As a patient seeking medical treatments in a hospital, you might be interested in knowing about cashless mediclaim. We have tie-ups with various insurance companies for easy payments and would be glad to discuss payment options with your insurance provider, in case your policy covers services rendered away from your place of residence.
TPA Services at The Mission Hospital To avail cashless treatments at The Mission Hospital, please refer to the list of insurance companies offering TPA services mentioned on our panel below.
Cashless Mediclaim
The Insured is entitled for cashless access at the provider for all such ailments which are covered under the medical/health insurance policy sum insured limit/sub limits i.e. not specifically excluded under the policy.
Mentioned below are the TPA insurance providers associated with The Mission Hospital.
HDFC Ergo General Insurance Company Limited
Bajaj Allianz General Insurance Co. Ltd
Cholamandalam MS General Insurance
Iffco Tokio General Insurance Company Limited
Family Health Plan Insurance TPA Limited
Future Generali India Insurance Co Ltd
Genins India Ltd,
Heritage Health Services Pvt Ltd,
Niva Bupa Health Insurance Co Ltd
Medi Assist Insurance TPA Pvt Ltd
Medsave Health Care Ltd,
Care Health Insurance Company Limited
Star Health and Allied Insurance Co Ltd
Ericson Insurance TPA Pvt Ltd
Vidal MedCorp TPA Pvt Ltd
MD India Health Services Pvt. Ltd
Health Insurance TPA of India Ltd
Aditya Birla Health Insurance Co. Limited
Health Assist Insurance Tpa Pvt Ltd
Volo Health Insurance TPA Pvt Ltd
Tata AIG General Insurance Company Limited
Navi General Insurance Limited
Go Digit General Insurance Company Limited
Manipal Cigna Health Insurance Company Limited
Galaxy Health and Allied Insurance Co. Ltd
Policies & Procedures
Pre-Admission & Admission Requirements
Request for hospitalization shall be forwarded by the provider immediately after obtaining due details from the treating doctor in the preauthorization form i.e. request for authorization letter (RAL).
The RAL shall be sent electronically along with all relevant details in the electronic form to the 24 hour authorization/cashless department of the insurer or of its representative. TPA's medical team may consult the treating physician and the insured.
The insurer's or its representative TPA's medical team may consult the treating physician or the insured, if necessary.
If the treating physician of the provider identifies any disease or ailment as pre-existing, the treating physician shall record it and also inform the insured immediately.
In the case where the symptoms appear vague/no effective diagnosis is arrived at, the medical team of the insurer or its representative TPA may consult with treating physician/insured if necessary.
Getting Discharged (Document Requirements)
The following documents shall be included by the patient in the list of documents to be sent along with the claim form to the insurer or its representative TPA.
Original pre-authorization request form
Copy of authorization letter
Original investigation report
All original prescription & pharmacy receipt etc. where the insured requires the discharged card/reports or other relevant medical documents.
Emergency Hospitalization - Requirements
In case of Emergencies, the procedures are as follow:
Request for hospitalization shall be forwarded by the provider immediately after obtaining due details from the treating doctor in the preauthorization form i.e. request for authorization letter (RAL)
The RAL shall be sent electronically along with all relevant details in the electronic form to the 24 hour authorization/cashless department of the insurer or of its representative. TPA's medical team may consult the treating physician and the insured.
The insurer's or its representative TPA's medical team may consult the treating physician or the insured, if necessary.
If the treating physician of the provider identifies any disease or ailment as pre-existing the treating physician shall record it and also informed the insured immediately
If the treating physician of the provider identifies any disease or ailment as pre-existing, the treating physician shall record it and also inform the insured immediately.
In the case where the symptoms appear vague/no effective diagnosis is arrived at, the medical team of the insurer or its representative TPA may consult with treating physician/insured if necessary.
However, any life saving, limb saving, sight saving, and emergency medical attention cannot be withheld or delayed for the purpose of waiting for authorization.
Provider in the meanwhile - may consider treating him by taking a token of deposit or so, as per their norm.
Once authorization is issued after ascertaining the coverage, the provider shall refund the deposit amount to the insured.
