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