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Mediclaim & TPA

Most Health Insurance policies do offer cashless hospitalization facility through a Third party Administrator (TPA). However, you will be eligible for cashless hospitalization, subject to the other terms and conditions mentioned in your policy being fulfilled.

Hospital has a limited role in cashless hospitalization. The hospital is only a facilitator and has no authority to approve or disapprove any request for cashless hospitalization.

Your approval can be denied at times due to unexplained reasons like :

  • 1st year exemptions
  • Pre existing ailments
  • Specific exclusions (accident due to drunken driving) etc...
  • Psychosis
  • Admission only for investigation.

However, you will need to bear in mind that the Suyash Hospital is only a facilitator and can in no way influence the decision on the approval. The approval can be turned down, whenever there is a denial of authorization from TPA, the beneficiary has to clear the Hospital bill and go for compensation.

In case of delay in receiving the approval or when you cannot wait for receiving the approval owing to medical urgency you can undertake the treatment by paying the necessary cash deposit.

Excess amount of the bill apart from authorization/approved amount from TPA Company have to be paid by the beneficiaries.

The initial information given by patient/attendant at the time of admission cannot be changed later.

The following are the list of TPAs and corporate associated with us:

  • GOOD HEALTH PLAN TPA PVT.LTD.
  • ICICI PRUDENTIAL LIFE INS.CO.
  • MEDI ASSIST INDIA TPA PVT.LTD.
  • HDFC ERGO GENERAL INS.CO.
  • FAMILY HEALTH PLAN TPA PVT.LTD.
  • VIDAL HEALTHCARE TPA PVT.LTD.
  • CHOLAMANDLAM GENERAL INS.CO.LTD.
  • ERICSON TPA PVT.LTD.
  • FUTURE GENERAL I INS.CO.LTD.
  • MEDICARE TPA PVT.LTD.
  • UNITED HEALTHCARE PAREKH PVT.LTD.
  • GENINS INDIA TPA PVT.LTD.
  • I CARE TPA PVT.LTD.
  • PARK MEDICLAIM TPA PVT.LTD.
  • EICHER MOTORS PVT.LTD.
  • STEEL AUTHORITY PVT.LTD.
  • AXA ASSITANCE PVT.LTD.
  • SPURTHI MEDITECH TPA PVT.LTD.
  • EAST WEST TPA PVT.LTD.
  • HEALTH INDIA TPA PVT.LTD.
  • TATA MOTORS LTD.
  • SHYAM RAO VITTAL RAO CO.OP.BANK LTD.

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