Dear Mediclaim member of SAIL

Transcription

Dear Mediclaim member of SAIL,
Welcome to E-Meditek (TPA) Services Ltd Family!
As our most valued clientele, it gives us great pleasure to inform you that renewal of your medi-claim policy
will be serviced by us for year 2013 and we take this opportunity to thank you for this patronage.
The services include ID card issuance, cashless hospitalization and settlement of claims.
You can download e-Cards for all covered members from our website www.emeditek.com. Please use your
Mediclaim Index Number (MIN) as your USER LOGIN and Password (vide page no. 26) to log on to our
website. Kindly change your password when you login to your account for the first time.
We invite you to take advantage of other vital features and highlights of E-Meditek Web Portal:1.
2.
3.
4.
Network Hospital – Locate Nearest Hospital to avail cashless Facility
Track your Claims – Check claim status & download communication letters
View/ Request for change of member details including Mobile No./ email id/ ECS details etc.
Grievance lodging & its Re-dressal.
Further, the guidebook gives a preview of various services provided by E-Meditek and the process to avail
these services. The guidebook also contains list of hospitals/nursing homes in the SAIL/E-Meditek network
where you can avail OPD treatment and cashless hospitalization treatment respectively.
For any further clarification or assistance, please get in touch with us through contact points mentioned on
the back side of card. Our customer care executives will be glad to assist you.
You can also visit ‘www.emeditek.com’ for more information.
We look forward to continue our beneficial relationship and hope that you will be satisfied with the services
offered by us. Please feel free to send us your feedback for encouraging us to serve you better. It will be our
constant endeavor to provide all services to you with high quality and minimum turnaround time.
Wishing you a healthy and happy life
For E-Meditek (TPA) Services Ltd
Gopal Verma
Managing Director
2
Table of Contents
DOS & DON'TS ................................................................................................................................................. 4
OBJECTIVES OF THE SCHEME ................................................................................................................... 5
PERSONS COVERED ...................................................................................................................................... 5
SCHEME ............................................................................................................................................................ 5
PROCEDURE FOR RENEWAL OF MEMBERSHIP ................................................................................... 5
POLICY COVERAGE ...................................................................................................................................... 6
DEFINITIONS ................................................................................................................................................... 6
BENEFITS .......................................................................................................................................................... 7
CAPPINGS ......................................................................................................................................................... 9
IMPORTANT EXCLUSIONS ....................................................................................................................... 10
CLAIM PROCEDURE ..................................................................................................................................... 11
CUSTOMER CARE SERVICES ................................................................................................................... 15
ANNEXURE- A: CLAIM FORM - IPD ........................................................................................................ 18
ANNEXURE- B: CLAIM FORM- OPD ....................................................................................................... 20
ANNEXURE- C: CLAIM INTIMATION FORM ........................................................................................ 21
ANNEXURE- D: CASHLESS REQUEST FORM ...................................................................................... 22
ANNEXURE- E: ACKNOWLEDGEMENT SLIP ...................................................................................... 23
ANNEXURE- F: NEFT FORM ...................................................................................................................... 24
DISCLAIMERS ............................................................................................................................................... 25
USER GUIDE TO ACCESS WEBSITE ....................................................................................................... 26
SAIL FAQ'S ..................................................................................................................................................... 29
LIST OF SAIL APPROVED HOSPITALS FOR OPD TREATMENT ..................................................... 33
LIST OF EMPANELED HOSPITALS TO AVAIL CASHLESS SERVICES .......................................... 44
SAIL PLANT REPRESENTATIVES ............................................................................................................ 56
3
DOS & DON'TS
1) Written claim Intimation: Reimbursement & Cashless
a) The mediclaim member is required to intimate the insurance agency or the TPA at least 48 Hrs prior to
the planned hospitalization.
b) In case of emergency hospitalization the mediclaim member is required to inform the insurance
company or the TPA within 24 Hrs of such hospitalization.
2) Mandatory claim intimation documents
a) The mediclaim member is required to submit prescription indicating diagnosis, purpose of
Hospitalization etc. documents at the time of intimation.
b) The mediclaim member is required to submit the documents along with the details of the treating
Doctor & signature.
3) Timelines for submission of Claims for reimbursement
a) The Mediclaim member is required to submit the reimbursement claim with respect to IPD /
hospitalization claim within 30 days from date of discharge from the hospital.
b) The OPD Claims are to be submitted by the mediclaim member, to the Insurance Company/ TPA
within 90 days from the date of completion of the treatment or Rs. 2000/-, whichever is earlier.
4) Submission of Claim Documents
The mediclaim member can submit the Claim documents in any E-Meditek branch irrespective of
center opted by the members. You can refer to the updated branch list of E-Meditek with contact
details mentioned in the booklet / website.
5) In case of any implant being used
The mediclaim member is required to submit the outer pouch of the implant used (having barcode
embossed) along with signature of treating doctor on the pouch is submitted along with reimbursement
claim.
6) Availing Cashless Facility
The Mediclaim member should always carry Photo ID Cards like Driving License, PAN Card, Voter
ID card, Passport for availing Cashless facility.
7) Requirement of ECS Form
For early/ hassle-free disbursement of claims, the mediclaim member is kindly requested to ensure the
submission of duly filled ECS Form (page no. 24) along with a cancelled cheque to E-Meditek, while
submitting the reimbursement claim.
8) Visit http://emeditek.in/sailweb/ for
a. Updated Hospital list & Details
b. View & Download E-card
c. Membership Details & claim status
d. Any other information regarding SAIL Mediclaim Scheme
9) Issuance of Photo ID Card
Photos are Mandatory for issuance of Photo ID Card. In case you have not submitted your photograph,
kindly submit them at respective SAIL Plant/ Unit for issuance of the cards
4
MEDICLAIM SCHEME FOR THE RETIRED EMPLOYEES OF
SAIL AND THEIR SPOUSES (2013)
OBJECTIVES OF THE SCHEME
To extend the Medical Benefits to the retired employees of SAIL and their spouses
PERSONS COVERED
1) Retired employees of SAIL and their spouses.
2) The employees who have taken voluntary retirement and their spouses.
3) The employees who cease to be in employment on account of permanent total disablement and their
spouses
4) The spouse of an employee who dies in service
5) The employees who have resigned on and after attaining 57 years of age and their spouses.
This scheme is optional and those who opt for this scheme, will hereinafter be referred to as "members".
Apart From fresh Enrolments during the year, only the persons who were members of SAIL Mediclaim
Scheme-2012, are eligible to renew membership under SAIL Mediclaim Scheme - 2013.
SCHEME
The members will be covered through Group Insurance Mediclaim Policy of the Insurance Company and
will be operated through Bajaj Allianz General Ins. Co Ltd., GE Plaza, Opp. Gunjan Cinema, Airport
Road, Blue Hill Society, Yerawada, Pune, Maharashtra 411006
The period of the policy is 01/01/2013 (0000 hrs IST) to 31/12/2013 (2400 hrs IST)
E-Meditek (TPA) Services Ltd. (Head office at Plot-577,Udyog Vihar Phase-V, Gurgaon, Haryana)
has been authorized to offer TPA (Third Party Administrator) services for the Group Mediclaim Policy
issued for the retired employees of SAIL and their spouses. E-Meditek would work out of 27 locations for
the purpose of claim settlement, the bills & other related documents should be directly sent to any branch of
E-Meditek (vide page no. 15-17).
PROCEDURE FOR RENEWAL OF MEMBERSHIP
st
1. The scheme is operational for a period of one year and the expiry of the scheme will be 31 December of
the year.
2. The member is required to deposit the renewal fee for joining the scheme in the next calendar year by
31st December of the current year. A grace period of 30 days would be provided for renewal.
3. Though the concerned plant/unit would be informing the member of the renewal amount it will be the
liability of the member to ensure his/her renewal every year, as the concerned plant/unit will not be
responsible for any delay in the communication reaching the member.
Note: Any change of address must be immediately intimated to the concerned Plant/Unit and Insurance
Company giving the Mediclaim Index No. (MIN)
5
POLICY COVERAGE
The policy covers reimbursement of Hospitalization and also Cashless Facility and/or Out-Patient
Department (OPD) expenses within the prescribed limits under the policy for illness/diseases contracted or
injury sustained by the insured person. In the event of any claim becoming admissible under the policy, the
company will pay to the insured member the amount of such expenses as reasonably and necessarily
incurred anywhere in India, but not exceeding in any one period of insurance of amounts under the
respective category in the BENEFITS mentioned in this booklet (Page No.7-8).
DEFINITIONS
a) Hospital/Nursing Home means any institution in India established for Indoor care and treatment of
sickness and injuries and which has been registered either as a Hospital or Nursing Home with the local
authorities and is under the Supervision of a registered and qualified Medical Practitioner Or
Hospital/Nursing Home should comply with minimum criteria as under,
i.
ii.
iii.
iv.
It should have at least 15 inpatient beds
Fully equipped operation theatre of its own wherever surgical operations are carried out.
Fully qualified nursing staff under its employment round the clock.
Fully qualified Doctor(s) should be in charge round the clock.
For the purpose of O.P.D. treatment, "Hospital" shall mean:
1. A Government Hospital,
2. Dispensaries/Clinics run by local Government authority/Municipalities,
3. SAIL Plant Hospitals/Dispensaries
4. Hospitals/Nursing Homes (List of SAIL Hospitals is at Page no. 33-43).
5. Franchisee of major Hospitals viz. Apollo, Max, Escorts, Fortis, etc. anywhere in India.
Note: The terms "Hospital" shall not include an establishment which is a place of rest, a place for the aged, a
place for drug addicts or alcoholic, a hotel or a similar place.
b) Hospitalization:
1. Hospitalization facility can be availed from any Hospital or Registered Nursing Home in India.
However, the Mediclaim member can avail Cashless Facility under Hospitalization only in Hospitals
empanelled by the Insurance Company for this purpose. (Refer list at Page no. 44-55)
c) Surgical Operation means manual and operative procedures for correction of deformities and defects,
repair of injuries, diagnosis and cure of diseases, relief of suffering and prolongation of life
Note:
1. When treatment such as Dialysis, Chemotherapy, Cataract, Lithotripsy, Angiography, Radiotherapy and
Microsurgery is taken in the Hospital/Nursing Home and the insured is discharged on the same day, the
treatment will be considered to be taken under Hospitalization Benefit Section.
2. While Hospitalization facility can be availed of from any Hospital or Registered Nursing Home in
India, OPD facility can only be availed of from any Govt. Hospitals/SAIL Plant Hospitals/ Dispensaries
or Hospitals listed in this Booklet.
6
d) O.P.D. Treatment: Means treatment taken as an out -patient in any Govt. Hospital/SAIL Plant
Hospital or SAIL approved Hospital/Nursing Home. The Charges incurred for treatment taken from
Registered Medical Practitioners or other than SAIL approved Hospital/Nursing Home will not be
reimbursed. The Medicine should be prescribed by the Doctors on the letter heads of the hospital. Even
though a medical practitioner is attached to any of the Govt./SAIL plant hospital or SAIL approved
hospital and if the treatment is taken by him/her privately, the OPD Claim amount will not be
reimbursed, under any circumstances.
e) Anyone Illness: Anyone illness will be deemed to mean continuous period of illness and it includes
relapse within 45 days from the date of last consultation with the Doctor/Hospital Nursing Home.
Occurrence of same illness after lapse of 45 days as stated above will be considered as fresh illness for
the purpose of this policy.
f) Medical Practitioner: Means a person who holds a degree/diploma of a recognized institution and is
registered by Medical Council of respective State of India. The term Medical Practitioner would include
Physician, Specialist and Surgeon. (Cross Field Treatment will not be payable)
g) Qualified Nurse: Means a person who holds a certificate of a recognized Nursing Council and who is
employed on recommendations of the attending Medical Practitioners
BENEFITS
Hospitalization Benefit
Hospitalization benefit, Reimbursement and/or cashless will be paid upto Rs.2,00,000/- per member
(with clubbing facility between employee & spouse), as per policy terms and conditions

Reimbursement:
Reimbursement of actual charges upto Rs. 2,00,000/- per member per policy period (with clubbing
facility between employee & spouse) incurred towards Room rent, IC Unit, nursing expenses,
surgeon & anesthesia charges, consultation fee, diagnostic investigations(Laboratory & radiological),
cost of blood/blood components and its transfusion, oxygen/gas, operation theatre charges, surgical
appliances/implants, medicines & drugs, Dialysis, Chemotherapy, Radio-therapy, cost of pacemaker,
artificial limbs and similar other expenses. CLAIM UNDER HOSPITALIZATION BENEFIT IS
ADMISSABLE ONLY WHEN THE PATIENT IS ADMITTED IN A HOSPITAL FOR A
MINIMUM PERIOD OF 24 HOURS.

Pre-hospitalization
Relevant medical expenses incurred during the policy period upto 30 days prior to the hospitalization
on disease/illness sustained will be considered as part of claim under hospitalization. HOWEVER
MEDICINES BEING PRESCRIBED UNDER REGULAR OPD TREATMENT DURING PREHOSPITALISATION WILL NOT FALL UNDER HOSPITALIZATION CLAIMS.
7

Post-hospitalization
Relevant medical expenses incurred during the policy period, upto 60 days, after hospitalization on
disease/illness/injury sustained will be considered as a part of claim under hospitalization.
HOWEVER, DURING POST HOSPITALISATION PERIOD, MEDICINES PRESCRIBED
UNDER REGULAR OPD TREATMENT FOR DISEASES/ILLNESS NOT RELATED TO THE
SAID HOSPITALISATION SHALL NOT BE REIMBURSIBLE UNDER HOSPITALISATION
CLAIM.

