA GENERAL INSURANCE
ANYUTA TPA IN HEALTHCARE PVT. LTD. MED SAVE HEALTH CARE TPA LTD. ICICI PRUDENTIAL
DEDICATED HEALTHCARE SERVICES TPA (INDIA) PRIVATE LIMITED MEDI ASSIST INDIA TPA PVT. LTD. IFFCO TOKIO GENERAL INSURANCE
E MEDITEK (TPA) SERVICES LTD. MEDICARE TPA SERVICES (I) PVT. LTD. MAX BUPA GENERAL INSURANCE
EAST WEST ASSIST TPA PVT. LTD. PARAMOUNT HEALTH SERVICES (TPA) PVT. LTD. NATIONAL INSURANCE CO.LTD.
FAMILY HEALTH PLAN (TPA) LTD. PARK MEDICLAIM TPA PRIVATE LTD. SBI GENERAL INSURANCE CO.LTD.
FOCUS HEALTHSERVICES TPA PVT. LTD. RAKSHA TPA PVT. LTD. STAR HEALTH AND ALLIED INSURANCE CO.LTD.
GENINS INDIA TPA LTD. ROTHSHIELD HEALTHCARE (TPA) SERVICES LIMITED THE NEW INDIA ASSURANCE CO.LTD.
GOOD HEALTH TPA SERVICES LTD. SAFEWAY TPA SERVICES PVT. LTD THE ORIENTAL INSURANCE CO.LTD.
GRAND HEALTH CARE TPA SERVICES PRIVATE LIMITED SPURTHI MEDITECH TPA SOLUTIONS PVT. LTD. UNITED INSURANCE CO.LTD.
HAPPY INSURANCE TPA PVT. LTD. SRI GOKULAM HEALTH SERVICES TPA (P) LTD. UNIVERSAL SOMPO GENERAL INSURANCE LTD.
HEALTH INDIA TPA INS LTD UNITED HEALTHCARE PAREKH TPA PVT. LTD.  
HEALTH INDIA TPA SERVICES PRIVATE LIMITED VIDAL HEALTH TPA PRIVATE LIMITED  
HEALTH INSURANCE TPA OF INDIA LTD. VIPUL MED CORP TPA. PVT. LTD.  

For further assistance, please contact our TPA Assistance desk 0731-4271600