GROUP MEDICLAIM SCHEME (2017-18)
FOR
RETIRED EMPLOYEES OF STEEL AUTHORITY OF INDIA LTD.
United India Insurance Company Limited
DO -XI, E-85, HIMALAYA HOUSE, 8TH FLOOR, K. G.MARG, NEW DELHI -110001
(2018-19)
2
Dear Mediclaim Member of SAIL, Dear Mediclaim Member of SAIL, Dear Mediclaim Member of SAIL, Dear Mediclaim Member of SAIL,
Welcome to the Family.Welcome to the Family.Welcome to the Family.Welcome to the Family.
United india insurance company has been appointed by SAILUnited india insurance company has been appointed by SAILUnited india insurance company has been appointed by SAILUnited india insurance company has been appointed by SAIL, to provide healthcare , to provide healthcare , to provide healthcare , to provide healthcare
insurance services to you. insurance services to you. insurance services to you. insurance services to you.
These services include ID card issuance, Cashless Hospitalization and Settlement of These services include ID card issuance, Cashless Hospitalization and Settlement of These services include ID card issuance, Cashless Hospitalization and Settlement of These services include ID card issuance, Cashless Hospitalization and Settlement of
claims on behalf of the claims on behalf of the claims on behalf of the claims on behalf of the SAILSAILSAILSAIL....administered by the MDIndia Health Insurance TPA Pvt. administered by the MDIndia Health Insurance TPA Pvt. administered by the MDIndia Health Insurance TPA Pvt. administered by the MDIndia Health Insurance TPA Pvt.
LtdLtdLtdLtd
This guide book gives a preview This guide book gives a preview This guide book gives a preview This guide book gives a preview of various services provided by MDIndia. of various services provided by MDIndia. of various services provided by MDIndia. of various services provided by MDIndia.
The guidebook also contains a list of hospitals/nursing homes in the SAIL/MDIndia The guidebook also contains a list of hospitals/nursing homes in the SAIL/MDIndia The guidebook also contains a list of hospitals/nursing homes in the SAIL/MDIndia The guidebook also contains a list of hospitals/nursing homes in the SAIL/MDIndia
network where you can avail OPD and Hospitalization treatment. network where you can avail OPD and Hospitalization treatment. network where you can avail OPD and Hospitalization treatment. network where you can avail OPD and Hospitalization treatment.
For any clarifications or information, please contact us on our eFor any clarifications or information, please contact us on our eFor any clarifications or information, please contact us on our eFor any clarifications or information, please contact us on our enquiry numbers as nquiry numbers as nquiry numbers as nquiry numbers as
mentioned on the reverse side of your member ID card. mentioned on the reverse side of your member ID card. mentioned on the reverse side of your member ID card. mentioned on the reverse side of your member ID card.
You can also visit You can also visit You can also visit You can also visit ‘www.mdindiaonline.com‘www.mdindiaonline.com‘www.mdindiaonline.com‘www.mdindiaonline.com’ for more information.’ for more information.’ for more information.’ for more information.
We, look forward to a longWe, look forward to a longWe, look forward to a longWe, look forward to a long----lasting relationship with you. lasting relationship with you. lasting relationship with you. lasting relationship with you.
It will be our constant It will be our constant It will be our constant It will be our constant endeavourendeavourendeavourendeavour to provide all services to you with high quality and to provide all services to you with high quality and to provide all services to you with high quality and to provide all services to you with high quality and
minimum turnaround time.minimum turnaround time.minimum turnaround time.minimum turnaround time.
Wishing you a healthy and happy lifeWishing you a healthy and happy lifeWishing you a healthy and happy lifeWishing you a healthy and happy life
Harish Kumar Harish Kumar Harish Kumar Harish Kumar Sr. Divisional Manager Sr. Divisional Manager Sr. Divisional Manager Sr. Divisional Manager United India Insurance Company Limited United India Insurance Company Limited United India Insurance Company Limited United India Insurance Company Limited Divisional Office XIDivisional Office XIDivisional Office XIDivisional Office XI
TABLE OF CONTENTS
Do’s & Dont’s 4-5
Objective Of The Scheme 6
Persons Covered 6
Scheme 6
Policy coverage 6
Definition 7-8
Benefits 8-9
Cappings 9-11
Important Exclusions 11
Claim Procedure 12-15
Customer Care Services 15
Technological Advancement 16
Mdindia TPA Offices 17-20
Annexure- A: Claim Form - IPD 21-22
Annexure- B: Claim Intimation Form 23
Annexure- C: Claim Form - OPD 24
Annexure- D: Neft Form 29
Sail FAQS 30-33
Indicative List Of Day Care Procedures 34-37
List Of Sail Approved Hospitals For OPD Treatment 38-46
List Of Empaneled Hospitals To Avail Cashless Services 47-53
List Of Hospitals/Diagnostic Centres Offering IPD/OPD Services At 54-55
Negotiated Rates To Sail Members
Detail Of Internal Resource Person (IRPS) At Sail Plants And Units 56
Feedback Form 57
PageNo.
Contents
03
1. Mandatory Claim Intimation : Reimbursement & CashlessA. The Mediclaim member is required to intimate/inform the Insurance Company/TPA atleast 48 Hours prior to any planned or elective hospitalization / admission.B. In case of Emergency Admission / Hospitalization, the Insurance Company / TPA, to be informed by the Mediclaim member, in writing within 24 hrs of such hospitalization. C. The Claim Intimation by the Mediclaim member is mandatory for both Cashless & Reimbursement claims. D. Claim Intimation can be sent via Letter/Email/Fax/Personally delivered at Insurance/TPA offices. For detail of offices, please refer Page no. 17-20. 2. Mandatory Claim Intimation documents :The Mediclaim member is required to submit the prescription indicating diagnosis,purpose of Hospitalization etc. at the time of intimation.