Cashless:
The member can also avail Cashless hospitalization Facility in any hospital empanelled by TPA, for
the provision of Cashless Hospitalization. List of such empanelled hospitals for availing cashless
treatment may vary from time to time; however, updated list may be referred from E-Meditek
website/E-Meditek centers, prior to hospitalization.
OUT-PATIENT BENEFITS (OPD)
1) Rs. 4000/- per member, for members below 70years of age as on 31.12.2012
2) Rs. 8000/- per member, for members 70 years and above as on 31.12.2012, for the policy period.
NOTEPersons completing 70 years of age on 1.1.2013 will also be considered for enhanced OPD benefit.
Unlike IPD facility, the OPD facility cannot be clubbed between the ex-employee and his/her spouse
3) O.P.D, treatment can be availed at the following institutions:
a) A Government Hospital
b) Dispensaries/Clinics run by local Government authority/Municipalities,
c) SAIL Plant Hospitals/Dispensaries
d) Hospitals/Nursing Homes as per List at (Page no. 33-43)
e) Franchisee of major Hospitals viz. Apollo, Max, Escorts, Fortis, etc. anywhere in India.
4) The members can avail OPD treatment facility in the above Hospitals. In case, the OPD treatment is
taken in a SAIL Plant Hospital, the members are not required to pay any expenses. SAIL Plant
Hospitals will make claims with the Insurance Co. for the Treatment given to the member. In case
OPD treatment is taken at approved Hospital other than SAIL Plant Hospital, the claim should be
submitted at any Centre of E-Meditek (TPA) Services Ltd. (Vide Page no. 15-17)
5) OPD treatment availed from the listed Hospitals should be necessarily claimed on the letterhead of
the listed Hospital. OPD treatment, wherein the prescription is on the letterhead of the doctor and not
on the letter head of the Hospital, will not be reimbursed.
6) OPD Claims to be submitted by the member to the TPA only when the expenses exceed Rs. 2000/per person per policy period or within 90 days from the date of completion of the treatment whichever
is earlier.
8
CAPPINGS:
1) Room Rent:- Maximum entitlement of room to be restricted to:
a. For Metro Cities Hyderabad, NCR, Bangalore, Mumbai, Chennai, Kolkata ceiling of 2% of the sum
insured per member or a single A/c non-deluxe room per day whichever is lower.
b. For Non Metro Cities which are state capitals, ceiling of 1.5% of the sum insured per member or a
single A/c non deluxe room per day whichever is lower.
c. For rest of the country- ceiling of 1% of sum insured per member or a single A/c non deluxe room
whichever is lower
In case a member goes for a higher category room, the consultation charges/investigation
charges/procedural changes/surgical charges/package rates etc. shall be limited to actual or as per their
corresponding rates for single AC non-deluxe room of the concerned hospital, whichever is lower.
IMPLANT UTILIZATION:2) Intra Ocular Lens:
Ceiling rates for different types of intra Ocular Lens (IOL) Implants to be as per actual or Rs. 10000/whichever is lower and shall be reimbursable in addition to the package rates(wherever IOL is not a
part of Package) for cataract surgery procedure. It should be mandatory for the operating surgeon of all
hospitals to attach the empty IOL sticker, bearing the signature and stamp of the operating surgeon on it
along with the bill in support of the type of IOL used containing its batch number. In case the same is
not followed, the claim with regards to IOL implant, may be rejected.
3) Coronary Stents:
Ceiling rates for different types of Coronary Stents to be as per the actual or the rates as mentioned
below, whichever is lower.
S.No
1
2
3
4
5
6
7
8
Name of Drug Eluting STENT/Bare METAL STENT
Cypher Stent
Taxus Stent
Endeavor
Xience V EECSS
Yukon Choice
Pronova
Supralimus
Bare Metal Stent
Ceiling Rate
` 95,000 + VAT
` 67,300 + VAT
` 85,000 + VAT
` 95,000 + VAT
`55,000 + VAT
` 50000 + VAT
` 55000 + VAT
` 45,000 (all inclusive)
A Maximum of three coronary Stents shall be permitted on the advice of the specialist, of which not
more than two shall be a Drug Eluting Stents (DES). However DES shall be permitted only for patients
where re-stenosis will involve high risk to patients life i.e. :
a. Osteal Proximal LAD lesions;
b. Stenosis of a coronary artery, which is giving collaterals to another blocked artery, thus supplying
a large area of myocardium; and,
c. Stenting of re-stenotic lesions after previous angioplasty.
9
It is essential for the hospital to quote the batch number when a Coronary Stent of any type (ordinary
metal/Drug Eluting Stent) is implanted in the case of a beneficiary. In addition to this, the outer pouch
of the Stent packet along with the sticker on it on which the details of the stent are printed shall also be
enclosed with the medical bill for claiming reimbursement. In case hospital has not given the batch
number and/or outer pouch of the stents in a particular case, the claim with regards to the implant may
be rejected.
4) Joint Replacement Implants:
Ceiling rates for different types of Knee and Hips implants, to be as per the actual rates or the rates as
mentioned below, whichever is lower.
a. Maximum ceiling for Knee Implant to be Rs.75000/- (including cost of Bone cement)
b. Maximum ceiling for Hip Implant to be Rs.75000/- (including cost of Bone cement)
5) In addition to the aforementioned cappings, the following cappings on procedures/ packages as given
below, shall also be applicable:
S. No.
1.
2.
3.
4.
5.
Treatment
Hernia repair
Cholecystectomy
Haemorroids
Appendicetomy
Hysterectomy
Ceilings
` 40000
` 45000
` 25000
` 35000
` 45000
IMPORTANT EXCLUSIONS
Under SAIL Group Mediclaim Insurance Policy, the Company shall not be liable to make any payment in
respect of any expenses whatsoever incurred by the insured person in connection with:
1. Any Disease/complication caused due to alcohol intake.
2. Any disease/injury caused by War/Nuclear Weapons/Radiations/Breach of Criminal law.
3. Circumcision, cosmetic or Plastic Surgery unless necessitated by an accident or as a part of any
disease/illness.
4. All health check- ups, routine eye examinations and cost of glasses and contact lenses.
5. Cost of dentures, Hearing Aid etc.
6. Convalescence, general debility, "Run-down" condition or rest cure, congenital diseases or
defects, sterility, venereal diseases, intentional self injury and use of intoxicating drugs.
7. The Hospitalization charges in which Radiological/Laboratory Investigations/other
diagnostic/studies have been carried out which are not consistent with or incidental to the
diagnosis of treatment of positive existence or presence of any ailment, sickness or injury for
which confinement at any Hospital/Nursing Home, has taken place.
8. Expenses on vitamins and tonics unless forming part of treatment for injury or disease as certified
by the attending physician.
10
9. Treatment traceable to pregnancy/child birth, voluntary medical termination of pregnancy during
first 12 weeks of conception.
10. Naturopathy Treatment.
11. External and/or durable Medical/Non medical equipment of any kind used for diagnosis and or
treatment including CONSTANT POSITIVE ARIWAY PRESSURE, CONTINUOUS
AMBULATORY PERITONIAL DIALYSIS , Infusion pump etc. Ambulatory devices i.e.
walker, crutches, belts, collars, caps, splints, slings, braces, stockings, etc., of any kind. Diabetic
foot wear, glucometer Thermometer and similar related items etc., and also any medical
equipment which subsequently used at home etc.
12. Any Kind of Service charges, attendant food charges, surcharges, Admission Fees/Registration
Charges & Non-Medical Expenses levied by the hospital.
13. Treatment for Age related Macular degeneration with inj. Avastin/ Lucentis/Macugen.
14. Cytotron Therapy
15. Ozone Therapy
16. Rejuvenation Therapy
17. Enhanced External Counter Pulsation Therapy (EECP)
18. Any unproven therapy
CLAIM PROCEDURE
Mandatory Claim Intimations:i. The Beneficiary to inform/intimate, in writing, the Insurance Agency/TPA at least 48 Hrs Prior to
any elective/planned Hospitalization/Admission.
ii. In case of Emergency Admission/Hospitalization, the Insurance Company/TPA to be informed, in
writing within 24 hrs of such hospitalization
iii. The Claim Intimation is mandatory for Cashless & Reimbursement claims
iv. In case, Claim Intimation is not submitted or is not sent within defined timelines, the claim may
stand to be rejected or deductions made
v. Claim Intimation Format is provided on Page no. 21
vi. Claim Intimation can be sent via Letter/ Email/ Fax/ personally delivered at TPA offices.
NOTE:
For availing the facility of cashless hospitalization in hospitals, empanelled by TPA for the said
purpose, the members can avail the facility of TPA desk in such hospitals. For cashless hospital list,
please refer to updated hospital list on www.emeditek.com
Intimation can be sent via:
E-Mail: [email protected]
24 Hrs Helpline no: 0124- 4149727
Toll Free no: 18001028191
Fax: 0124-4466677
Website: www.emeditek.com
Personally delivered at E-Meditek branches mentioned in the guidebook. (Page no. 15-17)
Acknowledgement to member will be given via email/SMS.
11
Process of Claim Submission for Hospitalization Treatment on Cashless/ Reimbursement Basis.
1) The reimbursement claims with respect to IPD/Hospitalization to be submitted to the insurance
company/TPA within 30 days from the Date of discharge from the hospital.
2) The reimbursement claims pertaining to Post Hospitalization to be submitted to the Insurance
Company/TPA within 30 days after the completion of permissible post hospitalization treatment
period of 60 days.
Reimbursement under Hospitalization
i. The claim form should be submitted duly filled in all respects and no column should be left
blank. The specimen copy of claim form is available on Page no. 18-19 (Annexure A)
ii. All bills, Medical Reports, test reports, Pathological test report along with original prescription,
Hospital Admission & Discharge Certificates be submitted by Registered Post, to any office of
E-Meditek (TPA) Service Ltd. at the address given in this booklet in support of the claim along
with prescribed claim form (specimen copy on page no. 18-19) within 30 days from the date of
discharge from the hospital.
iii. Ensure that the treatment is taken from a Hospital as defined above under (Note given above)
However, in case, the treatment is taken in non-registered hospitals on an emergency basis, the
insured member should have valid reasons for doing so and should immediately inform the
TPA with full details. All claim papers should be submitted in original. No photocopy will be
accepted.
iv. Further, it may be noted that in case the bills/report enclosed with the hospitalization claim
paper pertaining to establishment other than the nursing homes/hospital where the insured was
hospitalized, should be supported by proper prescription/advice of the attending doctor and
must be duly certified by the attending Doctor.
v. On receipt of completed claim form along with relevant document & discharge voucher, EMeditek shall process the claim. If the documents are found to be in order and other relevant
information is complete, the claim will be settled and amount will be settled through electronic
fund transfer (NEFT) as early as possible, normally within 15 days of the receipt of all claim
documents mentioned by the Insurance Company.
Cashless Hospitalization
E-Meditek offers Cashless Service to the Insured, where treatment can be obtained at any of EMeditek network hospitals without payment subject to the terms and conditions of the policy. EMeditek will settle the hospital bills directly on behalf of insured. A list of network hospitals is
attached for reference. (Ref to page no. 44-55)
NOTE:
For availing the facility of cashless hospitalization in hospitals, empanelled by TPA for the said
purpose, the members can avail the facility of TPA Desk/Insurance Cell in such Hospitals.
**ID Cards
Insured is requested to show the E-Meditek PHOTO-ID card at the time of Cashless hospitalization.
Members are advised to carry a valid photo identity proof like Driving License, Passport, and Election
Commission Card. The Request for Pre Authorization along with a copy of the E-Meditek card and a
copy of photo ID has to be faxed to E-Meditek at 0124-4466677
12
The filled up Pre Authorization form is faxed by the hospital authorities. The format of the Pre
Authorization form is attached for reference on Annexure E (ref to Page no. 22). The information in this
form is to be filled in by the Hospital Authorities and partially by the Insured.
When the policyholder is advised admission to one of the network hospitals for treatment:



Part I of "Request for Pre Authorization" to be filled in by SAIL member (Ref page no. 22).
Part II of the Pre Authorization form to be filled by the attending doctor/surgeon/hospital.
Pre Authorization form to be faxed by the hospital to E-Meditek Head Office at 0124-4466677 at
least 72 hours before admission.
On receiving the Pre Authorization request, E-Meditek will do either one of the following:
A. Authorize
E-Meditek will fax an "Authorization Letter" (AL) directly to the hospital. In case the cost of
hospitalization exceeds the sum insured in the policy, the policyholder will have to pay the difference
to the hospital. E-Meditek will not be liable for any amount in excess of the amount specified in the
AL. The AL is valid only for the period of hospitalization as specified on the RAL (Request for
Authorization Letter).
B. Request Additional Information

In case the information provided in the Pre Authorization form is incomplete, unclear or insufficient,
E-Meditek will request clarification from the policyholder/hospital. Request Additional Information
may be approved or rejected subject to obtaining the Additional information and based on the terms
and conditions outlined in the policy. E-Meditek will fax "Denial of Authorization Letter"
(DAL)*directly to the hospital. Cashless facility may be denied in some situations as mentioned
below:

Any ambiguity in the policy terms and conditions with respect to the present ailment.

Insufficient sum insured to cover the hospitalization expenses.

Pre Authorization form is not received by E-Meditek in time.

If the information sent to E-Meditek is insufficient to confirm the coverage.

