How does one get Reimbursements in case of treatment in non- network hospitals?
Cashless Hospitalization is available only in Network Hospitals. While it’s recommended that you choose a network hospital you are at liberty to choose a non-network hospital also. In case you avail of treatment in a Non Network hospital, TPA will reimburse you the eligible amount of bills subject to the policy taken by the policyholder and claim being admissible. The Policy Holders attention is drawn to the definition of Hospital in the Mediclaim policy. TPA should be contacted within few days from the time of admission with details of TPA card number, nature of illness, name & address of the Hospital/ Nursing Home/ Clinic, attending Doctor, Bed Number etc. The claim form can be collected from the nearest branch of the Insurance company / TPA office / TPA website. This claim form must be filled fully and sent to the nearest TPA office along with the following documents in original.
Cashless Hospitalisation is available only in Network Hospitals. While it’s recommended that you choose a network hospital you are at liberty to choose a non-network hospital also. In case you avail of treatment in a Non Network hospital, TTK will reimburse you the amount of bills subject to the policy taken by the policyholder. The Policy Holders attention is drawn to the definition of Hospital in the Mediclaim policy. TTK should be contacted within 7 days from the time of admission with details of TTK card number, nature of illness, name & address of the Hospital/ Nursing Home/ Clinic, attending Doctor, Bed Number etc. The claim form can be collected from the nearest branch of the Insurance company / TTK office. This claim form must be filled fully and sent to the nearest TTK office along with the following documents in original.
In case of treatment in a non-network hospital, TPA will reimburse you the amount of bills subject to the conditions of the policy taken by the insured. The insured must ensure that the hospital where treatment is taken fulfils the conditions of definition of Hospital in the Mediclaim policy. TPA should be contacted within 7 days from the time of admission with the following documents in original: 1 Claim Form duly filled and signed by the claimant 2 Discharge Certificate from the hospital 3 All documents pertaining to the illness starting from the date it was first detected i.e. Doctor’s consultation reports/history 4 Bills, Receipts, Cash Memos from hospital supported by proper prescription 5 Receipt and diagnostic test report supported by a note from the attending medical practitioner/surgeon justifying such diagnostics.