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 reimbursement claims pertaining to Post Hospitalization (IPD treatment), to be submitted to the Insurance Company/ TPA within 30 days after the completion of permissible post Hospitalization treatment period of 60 days. c. OPD Claims to be submitted by the Mediclaim member, to the Insurance company/ TPA at any time but necessarily 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.
4. Submission of Claim Documents :The Mediclaim member can submit the Claim documents in any MDIndia Health Insurance TPA branch irrespective of centre opted by the members. You can refer to the updated branch list of MDIndia Health Insurance TPA Pvt. Ltd. with contact details mentioned in the booklet/website. For MDIndia branch list, please refer Page no. 17-20. For MDI website, please visit – www.mdindiaonline.com
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 for reimbursement of the claim.
6. Availing Cashless Facility :The Mediclaim member should always carry Photo-ID Cards like Aadhar Card, Driving License, PAN Card, Voter ID card, Passport etc. along with the Mediclaim Photo-ID card issued by the TPA, for availing Cashless facility. Member should refer to the updated list of hospitals for cashless treatment on www.mdindiaonline.com before admission
.
DO'S
DO'S & DON'T'S
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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 along with a cancelled cheque (if not already submitted) to MDIndia TPA, while submitting the reimbursement claim.
8. Visit MDIndia Health Insurance TPA website : www.mdindiaonline.com or MDI Mobile App – Hawk (Details available on page no. 16) or Call on 1800-233-5599 (Toll Free) for: Updated Hospital list & Details, View & Download E-card Membership Details & claim status
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 concerned SAIL Plant/Unit for issuance of the cards.
1. Don't insist upon admission for investigation or evaluation or Health check-ups.
2. Don't carry back any original document at the time of discharge from the hospital.
3. Don't forget to sign on the Claim Form.
DON'T's
DO'S & DON'T'S
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MEDICLAIM SCHEME FOR THE EX-EMPLOYEESOF SAIL AND THEIR SPOUSES (2017-18)
OBJECTIVE OF THE SCHEME :To extend the Medical Benefits to the eligible ex- employees of SAIL and their Spouses.
PERSONS COVERED : a. Retired employees of SAIL and their spouses.b. The employees who have taken voluntary retirement and their spouses.c. The employees who cease to be in employment on account of permanent total Disablement & their spouses.d. The spouse of an employee who dies in service.e. Employee who resigns from the Company at the age of 57 or above and their spouse.
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 person(s) who were members of SAIL
Mediclaim Scheme as on 31-03-2017, are eligible for becoming members of SAIL Mediclaim
Scheme (2017-18).
SCHEME :The members will be covered through Group Insurance Mediclaim Policy of the Insurance
Company which will be operated through United India Insurance Company Limited.,E-85,
Himalaya House, 8th Floor Kasturba Gandhi Marg, New Delhi - 110 001.The period of the policy is 11/04/2017 (0000 hrs IST) to 10/04/2018 (2400 hrs IST)
MDIndia Health Insurance TPA Pvt. Ltd. (Headquartered at Building A 2, 3rd Floor, E
Space, VadgaonSheri, Nagar Road, Pune-411014) 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. MDIndia would work out of listed locations for the
purpose of claim settlement.For the purpose of claim settlement, the bills & other related documents should be
directly sent to any of the opted centres of MDIndia (vide page no. 17-20)
POLICY COVERAGE :The policy covers reimbursement of Hospitalisation 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.
DEFINITIONS :
Ÿtreatment 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 which complies with minimum criteria as under
Ÿ It should have at least 15 inpatient beds Ÿ Fully equipped operation theatre of its own wherever surgical operations are carried out.Ÿ Fully qualified nursing staff under its employment round the clock. Ÿ Fully qualified Doctor (s) should be in charge round the clock. Ÿ For the purpose of O.P.D. treatment, "Hospital" shall mean :
i. A Government Hospital,ii. Dispensaries/Clinics run by local Government authority/Municipalities,iii. SAIL Plant Hospitals/Dispensariesiv. SAIL approved Hospitals/Nursing Homes (Refer to Page No. 38-46 for list of SAIL
Approved Hospitals)v. Branches/Franchisees of major renowned chains of Hospitals/ Diagnostic centres
namely Apollo, Max, Fortis, Sankara Nethralaya, Center for sight, Shroff Eye, Arvind Eye, Sharp Eye and Narayana Hrudalaya, Global Hospitals, Yashoda Hospitals, Dr. Lal Path Labs & SRL Religare anywhere in India.
vi. Ispat Coorperative Super Speciality Hospital, Sonarpur, Kolkata. vii. Hospitals /Nursing homes approved under CGHS or those accredited by NABH.
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 (IPD):Ÿ 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, which are empanelled by the Insurance Company for the purpose.
Ÿ When treatment/surgeries such as Dialysis, Chemotherapy, Radiotherapy, Ophthalmic Surgeries (Cataract/Glaucoma Surgeries etc.), Lithotripsy, Laparoscopic surgeries, Microsurgery etc., 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. Indicative List of such procedures is given at Page No. 34 - 37.
