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Insurance

Guidelines for patients under Insurance Coverage

Contact Information:

Email: insurance@mmm.org.in, Phone: 044-26568225/26568235/26568245

Planned Admission:

  • As per Insurance / TPA – Planned Admission document can be submitted before 7 days.
  • We will accept all below document before 5 days.

Admission:

  • Patients are requested to approach the Insurance desk
  • Provide the following documents as per the Insurance / TPA
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Identification proofs:

Private/Corporate Insurance - Mandatory documents:

  • Insurance card /E card, Employee ID Card
  • Patient ID Proof (Pan Card/Driving License/Voter ID/Passport)
  • Address Proof (Aadhar card/Bills of any Govt schemers-LPG,TNEB Bill, Bank Pass Book)

TN Government Employee Scheme (Through MD India & Mediassist TPA):

  • Insurance card /E card, Employee ID Card
  • If insurance card is not available -Annexure –VII for serving employees & Annexure –IV & Option form for pensioners
  • Patient ID Proof (Pan Card/Driving License/Voter ID/Passport)
  • Address Proof (Aadhar card/Bills of any Govt schemers-LPG,TNEB Bill, Bank Pass book)

Medical Proofs:

Planned Admission:

  • Treating doctors OPD Report-For Planned admissions or Certificate mentioning the plan for treatment
  • Investigation reports supporting the diagnosis like ECG, ECHO, Doppler, USG, other scan reports etc.
  • Surgery/PTCA-CAG report, Images, Discharge summary from other hospital.
  • Estimation for treatment.

Emergency:

  • Hospital will take responsible to collect all report from Emergency / CCU/ICU.

Emergency:

  • Hospital will take responsible to collect all report from Emergency / CCU/ICU.

Process followed in MMM Insurance desk:

On Admission:

  • On receiving Identification proofs and Medical Proofs the insurance desk will apply for preauthorization.
  • The patient should be aware that the room rent eligibility per day, if the patients opt for higher room category; he needs to pay proportionate deductions made by the insurance company on the total bill.
  • Insurance Rule – 1% of sum Insured For Eg. If sum insured is 2 Lakhs, then patient is eligible to opt for Rs.2000/- per day as room rent.
  • Patient should be ready to pay the difference in the estimated amount and the Insurance/TPA approval at the time of admission to carry out the surgery/procedure in the hospital.
  • Minimum time to receive the preauthorization from Insurance Company will be between 2 to 4 hours.

On Discharge:

  • Medical documents from Nurses station & Final Bill from Billing counter is mandatory to apply final enhancement with insurance /TPA
  • Insurance desk will apply for enhancement. If the advance amount is found to be not sufficient after adjusting insurance coverage it is mandatory to keep a minimum deposit with the hospital towards caution deposit.
  • Patients are requested to approach the billing counter and settle the bill.
  • Settlement of refund is subject to the actual realization of the mentioned amount by the insurance Company/TPA.
  • Minimum time to receive the enhancement from insurance Company will be between 4 to 6 hours on office timings i.e. between 9 to 6 hours.

INSURANCE AND TPA TIEUPS

INSURANCE COMPANIES (BOTH CORPORATE AND INDIVIDUAL POLICY HOLDERS)

  • STAR HEALTH AND ALLIED INSURANCE COMPANY LTD
  • BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LTD
  • FUTURE GENERALI INDIA INSURANCE COMPANY LTD
  • CHOLAMANDALAM MS GENERAL INSURANCE COMPANY LTD
  • MAX BUPA HEALTH INSURANCE COMPANY LTD
  • IFFCO – TOKIO GENERAL INSURANCE COMPANY LTD
  • RELIANCE GENERAL INSURANCE COMPANY LTD
  • UNIVERSAL SOMPO GENERAL INSURANCE COMPANY LTD
  • ADITYA BIRLA HEALTH INSURANCE COMPANY LTD
  • RELIGARE HEALTH INSURANCE COMPANY LTD
  • RELIANCE HEALTH INSURANCE LTD
  • LIBERTY GENERAL INSURANCE LTD
  • MAGMA HDI GENERAL INSURANCE CO LTD
  • NAVI GENERAL INSURANCE LTD
  • SBI GENERAL INSURANCE COMPANY LIMITED LTD

TPA’s (ONLY CORPORATE POLICY HOLDERS)

  • HERITAGE HEALTH INSURANCE TPA PVT LTD
  • MD INDIA HEALTH INSURANCES TPA PVT LTD
  • MEDSAVE HEALTH INSURANCE TPA LTD
  • PARAMOUNT HEALTH SERVICES & INSURANCE TPA PVT LTD
  • GENINS INDIAINSURANCE TPA LTD
  • ALANKIT INSURANCE TPA LTD
  • RAKSHA HEALTH INSURANCE TPA PVT LTD
  • GOOD HEALTH INSURANCE TPA LTD
  • MEDI ASSIST INSURANCE TPA PVT LTD
  • FAMILY HEALTH PLAN INSURANCE TPA LTD
  • DEDICATED HEALTHCARE SERVICES TPA (INDIA) PVT LTD
  • UNITEDHEALTHCARE PAREKH INSURANCE TPA PVT LTD
  • VIPUL MEDCORP INSURANCE TPA PVT LTD
  • VIDAL HEALTH INSURANCE TPA PVT LTD
  • HEALTH INDIA INSURANCE TPA SERVICES PVT LTD
  • HEALTH INSURANCE TPA OF INDIA LTD
  • ERICSON INSURANCE TPA PVT LTD
  • UTI ASSET MANAGEMENT - Senior Citizen Units Plan
  • EAST WEST ASSIST INSURANCE TPA PRIVATE LIMITED
  • MEDVANTAGE INSURANCE TPA PRIVATE LIMITED
  • SONA BLW PRECISION FORGINGS LTD.

LIST OF EMPANELLED ORGANIZATIONS

  • BHARAT PETROLEUM CORPORATION LTD (BPCL)
  • LARSEN & TOUBRO LTD (CONSTRUCTION DIVISION)
  • LUCAS TVS LTD
  • OIL & NATURAL GAS CORPORATION LTD (ONGC)
  • NEYVELI LIGNITE CORPORATION LTD (NLC)
  • MRF
  • INDIAN OIL CORPORATION LTD (IOCL)
  • METALS & MINERALS TRADING CORPORATION (MMTC)
  • CHENNAI PETROLEUM CORPORATION LTD (CPCL)
  • TUBE PRODUCTS OF INDIA
  • MAHINDRA AND MAHINDRA
  • STATE BANK OF INDIA.
  • NATIONAL BANK FOR AGRICULTURE AND RURAL DEVELOPMENT (NABARD)
  • RESERVE BANK OF INDIA (RBI)
  • THE RAMCO CEMENTS LTD
  • RITES LTD

HEALTH INSURANCE SCHEME

  • TAMIL NADU CHIEF MINISTER’S COMPREHENSIVE HEALTH INSURANCE SCHEME - *FOR CARDIOLOGY & CARDIOTHORACIC SURGERIES ONLY
  • TAMIL NADU NEW HEALTH INSURANCE SCHEME (TNNHIS) EMPLOYEES & PENSIONERS SCHEME & CO-OPERATIVE SOCIETY EMPLOYEES) - * FOR CARDIOLOGY & CARDIOTHORACIC SURGERIES ONLY

About The MMM

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In-patient guide

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Insurance