Here are few useful forms & lists. You would need them while utilizing your Mediclaim Insurance.
Network Hospital List for Cashless Treatment
This is a list of hospitals your Insurer's Third Party Administrator has agreement with for providing Cashless Hospitalisation. The list attached herewith is most recent but due to dynamic nature of relationships between Hospitals & TPAs, we would recommend you to talk to the executives of the TPA & confirm whether the hospital is still in the network or not. It would be even better if you enquire with the hospital about the same.
- Emeditek
- Family Health Plan
- Mediassist
- Paramount Health
- Raksha TPA
- TTK Healthcare
Cashless Authorisation Forms
When you have decided which hospital to take treatment from (almost 95% hospitalizations in India are non-emergency & hence you would have adequate time to select the hospital for treatment to be taken), the next step is to go to the hospital atleast 48 hours in advance & fill up a Cashless Authorisation Form. Generally, this form is also available with the hospital. The fields that you MUST know for while filling the form are:
- The policy no. (In case of Company Offered Group Mediclaim , the name of company would do)
- The TPA ID No. (In case of Company Offered Group Mediclaim, mention your Employee ID)
- Bajaj Allianz
- Emeditek
- Family Health Plan
- Mediassist
- Raksha TPA
Reimbursement Claim Form
In case, you have not taken the treatment in the Network Hospital, you will have to submit all the original documents (as per the list made available here for your reference) along with the Reimbursement Claim Form issued by your Insurer. Here are some of the forms for various insurers.
- Bajaj Allianz
- Cholamandalam
- ICICI Lombard
- National Insurance
- Oriental Insurance