Ÿ In addition to the indicative list of Day-care procedures, any other surgeries / procedures agreed to, by SAIL, Insurance Company and TPA, requiring less than 24 hours hospitalisation will also be considered under hospitalisation.
C) O.P.D. Treatment: OPD Means treatment taken as an out-patient in any Hospital/ Nursing Home/ Diagnostic Centre as mentioned at para (A) above. The Charges incurred for treatment taken from Registered Medical Practitioners or other than Hospitals/Nursing Homes/ Diagnostic Centres as mentioned para (A) above, will not be reimbursed. The Medicine should be prescribed by the treating doctors on the letter heads of the hospitals covered under para (A) above. Even though a medical practitioner is attached to any of the approved hospitals for OPD treatment and if the treatment is taken by him/her privately, the OPD Claim amount will not be reimbursed, under any circumstances.
D) 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)
A) Hospital/Nursing Home means any institution in India established for Indoor care and
:-
.
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E) 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 up to Rs. 2,00,000/- per member (with clubbing facility between employee & spouse), as per policy terms and conditions.
§Reimbursement : Reimbursement of actual charges up to Rs. 2,00,000/- per member per policy period (with clubbing facility between employee & spouse) is permissible. Claim under hospitalization benefit shall be admissible only when the patient is admitted in a hospital for a minimum period of 24 hours. Hospitalization expenses for Ayurvedic / Homeopathic/ Unani Treatment are admissible only when the treatment is taken in a Government Hospital/Medical College Hospital.
§Pre-hospitalization : Relevant medical expenses incurred during the policy period, up to 30 days prior to the hospitalization specifically for that particular disease/ illness, for which hospitalization has taken place, shall be considered as part of claim under hospitalization. HOWEVER, DURING PRE-HOSPITALIZATION PERIOD, MEDICINES BEING PRESCRIBED UNDER REGULAR OPD FOR DISEASES/ ILLNESS NOT RELATED TO THE SAID HOSPITALIZATION SHALL NOT BE REIMBURSABLE UNDER HOSPITALISATION CLAIMS.
§Post-hospitalization : Relevant medical expenses incurred during the policy period, up to 60 days after the hospitalization, specifically for that particular disease/ illness for which hospitalization had taken place, shall be considered as part of claim under Hospitalization. HOWEVER, DURING POST-HOSPITALISATION PERIOD, MEDICINES PRESCRIBED UNDER REGULAR OPD TREATMENT FOR DISEASES/ ILLNESS NOT RELATED TO THE SAID HOSPITALIZATION, SHALL NOT BE REIMBURSABLE UNDER HOSPITALIZATION CLAIMS.
§Cashless : The member can also avail cashless hospitalization facility in any hospital empanelled by Insurance Company/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 MDIndia Health Insurance TPA Pvt. Ltd TPA Website (www.mdindiaonline.com), MDIndia Health Insurance TPA Pvt. Ltd centres, or Call on 1800-233-5599 prior to Hospitalization. Insurance Company/ TPA to settle the hospital bills directly on behalf of Insured.
OUT-PATIENT BENEFIT (OPD) :
1. Rs. 4000/- per member, for members below 70 years of age as on 31.03.2017
2. Rs. 8000/- per member, for members 70 years and above as on 31.03.2017, for the policy period. NOTE : Persons completing 70 years of age on 01.04.2017 will also be considered for enhanced OPD. Unlike IPD facility, the OPD facility cannot be clubbed between the ex-employee and his/her spouse.
3. Under no circumstances, the clubbing (Floater basis) of individual OPD limits of Rs. 4000/- or Rs. 8000/- (as the case may be) per head per policy period, will be permitted.
4. OPD treatment if availed in SAIL Plant Hospitals, the members are not required to pay any expenses. SAIL Plant Hospitals will make claims with the Insurance Co. for any Treatment given to the member.
5. Dental Treatment can also be availed of within the existing limit prescribed under O.P.D. treatment. Cost of dentures will not be reimbursed.
6. Ophthalmic consultations for refractory error will be covered under OPD Benefits only.
7. Cost of spectacles/contact lenses shall not be reimbursed.
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8. OPD Claims to be submitted by the Mediclaim member, to the Insurance company/ TPA at any time but necessarily 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.
9. In case of treatment of ear, cost of hearing aid is not reimbursable
SAIL Hospital/Dispensary Reimbursement:SAIL will claim reimbursement against the treatment (OPD / IPD) provided through its Hospital & Health Centres including SAIL dispensaries and the same will be adjusted against the available Sum Insured for OPD/ IPD of the concerned member, as the case may be. The Insurance Company shall settle these claims in favour of SAIL and no certification / document shall be required from the member in this regard.
CAPPING:In order to ensure that the policy is used by the members in an efficient, effective and just
manner and to maintain the legitimacy of claims, SAIL has incorporated certain measures under the program, which are as follows: 44.1 Capping in the area of room rent charges, the Implants/Stents used under various procedures like cataract surgery, coronary angioplasty, joint related disorder requiring knee/hip joint replacement excluding the associated procedure charges under the Scheme will be as given below:
ROOM RENT: Maximum entitlement of room to be restricted to:Ÿ Metro Cities (Hyderabad, NCR, Bangalore, Mumbai, Chennai, Kolkata) - Ceiling of
2% of the sum insured per member, i.e. Rs. 4000, or a single A/c non-deluxe room per day whichever is lower.
Ÿ Non-Metro Cities which are state capitals - Ceiling of 1.5% of the sum insured per member, i.e. Rs. 3000, or a single A/c non deluxe room per day whichever is lower.
