Cashless Hospitalization
Cashless hospitalization offers significant benefits to patients, allowing insured individuals to be admitted and undergo necessary treatment without the immediate concern of direct payment. This process is facilitated by an assigned Third Party Administrator (TPA), who acts as the main point of communication between the hospital and the insurance company. The TPA handles the settlement of bills on behalf of the insured patients, streamlining the financial aspects of healthcare. (As per the IRDA guidelines, insurance is a matter of solicitation).
Network Hospitals
Each TPA has agreements with various healthcare service providers, known as Network Hospitals. If hospitalization is required, patients are eligible for cashless services at these Network Hospitals, subject to the terms and conditions outlined in their specific insurance policy.
Prakriya Hospitals’ Network and TPA Partnerships
To ensure a convenient and hassle-free hospital experience, Prakriya Hospitals has established partnerships with numerous recognized Third Party Administrators and insurance companies. This network allows patients to benefit from cashless hospitalization services seamlessly.
Our Trusted TPA and Insurance Company Partners
For your convenience, Prakriya Hospitals has tied up with the following esteemed TPAs and insurance companies, ensuring you receive the best care without financial stress:
- National General Insurance
- New India Assurance General Insurance
- Oriental General Insurance
- United India General Insurance
- Iffco Tokio General Insurance
- Cholamandalam Ms General Insurance
- Star Health And Allied General Insurance
- Manipal Cigna General Insurance
- Aditya Birla General Insurance
- Bajaj Allianz General Insurance
- Reliance General Insurance
- Hdfc Ergo General Insurance
- Hdfc Ergo Health Insurance
- Apollo Munich General Insurance
- Religare Health Insurance
- Max Bupa General Insurance
- Universal Sompo General Insurance
- Icici Lombard General Insurance
TPA COMPANIES
- United Healthcare Parekh PA Pvt. Ltd.
- Medi Assist India TPA Pvt. Ltd.
- Vidal Health PA Private Limited
- Family Health Plan (TPA) Ltd
- Paramount Health Services & Insurance PA Pvt. Ltd.
- Raksha TPA Pvt. Ltd.
- MD India Healthcare (TPA) Services (Pvt.) Ltd.
- Vipul Med Corp TPA. Pvt. Ltd
- E Meditek (TPA) Services Ltd.
- Good Health TPA Services Ltd.
- Dedicated Healthcare Services TPA (India) Private Limited,
- Health Insurance TPA of India Ltd.
- Heritage Health TPA Pvt. Ltd.
- Focus Healthservices PA Pvt. Ltd.
- Medicare TPA Services (I) Pvt. Ltd.
- Genins India Insurance PA Ltd.
- Med Save Health Care TPA Ltd.
- Anyuta TPA in Healthcare Pvt. Ltd.
- East West Assist TPA Pvt. Ltd.
- Alankit Insurance PA Limited
- Health India TPA Services Private Limited
- Park Mediclaim PA Private Ltd.
- Safeway Insurance PA Pvt. Ltd
- Anmol Medicare TPA Ltd.
- Grand Health Care TPA Services Private Limited
- Rothshield Healthcare (PA) Services Limited
- Ericson Insurance PA Pvt. Ltd.
How Cashless Hospitalization Works at Prakriya Hospitals
Pre-Authorization:
- Obtain pre-authorization for your treatment by contacting your TPA or insurance provider.
- Fill out the required forms and submit the necessary documents to the hospital's insurance help desk.
Admission:
- Present your insurance card and pre-authorization approval at the time of admission.
- The hospital will coordinate with the TPA to confirm the cashless facility.
Treatment:
- Undergo the necessary treatment without worrying about immediate payment.
- The hospital will handle the communication with the TPA regarding the settlement of your bills.
Discharge:
- Upon completion of your treatment, the hospital will prepare the final bill and send it to the TPA for approval.
- Once the TPA approves the bill, you will be discharged without needing to make direct payments, except for non-covered expenses or co-payments, if any.
Important Notes
- Eligibility: Ensure you are aware of the specific terms and conditions of your insurance policy to understand the coverage and exclusions.
- Documentation: Keep all necessary documents, such as your insurance card, policy details, and any medical reports, handy for a smooth process.
- Non-Covered Expenses: Be prepared to pay for any non-covered expenses or deductibles as per your policy terms.
At Prakriya Hospitals, we strive to make your healthcare experience as seamless and stress-free as possible. Our partnerships with leading TPAs and insurance companies ensure that you receive the best care without the burden of financial concerns. For any queries or assistance, our insurance help desk is always ready to help you navigate the process.