The policyholder or his/her relative must sign the claim form and hospital bills at the time of
discharge from the hospital.
Please note that DAL is only denial of cashless facility and is no way to be interpreted as denial of
treatment. You retain the right to get treated, pay for the services and then submit the bills to us for
reimbursement, subject to policy terms and conditions. In case of hospitals/cities not included in the
list, call at the Toll free number of E-Meditek 1800-102-8191. Each request would be dealt on a case
to case basis
Emergency Hospitalization
In case the insured is admitted to one of our network hospitals in any emergency or accident, the Pre
Authorization should be faxed to E-Meditek Head Office or Branch within 24 hours of admission. EMeditek would authorize or deny the request as mentioned earlier. If the insured gets admitted to a nonnetwork hospital, please refer to non-cashless hospitalization services section.
13
Out-Patient (OPD) Treatment
i. OPD claim should be submitted to the concerned office of E-Meditek (TPA) Services Ltd along with:
1) OPD claim Form duly filled in (specimen at page no. 20)
2) All Doctor's Prescription
3) All Receipts for Drugs/Diagnostic Tests
4) All Diagnostic Reports
All the above documents should be submitted in Original, in proper sequence, duly
tagged/stapled.
ii. Dental Treatment can also be availed of within the existing limit of Rs. 4000/- & Rs.8000/- (as
applicable) per member for the policy under O.P.D. treatment. Cost of dentures will not be
reimbursed.
iii. In case of expenses on Eye Treatment, cost of spectacles/contact lenses shall not be reimbursed.
iv. OPD Claims should be submitted by the beneficiary to the any office of E-Meditek (TPA) Services
Ltd only when the expenses equals or exceeds Rs. 2000/- per person or within 90 days from the date
of completion of the treatment, whichever is earlier. In addition, the claims towards OPD treatment
opted after 15th December are to be submitted within 15 days from the date of expiry of policy period
i.e. latest by 15th January of the succeeding year. (For members who avail OPD towards the fag end of
policy period have to make claims by 15th Jan). For claims not lodged within the stipulated time limit,
the company shall not be liable for such claims.
v. In case of treatment of ear, cost of hearing aid is not reimbursable
Grievance Lodging
Log on to the TPA Website (www.emeditek.com) for any queries, complaints or grievance. The member may
lodge a grievance online by following the steps as mentioned on page no. 28. The member may also send the
grievance through Post at any of the TPA centers as provided on page no. 15-17 or email at
[email protected].
In case of major dispute in any claim, the concerned member is required to contact the dealing Executive of
his/her respective SAIL Plant/ Unit, to which the member belongs. The concerned SAIL Plant/unit would
constitute a committee of SAIL & Bajaj Allianz General Insurance Co Ltd officials, to resolve the dispute.
The decision of the committee in this regard will be binding on both the parties and the member will have to
wait for a reasonable time for the decision of the committee.
Note : - For any queries/observations/complaints/grievance, the members are required to be in touch with the
Mediclaim Officer of their respective Plant /unit only. No communication with dealing officers of Mediclaim
of other plants / units, including corporate office, will be encouraged.
14
CUSTOMER CARE SERVICES
In case, of any queries or require assistance during hospitalization/ claims processing feel free to contact us at our
toll free number. We offer 24*7*365 days support through our multi-lingual Customer Care Centre.
24 Hrs Helpline: 0124-4149727
Toll Free No. : 1800-102-8191
Fax Number: 0124- 4466677
E-Mail ID: [email protected]
Website: www.emeditek.com
Sail Webpage: http://emeditek.in/sailweb/
Details of dealing offices are given below:
1. Ahmedabad
E-Meditek (TPA) Services Limited
709,7th floor,Sakar-5, Behind Natraj
Cinema, Ashram Road, Ahmedabad.
Gujarat
Pin code: 380009
Ph: 079-44666666
Email: [email protected]
3. Bangalore
207, Level 2, Prestige Center Point
Cunningham Road, Bangalore, Karnataka
Pin code: 560042
Ph: 080-44666600
Fax: 080-44666655
5. Bhadravathi
E-Meditek (TPA) Services Ltd,
Sri Venkateshwara Krupa, No 18/1
Lingayat street, Jannapura, Bhadravathi
Karnataka
Pin code: 577301
Ph: 08282-274744
7. Bokaro
Ground Floor, Plot No HD-11, Sec-4,
Bokaro, Jharkhand
Pin code: 827004
Ph: 06542-232780
2. Asansol
SHRI VISHAL PLAZA, No. 123 (N), G.
T. Road (East), Murgasol, Post Asansol
West Bengal
Pin code: 713303
Ph: 0341-3295554
4. Baroda
101,La-citadel complex, 30 /Nutan bharat
society, Alkapuri, Baroda, Gujarat
Pin code: 390007
Ph: 0265-3084038
6. Bhilai
Emeditek (TPA) Services Ltd.
Plot NO.21/13,Nehru Nagar (West)
Near Aggrasen Circle opp-UCO Bank
Bhilai, Chattisgarh
Pin code: 490020
Ph: 0788-4051445
8. Chandigarh
SCO 56, 1st Floor, Entry from front side,
Sector 30-C, Chandigarh
Pin code: 160030
Ph: 0172-4466600
15
9. Chennai
New no.169 Old no.76, 3rd floor, (Above
Bank of Baroda) TTK Road, Alwarpet,
Chennai, Tamil Nadu
Pin code: 600018
Ph: 044- 44666600
Fax: 044- 44666655
Email- [email protected]
11. Durgapur
12/1, Bengal Ambuja, City Centre,
Durgapur, West Bengal
Pin code: 713216
Ph: 0343-3245582
13. Hyderabad
Plot # 45, Union Bank Of India Colony,
Road # 3, Banjara Hills, Hyderabad
Andhra Pradesh
Pin code: 500034
Ph: 040-30017800
15. Jaipur
307, 3rd floor, Paradise Appt. Sarojini
Marg, C-Scheme, (Behind Hotel Park
Prime) Jaipur, Rajasthan
Pin code: 302001
Ph: 0141-4466600
17. Kolkatta
Chitrakut building, 2nd floor, room no21&22, 230A, AJC Boss road, Kolkata
West Bengal
Pin code: 700020
Ph: 033- 44666600, 44666612, 13, 15, 16
Fax: 033- 44666607
10. Dhanbad
Shop No.UG 31, 32 Shri Ram Plaza, Bank
Mor, Dhanbad, Jharkhand
Pin code: 826001
Ph: 7781003034
12. Guwahati
148, GNB Road, Saif Enclave, 1st Floor
(Opp.Guwahati Press Club), Ambari,
Guwahati, Assam
Pin code: 781001
Ph: 0361-2731407
14. Indore
314, Orbit Mall, 3rd floor, 305-306, Scheme
NO.54,P.U. 4 A.B.Road, Indore,
Madhya Pradesh
Pin code: 452010
Ph: 0731-4466644/66/12
16. Kochi
35/292, 1st Floor, Challirickal Building,
Pottakuzhi Road, Pereparambil Lane,
Mamangalam, Palarivattom Post, Kochi
Kerala
Pin code: 682025
Ph: 0484-4466655
18. Lucknow
314, 3rd Floor, Saran Chambers - 2, 5 Park
Road, Luck now
Uttar Pradesh
Pin code: 226001
Ph: 0522-4466660
16
19. Mumbai
208/209 Turf Estate, Off Dr.E.Moses
Marg, Behind Mahalakshmi Satation,
Mahalakshmi Mumbai,
Maharashtra
Pin code: 400011
Ph:022- 44666600, 44666666
Fax: 022- 44666655
Email:[email protected]
21. New Delhi
E-Meditek(TPA) Services Limited,
204 & 205, Kanchenjunga Building, 18,
Barakhamba Road, Cannaught Place,
New Delhi
Pin code: 110001
Ph: 011- 44666600
23. Ranchi
B 420, Ashok Nagar, Road No - 4C, Opp Tata Steel ltd., Ranchi, Jharkhand
Pin Code: 834002
Ph: 0651- 2340144
25. Salem
1st Floor, Swarnambigai Plaza 3/313,
Omalur Main Road, Near TVS Bus Stop,
Salem, Tamil Nadu
Pin code: 636007
Ph: 0427-4036600
Corporate Office:
Plot No.- 577, Udyog Vihar, Phase - V
Gurgaon, Haryana
Pin Code: 122016
Ph: +91-124-4149727
Fax: +91-124-4466677
Toll Free no: 1800-102-8191
20. Nagpur
Shri Prakash K Zode, Plot no 167, Hanuman
Nagar, Trikoni Maidam, Nagpur
Maharashtra
Pin code: 440009
Ph: 0712–6052999
22. Pune
Office no. 101, Akruti Sankal, C.T.s no.
1010 & 2059, Sadashiv Peth, Pune
Maharashtra
Pin code: 411030
Ph: 020-44066655
24. Rourkela
Plot no 309, Udit Nagar, opp Ambedkar
Chowk, Rourkela, Orissa
Pin code: 769012
Ph: 0661-6550105
26. Surat
E-Meditek (TPA) Services Ltd
Room No:- 712 City Centre,8th Floor, Nr
Sosyo Cirlce, Udhna Magdalla Road
Surat, Gujarat
Pin code: 395002
Ph: 0261-3077395
17
ANNEXURE- A: CLAIM FORM - IPD
CLAIM FORM
(Issuance of this form does not amount to admission of any liability under the claim on the part of the insurance.)
1. Name of the Patient (In Capitals):
2. MIN No.
3. Detail of the person undergoing treatment:
(a) Name of Patient & relationship to the insured:
(b) Date of Birth:
(c)Phone No.:
(d)Mobile No.:
(e) E-Mail – I.D.
(f) Residential address:
4. Nature of Disease/illness contracted or injury suffered:
5. Date of injury sustained or Disease/ illness first detected
6. (a) Name of the Hospital/ Nursing Home/Clinic:
(b) Address of the Hospital/ Nursing Home/Clinic:
State/ Union Territory
(c) Registration no:
(b) Date of Admission:
(c) Date of Discharge:
7. Total Amount Claimed: Rs.
I have incurred on the treatment of disease/illness/accident referred to above the expenses as per the details given by me in the
Schedule of Expenses given overleaf. In support of the above claim, I enclose the following documents:
Claim Form Duly Signed:
Yes/No
EMSL Pre-Authorization Certificate:
Yes/No
Claim Intimation Letter
Yes/No
Discharge Summary
Yes/No
Medicines Bills with Dr’s prescription
Yes/No
Operation Theater / Pharmacy Bills
Yes/No
Investigation reports with Dr’s prescription Yes/No
MRI ___ Nos.
Yes/No
CT scan ___ Nos.
Yes/No
US scan ___ Nos.
Yes/No
Pre Hospitalization bills ___ Nos.
Post Hospitalization bills ___ Nos.
Hospital Payment receipt
Hospitalization Bill
Surgeon’s surgery certificate
Surgeon/Consultant’s bills
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
ECG ___Nos.
X-Ray ___Nos.
Other’s (If any)
Yes/No
Yes/No
Yes/No
I hereby warrant the truth of the foregoing particulars in every respect and I agree that if I have made or shall make any false or
untrue statement, suppression or concealment, my right to claim reimbursement of the said expenses shall be absolutely forfeited. I
further declare that, in respect of the above treatment, no benefits are admissible under any other Medical Scheme or Insurance.
18
SCHEDULE OF EXPENSES INCURRED BY
THE CLAIMANT
(Attach separate Annexure for details of bills)
Details of expenses claimed under
Hospitalisation
(To be supported by Bills/Receipt, Cash Memos etc)
Amount Claimed
1. Pre Hospitalisation Benefits
(Within 30 days prior to admission in the hospital)
2. Hospitalisation Benefits
3. Post- Hospitalisation Benefits
(upto 60 days from Date of Discharge)
Total
Consent Form
From:
Patient’s Name and address:
To:
Whomsoever it may concern: (Hospital/Doctor)
Madam/Sir,
I hereby authorize E-Meditek (TPA) Services Limited representatives free and unlimited access to seek medical
information (Indoor case papers, reports, documents, including photocopies thereof / pertaining my, admission /
treatment) from any hospital / medical practitioner from which or whom I have at any time sought or shall seek
medical attention concerning any disease/ sickness, ailment or injury, which affects my physical or mental health.
Yours faithfully,
Signature of the Patient
19
ANNEXURE- B: CLAIM FORM- OPD
O.P.D TREATMENT CLAIM FORM
1) Name
2) MIN No
3) Address (IN BLOCK LETTERS) :
4) Phone Number
5) Nature of Illness
6) Period of Illness
7) Expenses Incurred
Type of Expenses
Bill
Date
Bill
No.
Name of the
Hospital/Lab/Medical Shop
Amount
a) For Consultation
b) For Medicines
c) For Pathological &
other diagnostic tests
d) Any other
Total Expenses Incurred:
I declare that the given information is correct and that I have not claimed reimbursement for the above expenses
incurred by from any other source.
I also consent and authorize E-Meditek (TPA) Services Ltd/ Bajaj Allianz General Insurance Co Ltd /SAIL to seek
medical information/documents from any hospital /provider who has any time attend on the insured person.
Place:
(Signature of Insured)
Date:
Note : Please enclose the following documents in original along with the claim form :
a) OPD Card of SAIL approved I Govt. Hospital.
b) Chemist/Nursing Home Bills/Receipts and Original prescriptions.
c) All Pathological & other test report and bills, if any.
d) Discharge Voucher duly signed.
All the above should be in original. No Photocopies will be accepted.
20
ANNEXURE- C: CLAIM INTIMATION FORM
Claim Intimation Form- Steel Authority of India Ltd.
Mediclaim Policy for Retired Employees
Name of the Patient:
Full Address:
City:
Phone No.:
Hospitalization Information
MIN no.:
State:
E-Mail:
Pincode:
Date:
Age:
Gender:
M
F
Contact no.:
Diagnosis:
Date of Admission:
Date of Discharge:
Planned Treatment/ Emergency Treatment:
Hospital Information
Name of the Hospital:
Address:
City:
Contact no.:
State:
Doctor Information
Registration no.:
Name of the Treating Doctor:
Qualification:
Landline Contact no.:
Estimated Expenses:
Any other relevant information
Additional attached Documents
Intimation Submitted by:
Name:
Pincode:
Mobile no.:
Insured
Patient
Relative
Contact no.:
I hereby authorize E-Meditek (TPA) Services ltd./ Insurance Company/ Representative of Insurance Company to
obtain my medical record/ Information from Hospital/ Nursing Home/ Treating Medical Professionals/ Family
Physician/ diagnostic Center/ medical shops necessary to process the claim
Kindly Keep In Notice
Photo ID of the patient has to be carried to hospital during hospitalization
Attachments of prescriptions and Admissions notes is a mandate
Photo Identity of the patient has to be attached along with Claim Intimation/ Documents
Non Submission of the Claim Intimation within 48 Hrs prior to admission will result the claim as NO CLAIM
SIGNATURE OF THE PATIENT
21
ANNEXURE- D: CASHLESS REQUEST FORM
E-MEDITEK (TPA) SERVICES LIMITED (IRDA License No. 007)
Customer Care Tel: - 0124-4149727 Fax: - 0124-4466677 E-Mail:- [email protected]
PART A – TO BE FILLED IN BY TREATING CONSULTANT
Patient Name:________________________ MIN No:______________________
E-Meditek ID No.:
Age:___
Years. Gender: Male / Female
Patient‘s Tel No. (Off.)___________________Mobile: __________________________________
Name of Hospital:
Treating Doctor with contact no: _____________________
Presenting Complaints & Clinical Findings with Durations: ________________________________________________________________________
_________________________________________________________________________________________________________________________
Past History:
Disease
DM
HTN
IHD / CAD
Surgical History
Duration
Maternity Cases: Gravida
Disease
Arthritis
COPD / TB / Asthma
Any Other Chronic Ailment
Similar Ailment
Para
LMP
In C/O Accidents, influence of Alcohol / Intoxicant: Yes / No Whether MLC Done: Yes / No
Proposed Line of Treatment: -
Duration
EDD
No. of Live Children: __________
In C/O Injury, whether suggestive of self-inflicted injury: Yes / No
_____________________________________________________ Class of Accommodation
Date of Admission: ___________Expected duration of stay:
_______Room No. ________ Admitting Diagnosis:
________________
PART B – TO BE FILLED BY HOSPITAL
Amount in Rs.
Room Charges with breakup
-
Consultant Visit Charges, Surgeon Fees, Anesthetist Fees with breakup
-
Investigation Charges with breakup
-
Anaesthesia, OT Charges, Surgical appliances, Medicines, Dialysis, Chemotherapy,
Radiotherapy, Cost of Stent and Implant etc with breakup
-
Total Estimated Expenses:
________________
Rs
E-Meditek (TPA) Services Limited will not be held liable for the payment in the event of any discrepancy between the facts presented at the time of
admission& in final documents submitted.
If the nature of treatment is different from what has been declared in the “Cashless Request Form” and for which “Pre Approval Certificate” has been issued
then the said pre approval will automatically stand withdrawn. A fresh “Pre Approval” for the changed treatment will have to be applied for and obtained
as soon as such a difference is noticed but in any case before discharge of the patient.
SIGNATURE & STAMP OF CONSULTANT
SIGNATURE & STAMP OF THE HOSPITAL
PART C – TO BE FILLED BY THE INSURED / CLAIMANT INSURED CONSENT / AUTHORIZATION
I have ‘no objection’ in E-Meditek (TPA) Services Limited obtaining details of my treatment / collecting documents / verifying hospital records and
also authorize E-Meditek (TPA) to pay the hospital bill & reimburse itself / receive the amount from my claim receivable from my insurance company. In
case my claim is rejected, I hereby undertake to pay E-Meditek (TPA) Services Limited the amount paid by them to the hospital. This consent is also final
discharge for hospitalization part of the claim where it has affected the payment. I reserve the right to submit pre / post hospitalization or other claim
separately as and when required and as per policy terms and conditions, which I have read and understood. In case, the letter of authorization is not utilized
at the above hospital, I agree to inform and surrender the letter of authorization to the E-Meditek (TPA) Services Limited. I am aware that EMeditek (TPA)
Services Limited will update my sum insured only after receipt of the letter (in case of non utilization of authorization letter).
I hereby warrant the truth of the foregoing particulars in every respect and I agree that if I have made or shall make any false or untrue statement,
suppress or conceal any material fact, then, my right to claim reimbursement of the said expenses would stand forfeited. I further declare that in respect of
the above treatment, no benefits are admissible under any other medical scheme or insurance.
Name:_________________________________________
Signature (Insured / Claimant)
22
ANNEXURE- E: ACKNOWLEDGEMENT SLIP
Acknowledgement Slip
Created On: DD/MM/YYYY
Sub Reg. No
MIN No.
Inward Date
Dep Rec Date
Patient Name
Type of Doc
Source
Insurance Co.
Policy No.
Card No.
Claim No.
23
ANNEXURE- F: NEFT FORM
577, Udyog Vihar, Phase V, Gurgaon 122016
NEFT Form
To,
Madam/Sir,
I furnish below details of my bank account to be used for effecting payments due to me by NEFT/RTGS
Registration for NEFT/ RTGS Payments
Beneficiary Name:
Policy number
Mediclaim Index Number (MIN):
Bank Account Details For NEFT/RTGS Payments
Name as appearing in Account
IFSC Code *(11 digits)
PAN Number (10 digits)
Bank Name
Bank Branch Name
Bank Branch Address
MICR Code (9 digits)
Full Bank Account No. (for NEFT)*
Account Type
Current Account
*Please attach a copy of a cancelled cheque to verify the details of your bank account
Please refer your cheque book for IFSC/MICR Code of your bank branch or contact your bank's Branch Manager
Saving Account
I wish to receive alerts from the company on processing of payments to my account through SMS and/or Email
Mobile Phone No. (for SMS alert)
1)
2)
E-Mail ID (for mail notification) (please provide the IDs which will be
valid throughout the policy period)
3)
4)
NOTE:- Please Include a confirmation of account information on bank letterhead/Copy of Passbook or a cancelled cheque. If bank letterhead is used, then
bank officer's name and signature is also required. This information will be used to verify your account no.
DECLARATION
• I / We hereby declare that the particulars given above are correct and complete and no blanks have been left. If the transaction is delayed or not effected at
all for reason of incomplete or incorrect information I / we would not hold E-Meditek (TPA) Services Limited responsible.
• I / We further undertake to refund, at any time, any excess amount whether demanded by E-Meditek (TPA) Services Limited or not, which has been
credited to my account [due to any reason] by E-Meditek (TPA) Services Limited, in excess of (i) the amount due to me, or (ii) Claim/Refund/ Any other
payment.
• I / We agree that the payment will be endeavored to be credited starting from the date of next payment cycle and unless the Mandate is revoked by me/us
issuance of relevant credit instruction for electronic payment from E-Meditek (TPA) Services Limited into the aforesaid account will be valid discharge to EMeditek (TPA) Services Limited for having paid (i) the amount due to me, or (ii) Claim/Refund/ Any other payment.
• I / We further confirm that we understand this mode as a method of payment introduced by Reserve Bank of India, which provides us an option to receive
the amount and or to collect our payments by electronic payment mode directly through my/our bank accounts.
• I / We further confirm that I/we understand, E-Meditek (TPA) Services Limited, shall make electronic payment to my account by issuing the Payment
instruction electronically through its banker to the Clearing Authority and the Clearing Authority would ensure credit to my/our specified bank account
provided hereinabove.
• I / We further undertake to inform E-Meditek (TPA) Services Limited with an advance notice of 15 days, to withdraw from this mode of electronic
payment.
• I / We further confirm that E-Meditek (TPA) Services Limited will have, at its sole discretion, the right to return back to the option of paying to me/us by
way of cheque if there are more than 2 consecutive failures in remittances for no fault on the side of E-Meditek (TPA) Services Limited.
• After E-Meditek (TPA) Services Limited issuing the Payment instruction electronically through its banker, for whatever reasons, if I/we do not get the
credit to my/our account, then same shall neither constitute the default in (i) Payment of amount requested by me, or (ii) Payment of amount due to me/us, or
(iii) Payment of claim/ Refund/Any other payment by E-Meditek (TPA) Services Limited nor constitute default of any terms and conditions of any
Claim/Refund/Other contract with me/us.
Name of the Authorised Person:
Signature of Authorised Person
Date
D
D
/
M
M
/
Y
Y
Y
Y
24
DISCLAIMERS