Ÿ Rest of the country - Ceiling of 1 % of sum insured per member,i.e. Rs. 2000, 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 charges/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: 1. Intra Ocular Lens (IOL) : Ceiling rates for different types of intra Ocular 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 wherever IOL is not a part of package. 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.
2. Coronary Stents: Order dated 13th February 2017 (along with any subsequent amendments (if any) issued by National Pharmaceutical Pricing Authority (NPPA)/ Government of India (GOI) with respect to ceiling price of Coronary Stents, shall be applicable (enclosed along with the booklet). However, on expiry of validity of the aforesaid Government order, the following ceilings shall prevail:
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b) Maximum of three (3) Coronary Stents shall be permitted on the advice of the specialist, of which not more than two (2) shall be of Drug Eluting Stents (DES).
- 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 Hospital 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.
3. Joint Replacement Implants : Capping for different types of Knee and Hip implants, to be as per the actual rates or the rates as mentioned below, whichever is lower.Ÿ Maximum ceiling for Knee implant to be Rs. 75000/-. (Including cost of Bone cement) Ÿ Maximum ceiling for Hip implant to be Rs. 75000/-. (Including cost of Bone cement)
In addition to the aforementioned capping, the following capping on procedures/ packages as given below, shall also be applicable :
Capping on Procedures/Packages given below:
Ÿ The capping/ ceilings are applicable on 'per hospitalization' basis and only for cases where there are no complications/multiple diseases.
Ÿ Pre-Hospitalization & Post-Hospitalization claims pertaining to the above treatments do not come under the preview of the aforementioned capping.
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Sr.No. Treatment Capping per Hospitalization
1 Hernia repair Rs. 40,000/-
2 Cholecystectomy Rs. 45,000/-
3 Haemorrhoidectomy Rs. 25,000/-
4 Appendectomy Rs. 35,000/-
5 Hysterectomy Rs. 45,000/-
6 Coronary Angiogram/ Angiography Rs. 16,000/-
7 Tonsillectomy Rs. 15,000/-
Name of Drug Eluting Stent /Bare Metal Stent Capping
Cypher Stent Rs. 95000 + VAT
Taxus Stent Rs. 67300 + VAT
Element Stent Rs. 95000 + VAT
Endeavor Rs. 85000 + VAT
Xience VEECSS Rs. 95000 + VAT
Yukon choice Rs. 55000 + VAT
Pronova Rs. 50000 + VAT
Supralimus Rs. 55000 + VAT
Bare Metal Stent Rs. 45000(all inclusive)
For all other Coronary Stents Actuals or Rs. 95000/- plus VAT, whichever is lower.
Name of Drug Eluting Stent /Bare Stent Capping
Sr.No. Treatment Capping per Hospitalization
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� IMPORTANT EXCLUSIONS:
Under SAIL Group Mediclaim Insurance Policy, the Insurance Company shall not be liable to make any payment in respect of
any expenses whatsoever incurred by the insured person in connection with:
A. Any Disease/ complication caused due to alcohol intake.
B. Any disease/ injury caused by War/Nuclear Weapons/Radiations / Breach of Criminal law.
C. Circumcision, cosmetic or Plastic Surgery unless necessitated by an accident or as a part of any disease/ illness.
D. Cost of dentures, hearing aid, spectacles, cost of glasses/ contact lenses etc.
E. Convalescence, general debility, "Run-down" condition or rest cure, congenital diseases or defects, sterility, venereal
Fiseases, intentional self-injury and use of intoxicating drugs.
F. 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. This refers to hospitalisation not
leading to active line of treatment.
G. Expenses on vitamins and tonics unless forming part of treatment for injury or disease as certified by the attending
physician.
H. Voluntary medical termination of pregnancy during first 12 weeks of conception
I. Naturopathy Treatment.
J. External and/ or durable Medical/ Non-Medical equipment of any kind used for diagnosis and/ or treatment including
CPAP, CAPD, 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.
K. Any kind of service charges, attendant food charges, surcharges, admission fees/registration charges & Non-Medical expenses
levied by the Hospital.
L. Treatment for age related Macular degeneration with Injection Avastin/ Lucentis/ Macugen.
M. Cytotron Therapy & Ozone Therapy.
N. Preventive Health Check-ups from OPD as well as IPD benefit.
O. Enhanced External Counter Pulsation Therapy (EECP)
P. Robotic Surgery/ Robotically assisted surgery.
Q. Any unproven therapy.
R. Ayurvedic treatment if it is not an active line of treatment.
S. Rejuvenation therapy/ Massage/Panchkarma.
T. Stem cell Transplantation except Haemopoetic Stem Cell Transplant/ Bone Marrow Transplant.
Additional Guidelines on Terms & Conditions
1) Non – Active Line of Treatment : Example :
• Urinary Tract Infection with no complications and can be treated on an OPD basis
• Fever of any origin which can be treated on OPD basis
2) Exclusion: Treatment for age related Macular degeneration with Injection Avastin / Lucentis / Macugen.
• The treatment of ARMD with the injection BEVACIZUMAB marketed as AVASTIN or any other industrial name
will not be payable
• The treatment of ARMD with the injection RANIBIZUMAB marketed as LUCENTIS or any other industrial name
will not be payable
• The treatment of ARMD with the injection PEGAPTANIB SODIUM marketed as MACUGEN or any other
industrial name will not be payable
• The treatment of ARMD with the injection AFLIBERCEPT marketed as EYLEA or any other industrial name will
not be payable
CLAIM PROCEDURE:
A. Mandatory Claim Intimations:-
1. The Beneficiary to inform / intimate, in writing, the Insurance Agency/TPA at least 48 Hours
prior to any elective / planned Hospitalization / Admission.
