Medi Assist 3n6f5x

Mediassist

What is Mediassist ? • Mediassist is a Third Party (TPA) of Health Insurance Policies and they form a vital link connecting all other stakeholders of the Health Care Domain. • Associate will automatically be insured under our Group Medical Insurance scheme which provides accident (Disablement / death) cover of Rs.100, 000 and sickness cover of Rs.50,000. • The coverage is extended to employee only & not his family. For any further assistance please on Phone - 080 - 26584811 (5 Lines), Call Center Toll Free - 1-800-425-9449

Types of Facility

1. Cashless Treatment.

2. Claim Reimbursement. For any further assistance please on Phone - 080 - 26584811 (5 Lines), Call Center Toll Free - 1-800-425-9449

MEDI CLAIM POLICY – – – – –

The Mediclaim Policy Reimburses Expenses incurred due to Disease Illness or Accident The Mediclaim Policy stipulates that a claim is issible when the insured (beneficiary) is itted in a hospital for a minimum of 24 hours and treatment of a positive illness. – Insurance reimburses Reasonable, Customary & necessary expenses.

For any further assistance please on Phone - 080 - 26584811 (5 Lines), Call Center Toll Free - 1-800-425-9449

Cont… • • • • • • • •

The below will not be covered (Exceptions): Dialysis, Chemotherapy, Radiotherapy, Eye Surgery, Tonsillectomy, lithotripsy, Coronary Angioplasty, Dental Surgery To get more detailed information / clarity on exceptions please call on 080 - 26584811 (5 Lines), Call Center Toll Free 1-800-425-9449

For any further assistance please on Phone - 080 - 26584811 (5 Lines), Call Center Toll Free - 1-800-425-9449

Cashless Hospitalization • This service enables the customer to avail treatment at the Network Hospital without being required to pay for the treatment. • All expenses incurred will be paid to the Hospital deducting the nonmedical expenses. • Please produce your Identity Card and photo ID proof of claimant at the hospital on network where you wish to avail treatment. • Kindly fill in the Name of the Patient, Age & Number in the Cashless Request Form • The treating doctor/ hospital will fill in the remaining part of the Request Form & Fax it to Medi Assist for approval. • For Emergency Request-TAT ±maximum 4 -6 hours • Planned issions: Approval can be availed 3 days in advance.

For any further assistance please on Phone - 080 - 26584811 (5 Lines), Call Center Toll Free - 1-800-425-9449

Provider Network-Cashless • • • •

•

•

4800+Hospitals across the country. Covering 20 states Average 25 Hospitals being added every month Complete hospital list is available at

You are also required to confirm the listed hospital on the link below as the list is constantly subject to change. https://www.mediassistindia.com/Po pup/HospitalSearch.aspx

For any further assistance please on Phone - 080 - 26584811 (5 Lines), Call Center Toll Free - 1-800-425-9449

Expenses Not Payable • • • • • • • • • • • • • •

ission/Registration Telephone charges Attendant's charges Home Visit/Nursing charges -at residence after discharge Assistant fee/Follow up charges in advance Sundry/Medico Legal Charges/Diabetic chart charges thermometer Charges Container for Specimen/Disposable Bag charges ission Kit External Surgical Aids: Lumbo-sacral/Collar belt /Knee cap/Kneebrace/ walker/hot water bag/baby kit/urine pot / traction kit/folding commode etc Inhaler/ Nebulizer /Glucometer or any other equipments Diet charges Special/protein diet/health drinks unless prescribed by the doctor Documentation/Folder/Stationery/In Patient chart charges

For any further assistance please on Phone - 080 - 26584811 (5 Lines), Call Center Toll Free - 1-800-425-9449

Death Claim Procedure

Following documents are required in original in case of GPA Death Claim. 1. F.I.R 2. Postmortem Report. 3. Death Certificate. 4. Punchnama. 5. M.L.C Copy. 6. Claim Form. For any further assistance please on Phone - 080 - 26584811 (5 Lines), Call Center Toll Free - 1-800-425-9449

Procedure for claiming Reimbursement Requirement of Documents to claim for insurance re-imbursements: • • • • • • • • • •

1. Completely filed claim form of Reliance 2. Original Discharge summary 3. First consultation of the current ailment. 4. Final Bill of Hospital 5. Detailed breakup of the final bill 6. All original payments receipt 7. Investigation / LAB Report 8. Medicine bills (if any) original Bills. 9. if accidental case (then MLC / FIR) copy required. 10. X-Ray report (if any) For any further assistance please on Phone - 080 - 26584811 (5 Lines), Call Center Toll Free - 1-800-425-9449

Wish you a healthy and happy future ! Thank you Medi Assist India Pvt. Ltd. www.mediassistindia.com