If any member is found to be misusing the system or has committed any fraud, the member will be
permanently debarred from the Mediclaim membership and legal action shall be taken against
him/her.

In cases, where the cheque of the member for renewal or enrolment is found to be unsigned, is
returned for lack of funds or gets delayed etc., it would be the responsibility of the member to
ensure that the Policy coverage does not lapse due to the above reasons.
25
USER GUIDE TO ACCESS WEBSITE
Enter http://emeditek.in/sailweb/ to view SAIL Web
portal
Login Screen
 Depicting on side is the front page from where
navigation can be done from one page to another.
 DOWNLOADS: Click on “
” to view and download various forms needed for claim
process. Click on the arrow available in front of each form to download the form.
 HOSPITAL LOCATOR: Click on “
” to search the SAIL approved hospital. You
can search the hospital by entering the hospital name, address, city, state or pin code.
 FAQs: Click on “
” to view the list of frequently asked questions.
 CONTACT US: Click on “
” to get the list of various offices to submit your claim
related documents or to contact for any query.
 LOGIN: for logging in to your account follow the basic steps:
a. Select the type of user from the drop down list.
b. Enter your MIN number in the box available just
next to the “MIN no.”
c. Enter your password in the box available next to the
“password” first time users should enter their MIN no.
as their password.
d. Click login to submit your details and enter to your
account.
Customer account

MY PROFILE: As you enter to your account, by default you enter your profile page. Click on “view”,
in new window you can see your complete details like “member information, corporate information,
26
Policy information, covered person, claim history, balance, benefit information, additional benefit
information, Concurrent Insurance details, past insurance details, NEFT details, card dispatch
details and enrolment information.
 STEP BY STEP GUIDE: Click on
to view solutions for your queries.

CLAIM STATUS: Click on
to
view your IPD and OPD Claims. Click on the letter
icon
present on the right side of the screen.
A new window will open from where you can
view, print or E-Mail the letter to your ID or
anywhere else.
 MEMBERSHIP CARD: Click on
to view your basic details
along with an E-Card option available on the
extreme right of the screen.
27
 MY HEALTH RECORD: Click on
to manage your
health records here by uploading and
saving the soft copy of your documents.
NEFT DETAILS: Click on
to view your account details which you have
provided SAIL. In case your details are not visible,
kindly contact SAIL office and submit your details.
 REGISTER CONTACT DETAILS: Click on
to Enter your mobile number and EMail ID to receive claim status of your claims and to receive important information/alert via SMS and
emails.
 LOG YOUR GRIEVANCE: Click on
for any queries, complaints or
grievance, please let us know by adding your
grievance by clicking on “Log Your Grievance
Here” option. Fill in your required details as all
the fields are mandatory to register your
grievance successfully. Click on “Submit” to log
your grievance.
 HEALTH CALCULATOR: Click on
to calculate your body fat, BMR, your
body’s water requirement and the blood volume of your body. By clicking on
below
various calculators, on new page you will get a form; fill in all your required details to receive a correct
result calculated on the basis of the details provided by you.
 INTIMATE YOUR CLAIM: Click on
for claim intimation. By
clicking on
option under profile, you can view
the profile of the insured in a new window. As you
click on
in a new window you will
receive an e-form kindly fill in your complete details
and click on Submit.
28
 FEEDBACK: Click on the
After providing your feedback, click on
option to provide your non-biased feedback to the TPA.
to submit your feedback successfully.
Note: Images shown above are for reference purpose only. For actual view of the images, please
refer website http://emeditek.in/sailweb/ .
29
SAIL FAQ'S
1) What is the validity of SAIL Medi claim Scheme-2013?
Answer: The SAIL Medi claim scheme 2013 is valid till 31st December, 2013 (2400 hrs IST)
2) What is claim intimation?
Answer: Claim intimation is the notice of hospitalization/admission which is required to be sent to any
centre of E-Meditek in writing through letter/fax/email, 48hrs prior to planned hospitalization or within
24hrs in case of emergency hospitalization. The claim intimation should include all the relevant details like
Name of Patient, age, sex, Mediclaim Index Number (MIN), contact details, diagnosis, name-addresscontact details of the Nursing home/hospital, date of admission along with a copy of Admission Note of the
treating doctor.
3) Where do I submit the document?
Answer: You can submit the documents to the nearest E-Meditek branch (branch details has been provided
in the SAIL guide book) OR You can send the documents to E-Meditek head office at the following
address, E-Meditek (TPA) Services Ltd. Plot No.- 577, Udyog Vihar, Phase - 5 Gurgaon, Haryana - 122016
4) What I have to do for availing cashless hospitalization facility?
Answer: In case of planned hospitalization, E-Meditek should be informed 48 hrs in advance, through the
duly filled-in/ Pre Authorization form (available at E-Meditek website/in the booklet /at the TPA desk of
the concerned hospital). Ensure that the Pre Authorization Form is signed by the member and the treating
doctor. Your claim would be assessed as per terms and conditions of the policy by the insurer and a letter
of authorization will be issued to the hospital authorizing treatment.
In case of emergency hospitalization/admissions, the concerned hospital is required to send the request for
Authorization for cashless hospitalization to E-Meditek with in 24 hrs of hospitalization/admission. Once
E-Meditek authorizes the concerned hospital, the cashless treatment through an Authority letter, you are
not required to pay the hospital up to the amount which has been sanctioned by the said authority letter. EMeditek will pay your hospital bills up to the amount authorized in the Authority Letter only.
5) What is the time limit for claim submission for reimbursement in case of hospitalization?
Answer: All the claim documents should be submitted within 30 days from the date of discharge from the
hospital to any nearest E-Meditek Branch Office or Head Office.
6) What is the time limit for claim submission for reimbursement in case of OPD?
Answer: OPD Claims to be submitted by the Mediclaim member to the Insurance company/ TPA only
when the expenses exceed Rs. 2000 per person per policy period or within 90 days from the date of
completion of the treatment, whichever is earlier. All the claim documents should be submitted to any
nearest E-Meditek Branch Office or Head Office.
7) Where can I avail cashless hospitalisation facility?
Answer: You can avail the cashless hospitalisation facility in the Hospital mentioned in the guidebook
under the head "List of empanelled hospitals for cashless hospitalisation under TPA". The updated list of
such empanelled hospitals may also be seen at the TPAs website (www.emeditek.com)
8) What are the documents required to be submitted for claiming reimbursement for hospitalisation?
Answer: Kindly submit the following documents for processing your claim.
1. Duly filled-in claim form
2. Original discharge card
3. Original hospital bill
4. Original hospital bill payment receipt, and all the prescriptions.
30
5. Original investigation reports
6. Medicine Bills
7. ECS form duly filled-in along with the cancelled cheque.
9) Whom do I contact in case of any grievance?
Answer: In case of any grievance you may get in touch with the local branch office of E-Meditek or you
can contact Head Office of E-Meditek on:
1) 24 Hrs Helpline: 0124- 4149727
2) Customer Care Help line (Toll Free No): 18001028191
3) Email ID:[email protected]
4) Or you may Fax on: 0124-4466677
10) What do you mean by Pre-Hospitalization & Post hospitalization?
Answer: The Pre hospitalization period is 30 days prior to Hospitalization and Post Hospitalization period
is up to maximum of 60 days from the date of discharge from the Hospital.
11) What is the procedure for claiming reimbursement for Pre hospitalization as well as Post
hospitalization period?
Answer: The expenditure incurred during 30 days prior to Hospitalization (Pre hospitalization) and 60
days from the date of discharge from the Hospital (Post Hospitalization), for the treatment of a particular
disease for which Hospitalization takes place, is considered for reimbursement. This along with the claim
form and prescriptions, medicine bills, investigation reports, investigation advices should be submitted
within 30 days from the date of last consultation, or 90 days from the date of discharge, whichever is
earlier.
12) My Spouse cannot sign on claim form can she give left hand thumb impression on Claim form?
Answer: Yes, she/he can fill the claim form with left hand thumb impression on Claim form and submit
the documents.
13) My OPD expenses are only 850/- can I claim for the amount?
Answer: OPD claims to be submitted by the claimant only when the expenses exceed Rs 2000/- person
or per policy period within 90 days from the date of completion of the treatment whichever is earlier.
14) Are only diagnostic test covered?
Answer: Diagnostic tests which are not consistent with line of treatment are not payable at all.
However, Charges for diagnostic test consistent with or incidental to the diagnosis and IPD treatment of
the positive existence or presence of any ailment, sickness or injury are payable.
15) What do I need to do at the time of discharge in case of a cashless facility?
Answer: You need to sign your bills, fill up a claim form and sign the same, leave all your
investigation/diagnostic reports and X-ray/ultrasound films etc. with the Hospital. The hospital authorities
will send the documents to us for assessment and payment.
16) What is room restriction?
Answer:
 For metro cities (Hyderabad, NCR, Bangalore, Mumbai, Chennai, Kolkata) Ceiling of 2% of the
sum insured per member or a single AC Non Deluxe room per day, whichever is lower .
 For Non- Metro cities which are state capitals –Ceiling of 1.5% of the sum insured per member or
a single AC non- deluxe room per day, whichever is lower ,
31