2. In case of Emergency Admission / Hospitalization, the InsuranceCompany/ TPA to be
informed by the Mediclaim member, in writing within 24 hours of such hospitalization.
3. The Claim Intimation is mandatory for both Cashless & Reimbursement claims.
4. In case, Claim intimation is not submitted or not sent within defined timelines, the claim
may stand to be rejected or deductions made
5. Claim Intimation can be sent via Letter/ Email/ Fax/ personally delivered at Insurance/
TPA offices.
For processing of claims pertaining to treatment undertaken in SAIL Hospitals whether
cashless/reimbursement; prior claim intimation is not mandatory.
6. Claim intimation format is provided on page no. 23.
Claim Submission for IPD treatment on Cashless / Reimbursement basis
Ÿ 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.
Ÿ The reimbursement claims pertaining to Post hospitalization (IPD treatment), to be submitted to
the Insurance Company/ TPA within 30 days after the completion of permissible post
Hospitalization treatment period of 60 days.
Confirmation of claim registration will reach the member within 24 hours of the claim receipt by the
TPA. Query or clarification sought regarding claim will reach the member, along with reasons for
the same, in one go, within 15 days of registration of the claim.
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.mdindiaonline.com
Intimation can be sent via:
Ÿ Website: www.mdindiaonline.com
Ÿ E-Mail: [email protected]
Ÿ 24 Hrs Helpline no:
Ÿ Fax: 1860-233-4449
Ÿ Toll Free no: 1800-233-5599
Personally delivered at MDIndia Health Insurance TPA Pvt. Ltd. Branches mentioned in the
guidebook. Acknowledgment to member will be given via email/SMS subject to details provided
within 8 hours.
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Ÿ CASHLESS SERVICE AT NETWORK HOSPITAL:
Cashless hospitalization facility is available only at Network Hospitals. Cashless facility enables theSAIL Members to obtain admission at designated hospitals subject to obtaining an Authority Letterfrom MDIndia Health Insurance TPA Pvt. Ltd. The TPA will settle the Hospital Bills directly on behalf of insured.
Ÿ For Your Reference:Ÿ List of Network Hospitals on Page No. 47-53Ÿ Format of Pre-Authorization form - Part A and Part BŸ Cashless Intimation : [email protected]Ÿ
Whenever the Member is advised admission to one of the network hospitals for treatment:
Ÿ Part A to be filled by SAIL Member Ÿ Part B needs to be filled by the attending doctor/surgeon/hospital & dually signed by the Treating Doctor Ÿ Then Pre Authorization form needs to be faxed by the hospital to MDIndia TPA at 1860-233-4449
or mail at [email protected]
How to Avail Cashless Services:
Step 1 : Forward your Pre–authorization request letter duly filled and signed by the Treating Doctor and Hospital with Hospital StampŸ Planned/Elective Surgeries - 48 hours prior to hospitalization Ÿ Emergency – within 24 hours of hospitalization
Step 2 : MDIndia Health Insurance TPA Pvt. Ltd. TPA will confirm receipt of Request and will issue an Authorization letter for the coverage as per the policy terms and conditions to Network Hospital. The Authorization letter is valid only for the period of Hospitalization sought as per the request.
Step 3 : Member approaches the Network Hospital Admission desk on the day of plannedhospitalization with MDIndia Health Insurance TPA Pvt. Ltd. ID card, Authorization letter and Govt. authorised Photo ID Card. The identity of the patient will be validated before admission.
Step 4 : Network Hospital will extend cashless treatment to the Member up to authorized amount.
Step 5 : At the time of discharge, Member/patient leaves back all the documents and also signs on the Claim Form and Final Hospital bill.
Step 6 : Member makes the payment in cash to the Network Hospital for those services that are not covered under the policy.
The approval of cashless treatment (admissible) will be received by the member and the Hospital within 24 hours for planned intervention and within 4 hours for emergency treatment.
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On receiving the Pre Authorization request, MDIndia Health Insurance TPA Pvt. Ltd. TPA will do either one of the following:
A. Authorize: In case the cost of hospitalization exceeds the sum insured in the policy, the policy holder will have to pay the difference to the hospital. MDIndia Health Insurance TPA Pvt. Ltd. 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 RAL is incomplete, unclear or insufficient, MDI will request clarification from the policyholder/hospital. RAL may be approved or rejected subject to obtaining the Additional information and based on the terms and conditions outlined in the policy.
C. DENIAL: MDIndia will fax “Denial of Authorization Letter” (DAL)* directly to the hospital. Cashless facility may be denied in some situations as mentioned below:
Ÿ Any ambiguity in the policy terms and conditions with respect to the present ailment.Ÿ Insufficient sum insured to cover the hospitalization expenses.Ÿ RAL is not received by MDIndia in time.Ÿ If the information sent to MDIndia 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 Authorization #. Each request would be dealt on a case to case basis.
The approval for final claim settlement for cashless treatment will be made within 4 hours of request by the hospital.
EMERGENCY HOSPITALIZATIONIn case the insured is admitted to one of our network hospitals in any emergency or accident, the RAL should be faxed to MDIndia Head Office or Branch within 24 hours of admission. MDIndia would authorize or deny the request as mentioned earlier. If the insured gets admitted to a non-network hospital, please refer to non-cashless hospitalization services section.
