Cashless Hospitalization

Topics: Health insurance, Insurance, Hospital Pages: 2 (622 words) Published: April 26, 2011
Cashless hospitalization Process & Procedures are described below.

• Cashless hospitalization can be availed only at Medi Assist network of hospitals. The essence of cashless hospitalization is that the insured individual need not make an upfront payment to the hospital at the time of admission. (Note: The network hospitals list may undergo changes in the form of additions and deletions.) • At the time of hospitalization at a network hospital, you will have to produce your ID card as proof of being covered by a health insurance policy. It is advisable to carry some form of photo ID (Ration card, Driving license, Voted Id card, etc.) while hospitalization of dependants with you in case the hospital wants to verify identity. • The network hospitals have a preauthorization request form available with them. The form has to be jointly filled in by you and your treating doctor. Please make sure all the details asked in the form are completely filled. This will ensure speedy processing of your request. o Required details from associate

▪ Policy number : TCS policy
▪ TPA Name : Medi Assist
▪ Medi Assist ID: TCS employee number
▪ Insurance company: New India Assurance Company (NIACO) • This form is faxed to the Medi Assist toll free fax number. • At Medi Assist, we receive the request and process it. The medical team will determine whether the condition requiring admission and the treatment plan are covered by your health insurance policy. They will also check with other terms and conditions of your insurance policy. • In case coverage is available, Medi Assist will issue an approval to the hospital for a specified amount depending on the disease, treatment, how much you are insured for, etc. This is sent by fax and/or email (if available). The approval is called a "Preauthorization". This preauthorization entitles you to avail cashless facility at the hospital without paying for the...
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