For rest of country – ceiling of 1% of the sum insured per member or a single AC non –deluxe
room per day, whichever is lower.
17) Are there any limits on IOL (implant used in Cataract Surgery)?
Answer: Ceiling rates for different types of lntra Lens (IOL) implants to be as per actual or Rs 10,000/whichever is lower and shall be reimbursable in addition to the package rates for cataract surgery
procedure. It is mandatory to attach the empty IOL sticker bearing the signature and stamp of the
operating surgeon on it along with the bill in support of the type of IOL used containing its batch number
at the time of claim submission.
18) Are there any limits on Stents (used in Angioplasty)?
Answer: Yes, ceiling rates for different types of Coronary Stents to be as per the actual or the rates
mentioned below, whichever is lower
Sr No.
Name of the Drug
Ceiling rate
Sr No.
Name of the Drug
Ceiling rate
1
Cypher Stent
` 95000 +VAT
5
Yukon Choice
` 55000+ VAT
2
Taxus Stent
` 67300 +VAT
6
Pronova
` 50000 +VAT
3
Endeavor
` 85000 +VAT
7
Supralimus
` 55000 +VAT
4
Xience V EECSS
` 95000 +VAT
8
Bare Metal Stent
` 45000 (All inclusive)
In case of reimbursement claimant has to submit the Outer part of the Stent Packet along with the Sticker on it,
on which the details of the stent are printed.
19) Are there any new capping/ceilings introduced in the scheme this year?
Answer: In addition to the capping on Stents/ implants, the following capping on procedures/ packages as
given below, shall also be applicable:
S. No.
1
2
3
4
5
Treatment
Hernia repair
Cholecystectomy
Haemorroids
Appendicetomy
Hysterectomy
Ceilings
` 40000
` 45000
` 25000
` 35000
` 45000
20) What are the details on ECS Payments?
Answer: Electronic clearance system is process where the amount is directly transferred to claimant's
account. Claimant needs to fill in the ECS form available on our website (www.emeditek.com) or avail it
from our branches. Once duly filled they can send the document to the branch or Head office along with a
cancelled cheque
32
LIST OF SAIL APPROVED HOSPITALS FOR OPD TREATMENT UNDER SAIL MEDICLAIM SCHEME
Along with Franchisee of major hospitals viz. Apollo, Max, Escorts, Fortis, etc. anywhere in India
Andhra Pradesh
Area
Hospital Name
Hyderabad
Aghava Ratna Towers, ChiragAli Lane
Hyderabad
Apollo Hospital
Hyderabad
Care Hospital
Hyderabad
Jaya Diagnostic & Research Centre Ltd. MEDWIN Hospitals
Hyderabad
LV Prasad Eye Institute
Hyderabad
Maxvision Eye Hospital, Begumpet, Hyderabad
Hyderabad
Yashoda Hospital & Medicity Hospital
Kakinada
Apollo Samudra Hospitals
Kakinada
Care Hosoital
Nellore
Bollineli Ramanaiah Memorial Hospital
Vijayawada
Global Medical Centre
Vijayawada
Pinnamaneni Care Hospital
Vijayawada
Saumya Apollo Hospital
Vijayawada
St. Ann's Hospital
Vijayawada
Vijetha Hospital
Visakhapatnam
City Care Hospital
Visakhapatnam
K.G. Hospital
Assam
Area
Hospital Name
Guwahati
International Hospital
BIHAR
Area
Hospital Name
Darbhanga
R.B. Memorial Hospital
Darbhanga
Ram Janki Hospital
Dharbhanga
DMCH
Patna
Holy Family Hospital, Kurji
Patna
Indira Gandhi Ayur Sansthan,Sekhpur
Patna
Patna Medical College Hospital
CHANDIGARH
Area
Hospital Name
Chandigarh
Chhuttani Medical Center
Chandigarh
Fortis Hospital
Chandigarh
Inscol Hospital
33
DELHI
Area
Hospital Name
23/7 Shakti Nagar,Delhi-7
Pannarth Misson
Anand Vihar
Swastik Medical Centre
Ashok Nagar
Tyagi Nursing Home
Ashok Vihar, Phase -III
Sunder Lal Jain Charitable Hospital
Darya Ganj
Sanjeevan Hospital
Delhi
Max Hospitals
Dwarka
Ayushman
East of Kailash
National Heart Institute, 49, Community Centre
East of Kailash, New Delhi - 24
R.G. Stone Clinic Urological Research Centre
Greater Kailash –I
Sukdha Hospital
Greater Kailash, Part-I
East West Medical Centre Pvt. Ltd.
Greater Kailash-II
Retina Associates Eye Institute
Greater Kailash –TT
South Point Hospital
Green Park, Extn
Mohindra Hospital
Janakpuri
Mata Chanan Devi
Jangapura, New Delhi -14
Sahi Hospital
K.G. Marg & Kailash Colony
Shroff Eye Centre
Lajpat Nagar
Dr. Patnaik Laser Eye Institute
Lajpat Nagar
Moolchand Khairati Ram Hospital
Lajpat Nagar
Vidhya Sagar Institute of Mental Health and NeuroScience (VIMHANS)
Laxmi Nagar
Walia Nursing Home
Madhu ban Chowk New Delhi
Bhagwan Mahavir
Mandir Marg, Saket
Gujarmal Modi Hospital & Research Centre For Medical Sciences
Mathura Road, Near Sarita Yihar
Apollo Tndraprastha Hospital
Mayur Yihar
Jeevan Anmol Hospital
Naveen Shahdara
Dr. Gupta Nursing Home & Hospital
Okhla Road
Batra Hospital and Medical Research Centre
Okhla Road
Escorts Heart Institute and Research Centre
Okhla Road
Holy Family Hospital
Panchuian Road,
Delhi Heart & Lung Institute
Pandav Nagar, Naraina road
Khera Hospital
Paschim Vihar
Bhatia Global Hospital
Preet Vihar
Anand Health Care Pvt. Ltd.
Pusa Road
Jeevan Nursing Home & Hospital
Pusa Road
Kolmet Hospital & Medical Research Centre
Qutab Institutional Area
Rockland Hospital,
Qutab Institutional Area
Sita Ram Bhartia Institute of Science & Research,
Rajendra Nagar
Sir Ganga Ram
34
Area
Hospital Name
RajpurRoad
Tirath Ram Shah Hospi tal
Ring Road, Lajpat Nagar-IV
The Heart Centre,
Rohini
Bhagwati Hospital
Rohini
Jaipur Golden Hospital
Rohini
Rajiv Gandhi Cancer Institute & Research Centre,
Rohini
Saroj Hospital & Heart I nstitute
Rohtak Road, Punjabi Bagh
Maharaja Agrasain Charitable Hospital
Safadurjang Development Area
Orthonova Institute of Advanced Surgery and Research Centre
Sarita Vihar
Shri Ram Medical Centre
Sham Nath Marg
Sant Parmanand
Sheikh Sarai
Venu Eye Institute
Sheikh Sarai, Phase-II
Pushpavati Singhania Research Institute for Liver, Renal & Digestive
Diseases,
South Extn
Arya Vaidyashala, (Kottakal)
Tis Hazari
St. Stephans Hospital
Vasant Kuni
Indian Spinal Injuries Centre
Vasant Vihar
Seth Prabhu Dayal Gupta Charitable Hospital
Vasant Vihar
Vasant Lok Hospital
Vasundhra Enclave
Dharmshila Cancer Hospital & Research Centre
Vikas Marg, Extn.
Shanti Mukund Hospital
Vikas Marg, Extn.
Deepak Memorial Hospital & Medical Research Centre
Village Khizrabad (Near Friends Colony)
Lions Hospital & Research Centre, Lions Service Trust
GOA
Area
Hospital Name
Bonapavla
Manipal Goa Cancer and General Hospital
Margao
Apollo Victor Hospital
GUJARAT
Area
Hospital Name
Ahmedabad
Dr. Jeevraj Mehta Smarak Health Foundation Medical Research Centre
Ahmedabad
M.P. Shah Cancer Hospital
Ahmedabad
R.G. Stone Clinic
Vadodara
Bhailal Amin General Hospital
Vadodara
Metro Hospital & Research Center
HARYANA
Area
Hospital Name
Bahadurgarh
Delhi Hospital & Nursing Home
DLF City -IV Gurgaon
Sitaram Bhartia Clinic
Faridabad
Escorts Hospital Centre
Gurgaon
Ark Hospital
35
Area
Hospital Name
Gurgaon
MP Heart Research Institute
Gurgaon
Paras Hospital
Gurgaon
Privat Hospital
Gurgaon
Uma Sanjivini Heatlh Centre Pvt. Ltd
Gurgaon
Umkal Hospital
Hissar
Hospital attached to Jindal Steel
Palam Vihar, Gurgaon
Columbia Asia Hospital ,
Panchkula
Alchemist Hospital
Panchkula
Dhawan Hospital
Sector-51, Gurgaon
Artemis Health Institute
Sonipat
Bharat Hospital
Sonipat
Janki Das Kapoor Memorial Hospital
Sonipat
Sathya OmNethra & Maternity Hospital
Yamuna Nagar
JP Hospital
JHARKHAND
Area
Hospital Name
Bokaro
Referral Hospital, P.O. Jainamore
Dhanbad
BCCL Hospital
Dhanbad
CCWO Hospital Sariadhella
Dhanbad
Patliputra Medical College
Giridih
State Referral Hospital, Dumri
Hazaribagh
Mission Hospital
Jamshedpur
Cancer Hospital
Jamshedpur
Tata Main Hospital
Jamshedpur
Telco Hospital
Ranchi
Apollo Hospital, IRBA
Ranchi
Gurunanak Hospital & Research Centre
Ranchi
Hospital for Mental Disease
Ranchi
Ispat Hospital, MECON
Ranchi
Mahadevi Birla TB Sanatorium
Ranchi
Marwari Sewa Sadan
Ranchi
Mission Hospital , Bariatu
Ranchi
Nagar Mal Modi Seva Sadan
Ranchi
R.K. Missi on TB Sanatorium
Ranchi
Raj Hospital Nidan - Main Road
Ranchi
Rajendra Medical College Hospital
KARNATAKA
Area
Hospital Name
Bangalore
Bangalore Institute of Dental Science & Hospital
36
Area
Hospital Name
Bangalore
Central Institute of Neuro-Science
Bangalore
Chinmaya Mission Hospital
Bangalore
Innovative Dental and Medical Poly Care Centre
Bangalore
KMC Hospital
Bangalore
Mallaya Hospital
Bangalore
Manipal Heart Foundation
Bangalore
Manipal Hospital
Bangalore
Mental Hospital
Bangalore
Model Eye Clinic and Nursing Home
Bangalore
Nethradhama Superspeciality Eye Hospital
Bangalore
Ramiah Hospital
Bangalore
Shri Satya Sai Hospital
Bangalore
St. John's Medical College and Hospital
Bangalore
St. Marthas Hospital
Bangalore
The Bangalore Hospital
Bangalore
Wockhardt Hospital
Bangalore
Vittala International Institute of Ophthalmology
Manipal
Kasturba Hospi tal
Mangalore
A J Hospi tal & Research Centre
Mysore
Basappa Memorial Hospital
KERALA
Area
Hospital Name
Alapuzha
YSM Hospital
Alleppey
St. Thomas Mission Hospital
Calicut
Bady Memorial Hospital
Chengannur
Christian Mission Hospital
Chittur Road, Palakkad-13
Lakshmi Hospital
Eraviperoor
Kotakkattu Medicare Hospital
Irinjalakuda
Lal Memorial Hospital
Kannur
Cooperative Hospital
Kannur
Indira Gandhi Co-op. Hospital
Kochi
Amrita Institute of Medical Science & Research Centre
Kochi
Arya Vaidyasala (Kottakal)
Kochi
Ernakulam Medical Centre
Kochi
Giridhar Eye Institute
Kochi
Indira Gandhi Co-op. Hospital
Kochi
KPM Eye Hospital
Kochi
Lisie Hospital
Kochi
Lourdes Hospital
Kochi
Medical Trust Hospital
37
Area
Hospital Name
Kochi
Ojus Clinic & Nursing Home
Kochi
PVS Hospital
Kollam
Arnrita Ayurveda Medical College Hospital & Research Centre
Kollam
S.S.M. Hospital
Kottayam
Karithas Hospital
Kottayam
Mar Gee Varghese Dionysius Memorial Hospital
Kottayam
S.H. Medical Centre
Kottayam, Kollam
Holy Cross Multispeciality Hospital
Kozhencherry
Muthoot Medical Centre
Melamur Palakkad -6
Karuna Hospital
Mulakuzha
Century Hospital
Palakkad
Diabetic Centre
Palakkad
Palat Memorial Hospital
Palakkad
Palana Hospital
Palakkad
Thangam Hospital of PMRC
Palakkad
Welcare Hospital
Pandalam
N.S.S. Medical Mission Hospital
Parumala
St. Gregorios Cardio-Vascular Centre
Pathanamthitta
Marthoma Medical Mission Hospital
Pathanamthitta
Muthoot Medical Mission Hospital
Pathanamthitta
Tiruvalla Medical Mission
Perinthal manna-679322
EMS Memorial Co-operative Hospital & Research Centre
Perumbavoor
San Joe, Hospital
Triuvalla Dist, Ernakulam
Pushpgiri Hospital
Trivandrum
Mother Hospital
Trichur
Amala Cancer Hospital
Trichur
Aswani Hospital
Trichur
Elite Mission Hospital
Trichur
Jublee Mission Hospital
Trichur
Trichur Heart Hospital
Trichy
Maruti Hospital
Trivandrum
General Hospital
Trivandrum
Mental Hospital
Trivandrum
Samaritan Hospital
Trivandrum
Shreechitra Tirumak Medical Centre
Trivanrum
Sree Uthradom Thirunal Hospital
MADHYA PRADESH
Area
Hospital Name
Bhopal
Ayushman Hospital Centre
Bhopal
Kasturba Hospital (BHEL)
38
Area
Hospital Name
Gwalior
G.R. Medical College