REIMBURSEMENT/SERVICE AT NON - NETWORK HOSPITAL:If the treatment is availed in a Non-Network hospital the insured will have to settle the claim directly with the hospital and file claim for reimbursement. To avail services in a Non-Network hospital kindly follow the below steps :
Step 1 : In case of Hospitalization at Non-network hospital, the Policy holder is required to intimate MDIndia Health Insurance TPA Pvt. Ltd. TPA 48 hrs prior to planned hospitalization or Elective surgeries and within 24 hours in case of Emergency hospitalization.
Step 2 : Policy holder avails treatment from hospital and makes payment for the entire treatment.
Step 3 : After discharge Policy holder needs to submit the following within 30 Days from the date of discharge from the Hospital to help us in settling the claim faster.
Ÿ IPD Claim form duly filled & signed as per format given on Page No. 21-22Ÿ Original detailed Discharge Summary.Ÿ Original Hospital bill with break-up and Payment receipts.Ÿ All Original Doctor's prescription for medicine purchased.
14
Ÿ All Original cash memos and bill for medicines.Ÿ Package Break-up (if applicable)Ÿ Original Investigation reports along with filmsŸ Bank details with cancelled Cheque for NEFT or you can also upload Bank details on our website
www.mdindiaonline.com or can be uploaded through the Mobile App.
OUT-PATIENT (OPD) TREATMENT :OPD claim should be submitted to the concerned office of MDIndia Health Insurance TPA (Refer page no. 17-20 for detail of offices) along with: Ÿ OPD claim Form duly filled in (Claim form available on Page no. 24)Ÿ All Doctor's Prescription Ÿ All Receipts/Bills for Drugs/Diagnostic Tests Ÿ All Diagnostic Report
All the above documents should be submitted in Original, in proper sequence, duly tagged/stapled.
Claim Settlement :Claim Settlement - Claims under SAIL Mediclaim Scheme are to be settled and recommended amount to be paid within 15 days of submission of all claim documents.
GRIEVANCE LODGING :All registered grievances will be acknowledged within 24 hours through email/ SMS and resolved within 7 working days and Grievance resolution matrix is also displayed on the TPA website (www.mdindiaonline.com). For prompt handling of grievances, a separate Grievance Team has been constituted to ensure Grievance disposal. To raise your grievance you can log on to our website www.mdindiaonline.com and raise the same on Online Grievance redressal or mail to [email protected] or send the Grievance to a local office on the address mentioned in the guide book.
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 & United India Insurance Company Limited 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.
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 Customer Care Centre.
24 Hours Helpline : 1800-233-5599Toll Free No. : 1800-233-5599Fax Number : 1860-233-4449E-Mail ID : [email protected] : www.mdindiaonline.com
15
TECHNOLOGICAL ADVANCEMENTS :
Mobile Application – Please follow the below steps to download MDIndia TPA Mobile application:
STEP 1– Search for Hawk - MDI application from Play Store in Android Phone and from App Store from Iphone.
STEP 2 – Click on install button.
STEP 3 – Pop up window appears showing location and photo media files . Click on Accept and then click on Open.
STEP 4 – Next a window opens where you need to type your Member id, E-mail id, Mobile number and State. Then click on save and a new window opens from where you can access your account for real time update of Policy Status, Request E-card , Cashless status, Claim status, Claim Intimation, Claim Registration, Update Bank Details , Search Hospital and Contact Us.
16
1. Asansol: MDIndia Health Insurance TPA Pvt. Ltd., Room no. 3, Shanti Niwas, 1st floor, Besides Income tax office, G.T. Road, Asansol, West Bengal – 713 304Contact Number - 0341-2252677 Email Id : [email protected]
9. Salem : MDIndia Health Insurance TPA Pvt. Ltd., No : 23 / 7 , 1St Floor, Maravaneri 1st Cross, Near Sundar Lodge Auto Stand, Salem, - 636007, TamilnaduContact Number - 0427-2417386 Email Id : [email protected]
2. Durgapur: MDIndia Health Insurance TPA Pvt. Ltd., 6, Kabi Guru Sarani, (Ground floor), City Centre, Durgapur, West Bengal – 713 216 Contact Number - 0343- 2606811 Email Id [email protected]
