Insurance & TPA

Health Point Hospital is empaneled with a number of insurance and TPA’s to provide for providing cashless insurance claims. We are happy to help you in processing all cashless insurance claims. There are certain points which you need to keep in mind to ensure timely and smooth process of your claims .

Mediclaim checklist :

Please carry the following documents for availing cashless Mediclaim:

• Photo ID card and address proof
• Policy papers and Cashless card.
• Employee ID card (if any)
• Admission advice by the consultant
• Relevant medical reports and prescriptions. Filled up Mediclaim form.

Please note that all relevant documents should be submitted to the TPA desk at the time of admission. For planned admission it is advised to complete these formalities 2 days before admission. Please be aware of the provisions of your policy.

Payment of non-authorized items :

• Certain items are not reimbursed by the insurance companies/TPAs. Such charges has to be borne by the policy holder.
• You may also need to pay if the insured amount is insufficient to cover hospital expense.
• Depending on your policy, you may be required to make a co-payment.

Denial of Cashless Service :

In case of denial of cashless service by the TPA, you are required to settle the full amount of the hospital bills. After which, you can collect the bills and reports and lodge your claim for processing and reimbursement directly with your Third party Administrator.