Indore
Bombay Hospital
Indore
Choitham Hospital & Research Centre
Indore
M.Y. Hospital
Jabalpur
Jabalpur Hospital & Research Centre
Raipur
D.K. Hospital
Raipur
Modern Medical Institute
Uiiain
PSS Hospital & Research Centre
Ujjain
Pushpa Mission Hospital
Vindyanagar
Vind
MAHARASHTRA
Area
Hospital Name
Mumbai
B.J. Wadia Hospital
Mumbai
Bombay Hospital
Mumbai
G.T. Hospital
Mumbai
Hinduja Hospital
Mumbai
J.J .Group of Hospital
Mumbai
Jaslok Hospital
Mumbai
K.E.M. Hospital
Mumbai
Lilavati Hospital & Research Centre
Mumbai
NAIR Hospital
Mumbai
Nanavathi Hospital
Mumbai
R.G. Stone Clinic
Mumbai
Tata Cancer Research Institute
Mumbai
Tata Memorial Hospital
Nagpur
Central India Institute of Medical Science
Nagpur
Mental Hospital
Nagpur
Wockhardt Hospital
Navi Mumbai
Dr. D. Y. Patil Hospital & Research Centre
Navi Mumbai
Sterling Hospital
Pune
Artificial Limb Centre
Pune
Jehangir Hospital
Pune
K.E.M. Hospital
Pune
Medipoint Hospital
Pune
N.M. Wadia Institute of Cardiology
Pune
Sadhu Vaswani Mission Medical Complex
Thane
Lok Hospital
Vashi Navi Mumbai
Sterling Wockhardt Hospital
39
ORISSA
Area
Hospital Name
Berhampur
M.K.C.G. Medical College
Bhubaneshwar
Apollo Hospital
Bhubaneshwar
CDR Hospital
Bhubaneshwar
Kalinga Hospital
Cuttack
S.C.B. Medical College
SambaIpur
V.S.S. Medical College
PUNJAB
Area
Hospital Name
Ferozpur
Anil Baghi Hospital
Hoshiarpur
Modern Hospital
Jallandhar
Patel Hospital Pvt. Ltd.
Ludhiana
CMC Hospital
Rajpura
Soni Hospital
RAJASTHAN
Area
Hospital Name
Alwar
lndraprastha Apollo Hospital
Alwar
Sinha Nursing Home
Jaipur
SMS Medical College
Jodhpur
Goyal Hospital & Research Centre Pvt. Ltd.
Vasant Yihar, Alwar
Seth Prabhir Dayal Gupta Charitable Hospital
TAMIL NADU
Area
Hospital Name
Chennai
Apollo Hospital
Chennai
B.S.S. Hospital
Chennai
Cancer Institute
Chennai
Dr. Mohan's Diabetological Institute
Chennai
General Hospital
Chennai
Shri. Ramachandra Hospital
Chennai
Indian Medical Practi tioners, Co-operative Society Hospital
Chennai
K.J. Hospital
Chennai
Madras General Hospital
Chennai
Madras Medical Mission
Chennai
Malar Hospital
Chennai
Medical Research Foundation (Shankara Netralaya)
Chennai
R.S.R's Trinity Acute Care, Hospital
Chennai
Railway Headquarters Hospital
Chennai
Ramachandra Medical College & Research Institute
Chennai
St. Isabel Hospital
40
Area
Hospital Name
Chennai
Sundaram Medical Foundation
Chennai
Tamil Nadu Hospitals
Chennai
Vijaya Hospital
Coimbatore
Coimbatore Aryu Viidyu (Pharmacy)
Coimbatore
G Kuppuswamy Naidu Memorial Hospital
Coimbatore
Ganga Medical Centre & Hospital Pvt. Ltd.
Coimbatore
K.G. Hospital
Coimbatore
Kennedy Hospital
Coimbatore
Kottakkal Arya Vaidyasala
Coimbatore
Nataraj Hospital, Kanchi Kamakoti Trust
Coimbatore
Ram Krishna Hospital
Coimbatore
The Eye Foundation
Combiatore
Vijaya Hospital
Madurai
Apollo Hospital
Madurai
Arvind Eye Hospital
Madurai
Bose Hospital
Madurai
Meenakshi Mission Hospital & Research Centre
Pondicherry
East Coast Hospital
R.S. Puram
Vedanayakam Hospital
Salem
Sri Gokulam Hospital
Trichy
Kavery Medical Centre (KMC), Trichy
Trichy
Sea Horse Hospital Ltd
Vellore
Christian Medical College & Hospital
UTTAR PRADESH
Area
Hospital Name
Agra
Jalma lnsitute of Leprosy Trg. & Research Centre
Aligarh
Gandhi Eye Hospital
Aligarh
J.N. Medical College
Allahabad
MLN Medical College
Ghaziabad
Dr. R.S.G. (Indo German) Medical Centre
Ghaziabad
Ganesh Hospital
Ghaziabad
Narendra Mohan Hospital
Ghaziabad
Sarvodya Hospital
Ghaziabad
Yashoda Hospital
Haridwar
Dispensaries run under Divya Yog Mandir (Trust)
Kanpur
Regency Hospital Ltd
Kaushambi
Jashoda Speciality Hospital
Lucknow
OP Chaudhar Hospital & Research Centre,
Lucknow
Ramakrishnan Mission
41
Area
Hospital Name
Lucknow
Vivekanand Polyclinic
Noida
Aggarwal Eye Hospital & Dental Care Centre
Noida
Fortis Hospital,
Noida
Kailash Hospital & Research Centre Ltd
Noida
Keerti Medical Centre
Noida
Metro Heart Hospital
Noida
Metro Multi Speciality Hospital
Noida
NOIDA Medical Centre
Sitapur
Eye Hospital
Varanasi
B.H.U. Hospital
UTTARAKHAND
Area
Hospital Name
Dehradun
Jolly Grant Himalaya Institute of Medical Sciences
WEST BENGAL
Area
Hospital Name
Barrakpore
Disha Eye Hospital & Research Centre
Burdwan
Burdwan Medical College & Hospital
Hooghly
Aroga Niketan
Howrah
West Bank Hospital
Kolkatta
Advance Medicare and Research Institute
Kolkatta
AMRI Hospital Ltd., Saltlake
Kolkatta
Anandlok Hospital
Kolkatta
Kolkatta
Apollo Gleneagles Hospital
Assembly of God Church Hospital
Kolkatta
Aurobindo Seva Kendra (EEDF)
Kolkatta
B. P. Poddar Hospital & Medical Research Ltd
Kolkatta
B.M. Birla Heart Research Insitute
Kolkatta
Bangur Institute of Neurology
Kolkatta
Behala Balananda Brahmachari Hospital & Research Centre
Kolkatta
Calcutta Heart Clinic & Hospital
Kolkatta
Calcutta Medical & Research Insitute
Kolkatta
Cancer Centre and Wel fare Home
Kolkatta
Chittaranjan Cancer Hospi tal
Kolkatta
Dr. Rafi Ahmed Dental College & Hospital
Kolkatta
Dr. Sudarsan Chakarborti Memorial Centre for Research and Treatment
Kolkatta
Kolkatta
Eskag-Sanjeevani
Eye Care & Research Centre
Kolkatta
Kolkatta
Fortis Hospital Ltd.
Harmoni Nursing Home
Kolkatta
ILS Multi Speciality Clinic
42
Area
Hospital Name
Kolkatta
Jitendra Narayan Ray Sishu Seva Bhawan
Kolkatta
Kolkatta
K.P.C. Medical College & Hospital
Kothari Medical Centre
Kolkatta
Kolkatta
Microlap Nursing Home
Mission of Mercy Hospital
Kolkatta
Nightingle Digonostic & Medicare Centre Pvt. Ltd,
Kolkatta
North Bank Diagnostic Centre
Kolkatta
North City Hospital & Neuro Institute
Kolkatta
Kolkatta
Kolkatta
Kolkatta
Kolkatta
Paramount Hospital Pvt. Ltd
Park Clinic
Peerless Hospital
Ruby General Hospital
Rabindra Tagore International Institue of Cardiac Sciences
Kolkatta
Ramakrishna Mission Seba Pratishthan
Kolkatta
Sahid Khudiram Bose Institute & Research Centre
Kolkatta
SEBA Hospital
Kolkatta
Silver Line Hospital & Research Institute
Kolkatta
Subodh Mitra Cancer Hospital & Research Centre
Kolkatta
Suraksha Hospital
Kolkatta
Susrut Eye Foundation & Research Centre
Kolkatta
West Bengal Spastics Society
Kolkatta
Wockhard Hospital & Kidney Institute IlIA
Kolkatta
Wockhard Medical Centre
Kolkatta
Woodland Medical Centre
Kolkatta
Zenith Superspeciality Hospital
Purulia
Netaji Eye Hospital
Raniganj
Anandlok Hospital
43
LIST OF EMPANELED HOSPITALS TO AVAIL CASHLESS SERVICES
ANDHRA PRADESH
City
Area
Hospital Name
Hyderabad
Apollo DRDO Hospital
Hyderabad
Dmrl, X Raod,Kanchanbagh
9-1-87,9-1-87/1,St. Johns Road Adj To
Keys High School, Secunderabad
Jubilee Hills
Hyderabad
Basheerbagh
Hyderabad
6-1-1070 / 1 To 4, Lakdi-Ka-Pool
Centre For Sight
Global Hospital (A Unit Of Ravindranath Ge Medical
Associates Pvt. Ltd.)
Hyderabad
Apollo Hospital
Apollo Hospital
Hyderabad
Hyderabad
D. No. 16-2-647/12, Judges Colony,
Malakpet
Basheerbagh
King Koti
Hyderabad
Hyderabad
L.B.Nagar
Banjara Hills
Kamineni Hospital
L. V. Prasad Eye Institute
Hyderabad
Hyderabad
Secretariat Road
Nampally Railway Station
Mediciti Hospital
Medwin Hospital
Hyderabad
Narayana Hrudayalaya Hospital
Srikakulam
1-1-216, Suraram X Roads , Jeedimetla,
Plot No.-22, Road No. 10, Banjarahills,
Karvy Lane
C - 17, Lane Beside Bata Vikrampuri
Colony
Near Datta Tample, Pn Colony Junction
Visakhapatnam
47-9-32, 3rd Lane, Dwarka Nagar
Annapoorna Hospital
Visakhapatnam
Waltair Main Road
Apollo Hospital Enterprises Ltd
Visakhapatnam
Seethammadhara (N. E.)
Cancer Treatment & Research Centre
Visakhapatnam
Waltair Main Road
Care Hospital (M/S Visakha Hospital & Diagnostics Ltd)
Visakhapatnam
Care Hospital,Vishakhapatnam
Visakhapatnam
10-50-11/5 Ramnagar
50-53-14, Gurudwara Lane,
Seethammadhare
No. 18-1-6, K. G. H. Down Road,
Maharanipeta, Visakhapatnam
47-1-104, Dwaraka Nagar Vith Lane
Visakhapatnam
10-50-2, Lazarus Marg
Lazarus Hospital Ltd.
Visakhapatnam
Mahatma Gandhi Cancer Hospital & Research Institute
Visakhapatnam
1/7, M V P Colony
# 49-48-16/5, Nggos Colony,
Akkayyapaelm
D. No-19-50, Saimadhava Nagar, Naidu
Thota
11-4-4/A, Rockdale Layout, Visakhapatnam
Visakhapatnam
# 15-14-9/1, Krishna Nagar, Maharanpeta
Surya Sri Hospital Ltd.
Vizianagaram
18-01-10, Jidduvari St, Kota Jn.
Near Lower Tank Bund Road, Opp Psr
Complex
Venkata Padma Healthcare Complex,
Lamps
Muvva Gopala Hospital Pvt. Ltd.
Hyderabad
Hyderabad
Hyderabad
Visakhapatnam
Visakhapatnam
Visakhapatnam
Visakhapatnam
Vizianagaram
Vizianagaram
HYDERABAD KIDNEY & LAPAROSCOPIC CENTRE
Kamineni Hospital
Kamineni Hospital
Rainbow Childrens Hospital, Hyderabad
Rainbow Childrens Hospital, Secunderabad
KIMS Sai Seshadri Hospital
Chalasani Hospital Pvt. Ltd
Indus Hospital
Kala Hospital
Padmasri Hospital
Sankar Foundation Eye Hospital
Sevenhills Healthcare Private Ltd.
Tirumala Hospital
Vaatsalya Hospital (Vizianagaram)
44
BIHAR
City
Area
Hospital Name
Patna
Rupaspur, ROB (Nahar), West Bailey Road
Atlantis Hospital
Patna
Rajendra Nagar
Magadh Hospital
City
Area
Hospital Name
Chandigarh
Sec 22
Centre For Sight
Chandigarh
Sec- 34 A
Inscol Hospital
Chandigarh
Sec-46 D
Kapoors Kidney And Urostone Centre Pvt Ltd
Chandigarh
Ashokmarg
Liberty Hospital
City
Area
Hospital Name
Bhilai
Opp Smriti Nagar
Apollo Bsr Hospital
Bhilai
Nehru Nagar
Chandulal Chandarkar Memorial Hospital
CHANDIGARH
CHATTISGARH
DELHI/NCR
City
Area
Hospital Name
Delhi
Patparganj
Balaji Medical & Diagnostic Research Centre
Delhi
Tughlakabad Institutional Area
Batra Hospital & Medical Research Centre
Delhi
Near Popular Apt & Mother Dairy
Bhagwati Hospital
Delhi
Budh Vihar
Brahm Shakti Hospital & Research Centre Pvt
Delhi
Dwarka
Centre For Sight
Delhi
Preet Vihar
Centre For Sight
Delhi
Rajouri Garden
Centre For Sight
Delhi
Rohini
Centre For Sight
Delhi
Roop Nagar
Centre For Sight
Delhi
Safdarjung Enclave
Centre For Sight
Delhi
Saket
Devki Devi Foundation
Delhi
Darya Ganj
Dr Shroffs Charity Eye Hospital
Delhi
Vasant Kunj
Flt.Lt.Rajan Dhall Charitable Trust
Delhi
Okhala Rd
Fortis Health Management (North) Ltd.
Delhi
Uttam Nagar
Gandhi Nursing Home
Delhi
Krishna Nagar
Ganesh Ortho Trauma & Medical Centre
Delhi
Okhla Road
Holy Family Hospital
Delhi
Delhi Mathura Road
Indraprastha Medical Corporation Ltd.
Delhi
Rohini
Jaipur Golden Hospital
Delhi
Mayurvihar
Jeevan Anmol Hospital
Delhi
Jeewan Nagar
Jeewan Hospital & Nursing Home
Delhi
Jeewan Nagar
Jeewan Hospital & Nursing Home
Delhi
Pusa Road
Jeewan Nursing Home & Hospital
Delhi
Karol Bagh
Jessa Ram Hospital
45
City
Area
Hospital Name
Delhi
Kirti Nagar
Kalra Hospital SRCNC Pvt. Ltd.
Delhi
Rajouri Garden
Kukreja Hospital & Heart Centre Pvt. LTD
Delhi
Punjabi Bagh
Maharaja Agrasen Hospital
Delhi
Janak Puri
MATA CHANAN DEVI HOSPITAL
Delhi
Pitam Pura
Max Healthcare Institute Limited
Delhi
Shalimar Bagh
Max Hospital
Delhi
Saket
Max Super Speciality Hospital
Delhi
Preet Vihar
Metro Hospital & Cancer Institute
Delhi