10. Kolkata : MDIndia Health Insurance TPA Pvt. Ltd., C- 483, Lake Gardens, Ground Floor, Kolkata:-700045.Contact Number - 033-24220521/0545 Email Id [email protected]
3. Dhanbad: MDIndia Health Insurance TPA Pvt. Ltd., Shop no. 7, Block B, Ground floor, Krishna Apartment, Jhoraphatak road, Dhanbad, Jharkhand – 826 001 Contact Number - 0326-2305550 Email Id : [email protected]
11. Mumbai: MDIndia Health Insurance TPA Pvt. Ltd., 3rd Floor, Kimatrai Building, 77-79, Maharshi Karve Road, Marine Lines, Mumbai - 400 002. Contact Number - 022-22199105 /107 Email Id : [email protected]
4. Bokaro: MDIndia Health Insurance TPA Pvt. Ltd., GB-28, City Centre, Sector - 4, Beside Police Club, Bokaro steel city - 827004 Contact Number - 06542-233099 Email Id : [email protected]
12. Nagpur : MDIndia Health Insurance TPA Pvt. Ltd., Plot No. 265, 1st Floor, Millennium Shopping Mall, Laxmi Nagar Square, West High Court ( WHC ) Road, Bajaj Nagar, Nagpur – 440010 Contact Number - 0712-2220824/825 Email Id : [email protected]
5. Ranchi: MDIndia Health Insurance TPA Pvt. Ltd., Shop No.1, Ground floor, Chagan Lal Market, Kanta toli chowk, Purulia Road, Ranchi – 834 001 (Jharkhand)Contact Number - 0651-2532557 Email Id : [email protected]
13. New Delhi : MDIndia Health Insurance TPA Pvt. Ltd., 18/13, Wea, Ground Floor, Ganga Plaza, Pusa Lane, Karol Bagh, Near Matro Pilar No.81, New Delhi:110005 Contact Number - 011 - 28757061 / 28756096. Email Id : [email protected]
6. Rourkela MDIndia Health Insurance TPA Pvt. Ltd., Sector 5 Public Health building, Rourkela, District Sundergarh, Odisha - 769002 Contact Number - 0661-2643434 Email Id : [email protected]
14. Chennai MDIndia Health Insurance TPA Pvt. Ltd., Guna Complex, New door no. 443 & 445, Old no. 304 & 305, Anna salai, Teynampet, Chennai 600 018 Contact Number - 044-24343011/12 Email Id : [email protected]
7. Bhadravati: MDIndia Health Insurance TPA Pvt. Ltd., Sri Venkateshwara Krupa, Ground Floor, Lingayat Street, Jannapura, Bhadravati Karnataka - 577301 Contact Number - 08282-271166 Email Id : [email protected]
15. Bangalore : MDIndia Health Insurance TPA Pvt. Ltd., Sharada Chambers, No. 1540, 1st Floor, 39th Cross, 4th “T” Block, Jayanagar, Bangalore - 560 041 Contact Number - 080- 26549834/54 Email Id : [email protected]
8. Bhilai: MDIndia Health Insurance TPA Pvt. Ltd., SAIL Plant, Sector 5, Bhilai Chattisgarh 490006 Contact Number - 0788-2227800 Email Id : [email protected]
16. MDIndia Head Office: S. No. 46/1, E-Space, A-2 Building, 3rd Floor, Pune Nagar Road, Vadgaonsheri, Pune 411014, Maharashtra 020-25300000Email Id : [email protected] , [email protected]
DETAILS OF DEALING OFFICES FOR SAIL MEDICLAIM SCHEME ARE GIVEN BELOW:
17
List Of Other Mdindia Branches Where Claim Documents Can Be Submitted
18
S.No Location Address
1 Ahmedabad 5, Sundervan Co-operative Housing Society Ltd., B/S Auda Office, Opp. Vidhyapith, Usmanpura, Ahmedabad - 380013, Gujarat , Contact No. 91-79-27542665
2 Amravati 1st Floor, Khandelwal Complex, Chaparasipura Road, Sunderlal Chowk, Camp Road, Amravati - 444 603 Maharashtra , Contact No. 0721-2550944
3 Aurangabd Ground Floor, Nisar Place, Opposite JNEC Collage, Gate No 5 Dr. Y.S. Khedkar Marg, Aurangabad - 431001, Maharashtra , Contact No. 0240-2400920
4 Baroda E-302,303 & E-306,3rd Floor, Lalita Tower, B/H.Railway Station, Dinesh Mill Road, Vadodara - 390005 Gujarat , Contact No. 0265 - 2357660 / 2323244 / 2357256 / 2357666 /
5 Beed Shahu Sankul, Shop No. 5, Ground Floor, Opp Yeshwant Hospital, Samrath Chouk, Shahu Nagar, Beed - 431122 , Maharashtra , Contact No. 02442-229033
6 Bhopal Plot No.15, 2nd Floor, Chitransh Home, A-1, Chittragupta Nagar, B/H.Chitransh College, E-7, Arena Colony, 11 No.Stop, Bhopal- 462042, Madhya Pradesh , Contact No. 0755 - 2460795/ 2430511 / 2430533 / 3200070
7 Coimbatore Door No. 89, Grey Town, Near Nehru Stadium, Gandhipuram, Coimbatore - 641 018 , Contact No. 422-2302171: 2302172
8 Cuddalore No. 23/16, 1St Floor, 6th Cross Street, Subbarayalu Nagar, Cuddalore - 607 002, Tamilnadu , Contact No. 0414-2226040
9 Dehradun Ground Floor, 17 C, Raipur Road Near Curzen Chowk, Dehradun - 248001 Uttarakhand , Contact No. 0135 2658722
10 Dharmapuri 17/14,Anthony Colony,Opp.Medical College,Dharmapuri, - 636705, Tamilnadu , Contact No. 04342-270600
11 Dhule Plot No.5 Professor Colony,Opp.Hdfc Bank ,Jaihind College Road,Deopur, Dhule - 424002. , Contact No. 02562-222044