Near Sir Ganga Ram Hospital
Mohan Eye Institute
Delhi
Adjacent To Moolchand Flyores
Moolchand Hospital
Delhi
East Ofkailash
National Heart Institute
Delhi
Najafgarh
Orthoplus Hospital
Delhi
Near Keshnopur Bus Depo
Park Hospital
Delhi
Rohini
Saroj Hospital & Heart Institute
Delhi
Vikas Marg
Sharp Sight Laser Centre Pvt. Ltd.
Delhi
Kailash Colony
Shroff Eye Centre
Delhi
Old Rajinder Nagar
Sir Ganga Ram Hospital
Delhi
Paschim Vihar
Sri Balaji Action Medical Institute
Delhi
Ashok Vihar
Sunder Lal Jain Hospital
Delhi
Nehru Nagar
Vimhans Hospital
Faridabad
Faridabad
Centre For Sight
Faridabad
Near Neelam Bata Flyover
Escorts Hospital & Research Centre
Faridabad
Sector 16A
Metro Heart Institute
Faridabad
Neelam Flyover
Q R G Central Hospital & Research Centre
Faridabad
5R/5 NIT
Surya Ortho & Trauma Centre
Gurgaon
Block- B Sushant Lok
Alps Hospital Limited
Gurgaon
Sector 51
ARTEMIS MEDICARE SERVICES LTD.
Gurgaon
Gurgaon
Centre For Sight
Gurgaon
Huda City Metro Station
Fortis Memorial Research Institute
Gurgaon
Sec-38, Gurgaon
Medanta The Medicity
Noida
Sector 26
Noida
Sector 26
Noida
Sector 62
Apollo Hospital
I Care Hospital & Postgraduate Institute Glaucoma
Research Centre
International Fortis Hospital
Noida
H-33, Noida
Kailash Health Care Ltd.
Noida
Sector 27
Kailash Hospital And Heart Institute
Noida
Noida
Max Healthcare Institute Limited
Noida
Sector-12
Param Jyoti Eye Center
Noida
Near Shalom School
Paras Hospital
Noida
Raj Nagar
Shivam Hospital & Heart Centre Pvt Ltd.
Noida
Sector 35
Surbhi Hospital
46
City
Area
Hospital Name
Noida
Nehru Nagar
Yashoda Hospital & Research Centre Ltd
Noida
H 1, Kausambi
Yashoda Super Speciality Hospital, GZB
City
Area
Hospital Name
Ahmedabad
Near Saijpur Tower, Naroda Road
Anand Surgical Hospital Ltd
Ahmedabad
Gidc
Apollo Hospital International Ltd
Ahmedabad
Dr Jivraj Mehta Marg
Dr Jivraj Mehta Smarak Health Foundation
Ahmedabad
Ellis Bridge
Hcg Medi-Surge Hospital Pvt.Ltd.
Ahmedabad
Green City ,Ghuma
Krishna Heart & Super Speciality Institute
Ahmedabad
Mill Compound Rakhiyala
Narayana Hrudayalaya
Ahmedabad
S.G. Highway
Shalby Ltd.
Ahmedabad
Off Gurukul Road, Memnagar,
Ahmedabad
Shahibag
Baroda
Race Course Circle
Sterling Hospital
The Gujarat Research & Medical Institute (Rajasthan
Hospital)
Sterling Hospital
Baroda
Manjsslpur
Spandan Multispeciality Hospital
Surat
Nanpura
Smt R.B Shah Mahavir Super Speciality Hospital
Surat
Ring Road
Nirmal Hospital (P) Ltd
City
Area
Hospital Name
Jammu
B C Road, Rehari
Centre For Sight
City
Area
Hospital Name
Bokaro
Bye Pass Road Chas
Krishna Murari Memorial Hospital & Research Centre
Bokaro
Ram Nagar Colony
Muskan Hospital & Research Centre
Bokaro
Bokaro Steel City
Prudence Hospital
Bokaro
Sector 4, City Centre
Ranchi
Irba Ranchi
Ranchi
Booty Road
Sri Sai Hospital
Abdur Razzaque Ansari Memorial Weavers Hospital(Apollo
Hospital)
Alam Hospital & Research Centre Pvt.Ltd.
Ranchi
Bariatu
Hill View Hospital Pvt Ltd
Ranchi
Purulia Road
Kashyap Memorial Eye Hospital
Area
Hospital Name
Bangalore
Basavanagudi
Avadhani Netralya
Bangalore
Near Cantonment Railway Station
Church Of South India Hospital
Bangalore
Mallesh Waram
Columbia Asia Hospital Pvt Ltd
Bangalore
Kanakapura Main Road
Deepak Hospital
Bangalore
Seshadripuram
Fortis Rm Hospital
Bangalore
Bannergatta Road
Fortis Hospital Ltd Bannerghatta Road
GUJARAT
JAMMU & KASHMIR
JHARKHAND
KARNATAKA
City
47
City
Area
Hospital Name
Bangalore
Nelamangala
Harsha Hospital
Bangalore
Jayanagar (Near Vivekanand School)
Jayanagar Orthopaedic Centre
Bangalore
Agrahara Dasarahalli
Jeevani Health & Medicare Pvt Ltd
Bangalore
Malleshwaram
Jupiter Hospital & Institute Of Vascular Surgery
Bangalore
Msrngr
M S Ramaiah Memorial Hospital
Bangalore
Crescent Road
Mallige Medical Centre
Bangalore
Airport Road
Manipal Hospital
Bangalore
Bommasandra Industrial Area
Bangalore
Rajaji Nagar
Bangalore
Rajaji Nagar
Narayana Nethralaya
Bangalore
Jayanagar
Nethradhama Hospital Pvt. Ltd.
Bangalore
Jayanagar
Sagar Hospital, Jayanagar Extn
Bangalore
Airport Whitefield Rd
Sankara Eye Hospital
Bangalore
J.P. Nagar
Shekar Nethralaya
Bangalore
Tumkurroad
Sri Raghavendra Hospital
Bangalore
Ashok Nagar
St. Philomena Hospital
Bangalore
Below Railway Bridge
Sunder Hospital
Bangalore
Rahtriya Vidyalaya Road
The Banglore Hospital
Bangalore
Vijaynagar
Vidya Eye Hospital
Bangalore
Hanumantha Nagar
Vishwabharathi Hospital Pvt Ltd
Bangalore
Hosakerehalli
Vittala International Institute Of Ophthalmology
Bhadravathi
T. K. Road,
Nayana Hospital
Mysore
Jayalakshmipuram
Basappa Memorial Hospital
Mysore
Siddalingapura Post
Bhagwan Mahaveer Darshan Eye Hospital
Mysore
438, Outer Ring Road, Hebbal
Bharath Hospital & Inst. Of Oncology
Mysore
Nr Nazarbad Police Station
Gopala Gowda Shanthaveri Memorial Hospital
Mysore
Kuvempunagar
Kamakshi Hospital
Shimoga
S. R Raod
Park Extension Road, Near Mahatmagandhi
Park
SUBBAIAH HOSPITAL
Shimoga
Vaatsalya Hospital (Shimoga)
KERALA
City
Area
Kanjirapally
Ponkunnam
Kochi
Kochi
Hospital Name
P N P Memorial K V M S Hindu Medical Mission
Hospital
Amrita Institute Of Medical Sciences & Research Centre
Kochi
South Kuriyappilly, Moothakunnam P.O.
Bharath Rural Hospital & Training Centre
Kochi
M.G.Road
Cochin Hospital
Kochi
Kmkjn
Don Bosco Hospital
Kochi
Panayappilly
Gautham Hospital
Kochi
Mundamveli
Jishy Hospital
48
City
Hospital Name
Kochi
Area
Pathadipalam, Changampuzha Nagar P. O.
Edapally
Diwans Road Emakulam
Kochi
Pachalam
Lourdes Hospital
Kochi
Pachalam, Kochi
Lourdes Hospital
Kochi
Edappaly
M. A. J. Hospital
Kochi
Mookkannoor
M.E.G.J. Hospital
Kochi
Ernakulam North,
Specialists Hospital
Kochi
Chittor Road
Sree Sudheendra Medical Mission
Kochi
Manjummel
St. Joseph Hospital
Kochi
Seaport - Airport Road, Kakkanad
Sunrise Hospital, Kochi
Kochi
Opp Adam Pillykadu Temple
Vijaya Kumara Menon Hospital
Kochi
S. A. Road, Vyttila
Welcare Hospital
Kottayam
Azad Lane
Bharath Hospital
Kottayam
Thellakom P. O.
Caritas Hospital
Kottayam
Thellakom
Matha Hospital
Kottayam
Karukachal
Mercy Nursing Home (P) Ltd
Kottayam
Nagampadom
S. H. Medical Centre
Muvattupuzha
Vi/623, Market P O , Muvattupuzha
Nedumchalil Trust Hospital
Palai
Bharananganam
I H M Hospital
Palai
Monipally Post
M. U. M Hospital
Palai
Aruna Puram, P.O-Pala
Marian Medical Centre
Trivandrum
Anayara Post
Kerala Institute Of Medical Sciences
Trivandrum
Anayara
Lords Hospital
Trivandrum
Peroorkada
Punarjani Institute Of Medical Science
Trivandrum
Fort
S. P. Fort Hospital
Trivandrum
Venjara Moody
Sree Gokulam Medical College & Research Foundation
Vikom
Muttuchira
Holy Ghost Mission Hospital
Kochi
MADHYA PRADESH
City
Area
Kims Hospital & Surgical Center Ltd.
Lakshmi Hospital
Hospital Name
Bhopal
Shahpura
Ayushman Hospital,Bhopal
Bhopal
Opp Dushehra Maidan
Career Institute Of Medical Sciences (CIMS)
Bhopal
Opp Nermal Meera School
Chirayu Health & Medicare (P) Ltd
Bhopal
M P Nagar
Citi Hospital
Bhopal
Aradhana Nagar
Sharda Hospital & Diagnostic Centre
Indore
IDA, Scheme No.-94/95, Ring Road
Bombay Hospital
Indore
Plot No 124, Sector Ab
Centre For Sight
Indore
Jawahar Marg
City Nursing Home
Indore
Old Palasia
Greater Kailash Hospital
Indore
Gram Bherasala, Ujjain Indore State Highway
Mohak Hi Tech Spaciality Hospital
49
City
Area
Hospital Name
Indore
Scheme No 74, Sec D, Vijay Nagar
Rajshree Hospital &Research Center
Indore
Ujjain Road
Sri Aurobindo Institute Of Medical Sciences
Indore
Scheme No.74-C, Sector-B Plot No. 2
Synergy Hospital
Jabalpur
Near Gate No 3
Anant Institute Of Medical Science
Jabalpur
North Civil Lines
City Hospital & Research Centre
Jabalpur
Damoh Naka
Metro Hospital & Cancer Research Centre
Jabalpur
Gol Bazar
National Hospital
MAHARASHTRA
City
Area
Hospital Name
Mumbai
Borivali (W)
Apex Hospital
Mumbai
Bandra (E)
Asian Heart Institute
Mumbai
Marine Lines
Bombay Hospital & Medical Research Centre
Mumbai
Vasai
Cardinal Gracias Memorial Hospital
Mumbai
Andheri (W)
Criticare Multispecility Hospital & Reserach Centre
Mumbai
Powai
Dr. L H Hiranandani Hospital (Only For Corporate)
Mumbai
Mulund (W)
Dr. Mukhis Raj Hospital
Mumbai
Mulund Goregaon Link Rd
Fortis Hospital Ltd Mulund
Mumbai
Vikhroli (W)
Godrej Memorial Hospital
Mumbai
Mulund(W)
Hira - Mongi Navneet Hospital
Mumbai
Chembur
Inlaks General Hospital
Mumbai
Peddar Rd
Jaslok Hospital And Research Centre
Mumbai
Eastern Express Highway
Jupiter Lifeline Hospital Ltd
Mumbai
Andheri(W)
Kokilaben Dhirubhai Ambani Hospital
Mumbai
Jogeswari (W)
Mallika Hospital
Mumbai
Mahim
P D Hinduja
Mumbai
Malad (W)
Riddhi Vinayak Critical Care & Cardiac Centre
Mumbai
Raheja Rugnalaya Marg, Mahim
S L Raheja Hospital
Mumbai
Gandhi Market
Smt. Sushilaben R. Mehta & Sir K.P. Cardiac Institute
Mumbai
Pune
Pune
Chembur
Chinchwadgoan
Erandawane
Surana Sethia Hospital And Research Centre
Aditya Birla Memorial Hospital
Deenanath Mangeshkar Hospital
Pune
Sassoon Road
Jehangir Hospital
Pune
Rasta Peth
K. E. M. Hospital
Pune
Chinchwad
Lokmanya Care Hospital
Pune
Nigdi
Lokmanya Hospital
Pune
Hadapsar
Noble Hospital
City
Area
Hospital Name
Balasore
Suelpur
SRIRAM HOSPITAL
Bhubaneshwar
Near Muncipal Kalyan Mandap
Aditya Care Hospital
ORISSA
50
City
Area
Hospital Name
Bhubaneshwar
Unit-15
Apollo Hospital Enterprise Ltd
Bhubaneshwar
Acharya Vihar Square
Ayush Hospital,Bhubaneswar
Bhubaneshwar
Kiit University
Kalinga Hospital
Bhubaneshwar
Kharelnagar Near Bbsr Rly Station
Neelachal Hospital (P) Ltd
Bhubaneshwar
Sahid Nagar
Sparsh Hospital & Critical Care Pvt Ltd
Bhubaneshwar
(Blank)
Swarna Hospital Pvt Ltd
Cuttack
Chauliagunj
Jeevandhara Nursing Home
Cuttack
Plot No. 1140, Mahanadi Vihar
Moon Hospital Pvt Ltd
Cuttack
Telengapenth N H - 5
Panda Curie Cancer Hospital
Cuttack
4/697, Sector - 8, Cda
Riverine Hospital
Cuttack
Mahanadi Vihar
Sabarmati General Hospital Pvt. Ltd.
Cuttack
Plot No. 444, Mahanadi Vihar
Shakti Hospital
Rourkela
Uditnagar
Shanti Memorial Hospital
Rourkela
Basanti Colony
Rajasthan Seva Sadan
Rourkela
D-10 Civil Town Ship
Rourkela Lifeline Pvt. Ltd.
Sambalpur
Bhuda Raja
Trilochan Netralaya
City
Area
Hospital Name
Ludhiana
120,The Mall
Arora Neuro Centre
Ludhiana
Near Ansal Plaza
Centre For Sight
Ludhiana
Field Ganj Market
Christian Medical College & Hospital
Ludhiana
Model Town
Deep Nursing Home And Children Hospital
Mohali
SAS Nagar
Centre For Sight
Patiala
Jagdish Ashram Road
Centre For Sight
City
Area
Hospital Name
Ajmer
Beawar Road
Dr. Khunger Eye Care(Centre For Sight)
Jaipur
Malviya Nagar
Apex Hospital (P) Ltd.
Jaipur
Jawaharlal Nehru Marg
Bhagwan Mahaveer Cancer Hospital & Research Centre
Jaipur
Mansarovar
Dhanwantri Hospital & R Centre
Jaipur
Malviya Nagar
Fortis Escorts Hospital
Jaipur
Vidhyadhar Nagar
S K Soni Hospital
Jaipur
Bhabha Marg
Sahai Hospital &Research Centre
Jaipur
Mansarovar
Saket Medicare And Research Centre Pvt Ltd
Jaipur
Bhawani Singh Marg
Santokba Durlabhji Memorial Hospital
Jodhpur
Sardarpur
Centre For Sight
PUNJAB
RAJASTHAN
51
TAMIL NADU
City
Area
Hospital Name
Chennai
Peravallur (Perambur)
Abhijay Hospital (P) Ltd
Chennai
58 Lb Road
Adyar P M Hospital & Research Ctr P Ltd.
Chennai
Kilpauk
Apollo First Med Hospital
Chennai
21, Greams Lane
Apollo Hospital Enterprises Ltd.
Chennai
320, Anna Salai
Apollo Speciality Hospital
Chennai
Nandanam
Apollo Speciality Hospital
Chennai
Jaganathan Street
Balaji Hospital (P) Ltd.
Chennai
Raja Annamalaipuram
Billroth Hospital R A Puram
Chennai
Shenoy Nagar
Billroth Hospital Ltd
Chennai
Mylapore
Chennai Meenakshi Multispeciality Hospital Ltd
Chennai
Kelamrakkam
Chettinad Hospital & Research Institute
Chennai
Kilpauk
Deepam Eye Hospital
Chennai
Pallikaranai
Dr Kamakshi Memorial Hospital
Chennai
19,Cathedral Road
Dr. Agarwals Eye Hospital Ltd. (Cathedral)
Chennai
Adyar
Fortis Malar Hospital Ltd.
Chennai
Kanchipuram
Global Hospital & Health City
Chennai
Anna Nagar
Khm Hospital
Chennai
Naid Colony Aminjika
M R Hospital
Chennai
18 College Road
Medical Research Foundation
Chennai
Mount Poonamallee Road
Miot Hospital Ltd
Chennai
Poonamallee High Road
New Hope Indian Speciality Hospital
Chennai
Purasawalkam
Noble Hospital
Chennai
Near Vallonarkottam
Rajan Eye Care Hospital Pvt. Ltd.
Chennai
Valasaravakkam
Rakshit Hospital
Chennai
Kaladipet
Rohit Hospital
Chennai
Chromepet
Chennai
Mylapore
Chennai
Kattankulathur
Royal Balaaji Hospital
Rsr Trinity Acute Care Hospital (A Unit Of Trinity Nursing
Home Pvt. Ltd.)
S. R. M. Medical College Hospital & Research Centre
Chennai
Mylapore
Sampat Nursing Home
Chennai
Tambaram (W)
Saravana Ortho & Multispeciality Hospital
Chennai
Porur
Sri Ramachandra Medical Centre
Chennai
Mylapore
St. Isabel Hospital
Chennai
Stthomas Mount
St. Thomas Hospital, Chennai
Chennai
Thiruvotriyur
Sugam Hospital
Chennai
Saidapet
Vasan Eye Care Hospital*, Saidapet
Chennai
Nandanam
Venkataeswara Hospital
Chennai
Vadapalani
Vijaya Heart Foundation - Vijaya Hospital
Coimbatore
Alam Nagar Road
Ashwin Hospital
Coimbatore
284, Sathy Road,Gandhi Puram,Coimbatore
Ellen Hospital
52
City
Area
Hospital Name
Coimbatore
G. R. Hospital
Coimbatore
30, Ram Gardens, Sowripalayam Road
45 - A, Pankaja Mill Road,
Ramanathapuram
Chinniampalyam
Coimbatore
Tatabad
Kongunad Hospital (P) Ltd
Coimbatore
Kovai Medical Center And Hospital Ltd
Coimbatore
P B # 3209, Avinashi Road,
S.F.No.522/3,Udayampalayam
Road,Sowripipalayam Post,Nava India,
Avinashi Road
Coimbatore
Trichy Road
Richmond Hospital (P) Ltd
Coimbatore
1287, Trichy Road, Coimbatore
Richmond Hospital Pvt. Ltd.
Coimbatore
Sundarapurah
Sree Abirami Hospital (P) Ltd
Coimbatore
V. G. Hospital
Coimbatore
Mettupalayam Road
Nanjammas Building, 1/80-1, Metupallayam
Road, Thudiyalur
No.777, Puliyakulam Road, Laxmi Mills Jn,
P.N.Palayam
81, T V Samy Road (West), R S Puram,
Madurai
Kknagar
Apollo Speciality Hospital,Madurai
Madurai
1 ,Anna Nagar
Aravind Eye Hospital
Madurai
Narimedu
Saravana Hospital (A Unit Of Surya Trust)
Madurai
Chokkikulam
Vadamalayan Hospital
Manaparai
Baracks Road
GKM Surgical Hospital
Salem
Main Road
Arokya Hospital
Salem
Meyyanur Road
Gokulam Hospital
Salem
Rajaji Road
Kiruba Hospital
Salem
Five Roads
Kurinji Hospital
Salem
Second Agraharam
Mohan Raj Childrens Hospital
Salem
Ashram Road
Nathan Super Specialty Hospital
Salem
S.K.Nagar
R P S Hospital
Salem
Alagapuram
S K S Hospital India Pvt. Ltd.
Salem
Ammapet
S. Palaniandi Mudaliar Memorial Hospital
Salem
Ramakrishna Road
Salem Gopi Hospital (P) Ltd
Salem
Saradha College Rd
Shanmuga Hospital & Salem Cancer Institute
Salem
Near Gandhi Stadium
Shri Shellapha Hospital
Salem
Behind Sarada College Hasthamnatt
Thambi Medical Surgical Eye Hospital
Salem
F 22 Raman Road
Vasan Eye Care Hospital*-Salem
Salem
Shankar Nagar
Vidya Hospital, Salem
Salem
Veerapandi
Vinayaka Mission Hospital
Vellore
Ida Scudder Road
Christian Medical College
Vellore
No.30 /1, Officers Lane
Vasan Eye Care Hospital*
Coimbatore
Coimbatore
Coimbatore
Coimbatore
Gem Hospital & Research Centre Pvt Ltd.
K. G. M. Hospital Pvt. Ltd.
Kurinji Hospital
Lotus Eye Care Hospital Ltd., Coimbatore
Vasan Eye Care Hospital* (Thudiyalur )
Vasan Eye Care Hospital*, Laxmi Mills-Coimbator
Vasan Eye Care Hospital*-Coimbatore
53
UTTAR PRADESH
City
Area
Hospital Name
Agra
116, Delhi Gate
Centre For Sight
Lucknow
37 Cantt Road
F. I. Hospital
Lucknow
River Bank Colony
K K Hospital
Lucknow
Aliganj Crossing
Neera Hospital
Lucknow
Sitapur Road
Sewa Hospital & Research Centre
Lucknow
Indiranagar
Lucknow
29, Shahmeena Road Chowk
Shekhar Hospital, Lucknow
SUSHRUT INSTITUTE OF PLASTIC SURGERY, BURNS &
TRAUMA
Meerut
E. K. Road
CFS Netralaya Pvt Ltd (Centre For Sight)
Moradabad
Kanth Road
Centre For Sight
Area
Hospital Name
Asansol
Raniganj
Anandalok Hospital
Asansol
G T Road (W)
Asansol
Sen Raleigh Road
Durgapur
Near City Centre
Asansol Medical Centre Pvt Ltd
H L G Memorial Charitable Hospital & Research Institute (P)
Ltd
Disha Eye Hospital & Research Centre Pvt Ltd
Durgapur
Central Park
Durgapur City Clinic & Nursing Home Pvt Ltd
Durgapur
A Zone
Lions Care Centre
Durgapur
Bidhan Nagar
The Mission Hospital
Durgapur
Bidhan Nagar
Vivekananda Hospital Private Ltd
Howrah
AC Market
Alpha Medical Services Pvt Ltd
Kolkata
Salt Lake
Amri Hospital
Kolkata
Salt Lake City
Anandalok Hospital
Kolkata
Canal Circular Road
Apollo Gleneagles Hospital
Kolkata
National Library Avenue
B. M. BIRLA HEART RESEARCH CENTRE
Kolkata
Block G, New Alipur
B.P Poddar Hospital & Medical Research Ltd
Kolkata
Sinthee More (Binayak Enclave)
Binayak Multispeciality Hospital
Kolkata
(Blank)
Cancer Centre Welfare Home & Research Institute
Kolkata
Barsat
Care & Cure Nursing Home, Uluberia
Kolkata
Teghoria
Charnock Hospital Pvt Ltd
Kolkata
Salt Lake
Columbia Asia Hospital, Kolkata
Kolkata
Kasba Golpark
Desun Hospital & Heart Institute
Kolkata
Sheoraphuly
Disha Eye Hospital(Hooghly)Pvt Ltd
Kolkata
Barrackpore
Disha Eye Hospital & Research Centre Pvt Ltd
Kolkata
1 /3 Dover Place
DR. NIHAR MUNSI EYE FOUNDATION
Kolkata
Ibrahim Road
Ekbalpur Nursing Home Pvt. Ltd.
Kolkata
Sodepur
Eye Care Nursing Home
Kolkata
730, Anandpur
Fortis Hospital Limited
Kolkata
111, A, Rashbehari Avenue
Fortis Medical Centre & Fortis Hospital & Kidney Institute
WEST BENGAL
City
54
City
Area
Hospital Name
Kolkata
Lenin Sarani
G D DIABETES (Only Kolkata Police)
Kolkata
Prannath Pandit Street
Health Point
Kolkata
Jessore Road(South)Barasat
Jubilant Kalpataru Hospital
Kolkata
S C Mullick Rd
K. P. C. MEDICAL COLLEGE & HOSPITAL
Kolkata
Alipore Road
Kothari Medical Centre
Kolkata
Mukundpur
Medica Super Speciality Hospital
Kolkata
Bepin Paul Road
Microlap Hospital
Kolkata
Park Street
Mission Of Mercy Hospital & Reasearch Centre
Kolkata
Theatre Rd, Elgin
Nightingale Diagnostic & Medicare Centre Pvt Ltd
Kolkata
Baghajatin On E M By Pass
Peerless Hospitex Hospital And Research Centre Ltd.
Kolkata
Mukandapur
Rabindranath Tagore International Institute Of Cardiac Science
Kolkata
Kolkata
Tegharia
Kasba
Renaissance Hospital Pvt Ltd
Revival Nursing Home(Burn Unit)
Kolkata
Kolkata
Kolkata
Salt Lake
EM Bypass
Belgharia
Rotary Narayana Nethralaya
Ruby General Hospital
Sahid Khudiram Bose Hospital
Kolkata
147,Mukundapur
Sankara Netralaya
Kolkata
New Alipore
Shardha Healthcare Pvt Ltd
Kolkata
P A Shah Road
Silverline Eye Hospital(A Unit Of Biswas Medical Centre)
Kolkata
Madhyamgram
Spectra Eye Foundation Pvt. Ltd.
Kolkata
Kolkata
Sri Aurobindo Seva Kendra
Kolkata
Salt Lake
Subodh Mitra Cancer Hospital & Research Centre
Kolkata
Salt Lake
Susrut Eye Foundation & Research Centre
Kolkata
Rajarhat Road
Swasti Eye & Super Speciality Nursing Home
Kolkata
Dimond Harbour Road
Kolkata
Andul Road
The Calcutta Medical Research Institute
West Bank Hospital (Meridian Medical Research & Hospital
Ltd.)
Kolkata
Alipore Road
Woodland Multispecility Hospital Ltd
Kolkata
Feeder Road
Zenith Super Speciality Hospital
Note: 1.Above list is subject to change without prior notice, for updated list of Hospitals please
refer our website http://emeditek.in/sailweb/
2. *Vasan Eye Care Hospital is empaneled for Cashless Services at PAN India level, Insured can
avail cashless services at any of the Vasan Eye Care Hospital. For Complete list, please refer
our website http://emeditek.in/sailweb/
55
SAIL PLANT REPRESENTATIVES
Plant/
Unit
Name
Designation
Phone
Email ID
B. Hemalatha
DGM (P-ES)
0788-2857074
[email protected]
K. Bhanu Murthy
DGM (P-ES)
0788-2852043
[email protected]
Bhuwan Lal Sahu
JM (P-FSS/SEWA)
0788-2854702
[email protected]
DSP
Ramesh Ch. Mishra
Manager(Pers)
0343-2745092
[email protected]
RSP
Gouri Prasad Misra
AGM (P-M & HRS)
0661-2642343
[email protected]
BSL
Dr. Nanda Priyadarshini
Jr. Manager (Pers- MPC
& FSC)
06542-240273
[email protected]
ISP &
KULTI
Biswajit Thakur
0341-2240313
[email protected]
0343-2546634
[email protected]
BSP
Naresh Kumar
ASP
AM (P-MPP&CPD
Admn.)
DGM (P-HRD , CSR &
Admn)
Sarmistha Datta
Jr. Mgr. (CSR & Admn)
0343-2546224
[email protected]
Dipankar Maji
Jr. Mgr. (CSR & Admn)
0343-2546224
[email protected]
SSP
Debariki Suresh
Jr. Manager (Pers)
0427-2382281
[email protected]
VISL
Surender Kumar Dubey
SM (ES & Rajbhasha)
08282-271621
[email protected]
RMD
Sanjit K. Das
AGM (Pers.)
033-22820900
[email protected]
CMO
Hemlata Nath
AGM (Pers.)
033-22888825
[email protected]
Indrajit Mukhopadhyay
Mgr-P
033-22888825
[email protected]
RDCIS
Manas Rath
Asstt. General Manager
0651-2411596
[email protected]
CET
Tapan Kr. Ghosh
Dy. Manager (Pers)
0651-2411209
[email protected]
MTI
Saurabh Kr Singh
AGM (Personnel)
0651-2411037
[email protected]
GD
Dr. Rituparna Mukherjee
Sr Medical Officer
033-22263399
[email protected]
011-24300330
[email protected]
011-24300327
[email protected]
Vaani Kapoor
CO
Neeraj Seth
Sr. Manager (PITB&Med.)
Jr. Manager (PITB&Med.)
Prabal Sadhu
Jr. Officer (P-ITB&Med.)
011-24300329
[email protected]
CFP
P.P.Chakrabarty
DGM (P&A)
07172-278222
[email protected]
SRU
Sebastian Lakra
Sr.Manager (Personnel)
06542-233233
[email protected]
Note: For any queries/observations, the members are required to be in touch with Mediclaim Officer of
their respective Plant/Unit only. No communication with dealing officers of Mediclaim of other
Plants/Units including Corporate office will be entertained
56

Dear Mediclaim member of SAIL

Transcription

Similar documents

AVS24 2.4 GHZ Wireless Audio/Video Sender

HEMINEVRIN - Alcohol and Alcoholism

Mediclaim Policy for Retired Employees

No trophy could ever fully express our

Chaise Lounge

Sports Science Summit Sports Science Summit

AUTO-HIT Ltd. Presentation

A golden opportunity to A golden opportunity to

Please click here for project description

Building Capacity, Creating Jobs, Discovering and Developing