12 Dindigul Ak Tower, 74/5 Siluvathur Road, Opposite Kamarajar Mahal , Dindigul, - 624005, Tamilnadu , Contact No. 4512-430130
13 Erode Room No: 120, Selvanayaki Complex, Perundurai Road, Teachers Colony Bus Stop, Upstairs Indian Bank, Erode, - 638011, Tamilnadu , Contact No. 04242-226123
14 Erode 10/1 Gopinath Towers,Mettur Road,Erode - 638001, Tamilnadu , Contact No. 0424-222425
15 Ferozpur 2nd Floor, Above Azad Electical Store, Opposite Old Civil Hospital, Ferozpur City - 152002,Punjab , Contact No. 01632-220342
16 Gadchiroli C/O Milind Ganpatrao Ramteke, Behind Dr. Appalwaar Eye Hospital, Sadguru Ward No. 04, Dhanora Road, Gadchiroli, Maharashtra - 442605. , Contact No. 07132-234040
17 Goa B/S - 11, 2nd Floor, Campal Trade Centre, Opp.Vivanta Hotel, Panajim Goa - 403001 Goa , Contact No. 0832-2220056
18 Guwahati 604, Amaze shopping mall, 6th Floor, AT Road, opposite Pan Bazar flyover, Guwahati – 781 001 , Contact No. 0361- 2635580/ 2635588
19 Hingoli C/O Kailash Shahane 1St Floor, Opp District Court Shiwaji Nagar, Akola Road Hingoli - 431315, Maharashtra. , Contact No. 02456-220074
20 Hyderabad 101, Imperial Plaza, 1St Flr, 6-3-883/A/1/103, Panjagitta, Hyderabad - 500082, Telangana , Contact No. 040 - 23414121 / 32962260
21 Indore E-15, Hig Colony, Behind Christian Eminent College, Near Lig Square, Indore - 452001, Madhya Pradesh , Contact No. 0731- 2554890
22 Jaipur 932, Kisan Marg, Barkat Nagar, Jaipur - 302015, Rajashthan , Contact No. 0141-2597966
S.No Location Address
19
23 Jalandhar No. 50, Golden Avenue, Ph-1, Near SGL Hospital, Garha Road, Jalandhar, Punjab-144 022. , Contact No. 0181-2481231/32
24 Jalna K.G.N. Colony, Plot No.38 &39, Near Saklecha School, Opp.Totla Petrol Pump, Aurangabad Road, New Jalna-431203, Maharashtra , Contact No. 02482-243525
25 Kanchipuram No.1, Ellappa Nagar, Opp To Collector Office, Kanchipuram - 631501, Tamilnadu , Contact No. 0442-7237717
26 Kanyakumari 84, Lewisammal Street, Nagarcoil, Kanyakumari, - 629001, Tamilnadu , Contact No. 4652-225522
27 Kochi Project office
Katikaran House, Opp. Karuna Printers, Kasim Lane, Nr. St. Augustine School, Kaloor, Kochi - 682 017 , Contact No. 0484 2401327, 1337
28 Kolhapur B/F-7, Prabhakar Plaza, First Floor, 333, E, Station Road, Station Road, Dhabolkar Chowk, Kolhapur- 416003, Maharashtra , Contact No. 0231-2526600
29 Krishnagiri No. 3/E11C, 2nd Floor, Opp. Rayakottai Road, Flyover, Near Hotel Saravanabhavan, Krishnagiri – 635 001 , Contact No. 04343 -234700
30 Latur Nadeem Complex, A/P- Barshi Road & New Barshi Road, Infront Of Ajinkya Honda Showroom, Behind Hanuman Temple, Ground Floor, Latur- 413512, Maharashtra , Contact No. 02382- 222290
31 Lucknow 166, Chandralok Colony Aliganj Lucknow - 226024 Uttarpradesh , Contact No. 0522-2320166
32 Ludhiana Cabin No-10, Ground Floor, Madhok Complex, Firozpur Road, Ludhiana - 141 001, Punjab , Contact No. 0161-2770972/2770973
33 Madurai Thomas Complex,# 46, 2Nd Floor,Netaji Road, Madurai, - 625001 , Tamilnadu , Contact No. 4522-347779
34 Mohali New Office
Mohali Towers, 1st Floor, Plot No F-539, Phase 8-B, Industrial Area, Airport Road, Mohali Chandigarh - 160071, Punjab Contact No. 0172-2236539/ 0172-2236540/ 0172-2236541.
35 Nagapatinam No.8, Rajarani Complex, Room No.112, 2nd Floor, Neela South Street, Nagapattinam, - 611 001, Tamilnadu , Contact No. 04365 -240540
36 Nanded Shop No.74,Alibhai Tower,Shivaji Nagar Nanded, Maharashtra - 431 602 Maharashtra , Contact No. 02462-230064
37 Nashik 1st Floor, Madhav Plaza,Bhabhanagar, Near Hotel Kinara, Mumbai Naka, Nashik 422001 Maharashtra , Contact No. 0253 2591050 /2591051
38 Nilgiri 222 J Sri Ram Nilayam, Hospital. Road, Ooty,The Nilgiris, - 643001, Tamilnadu , Contact No. 0423-2444419
39 Osmanabad Plot No 27/914, Datta Coloney, Kakade Plot, Near Swami Hospital,Osmanabad - 413501, Maharashtra , Contact No. 02472- 228238
40 Parbhani C/O, Dr. Anand Gore,Matru Chhaya, Plot No.971, Ground Floor, Near Marathwada High School, Shivaji Nagar, Parbhani - 431401, Maharashtra , Contact No. 02435 – 222883
41 Patna Khetan Bhavan, Pirmuhani,Kadam Kuan, Uma Cinema, Patna - 800003, Bihar , Contact No. 0612-2660341
42 Pudukkotai Shop no.22 Door No.380/22, Ml Complex ,Neikotton Maram Bus Stop, Opp Near PCC Bank, Pudukottai - 622001, Tamilnadu , Contact No. 0432 – 2233266
43 Pune Branch 1st Floor, Karnavat Tower, Paud Phata, Behind Dashbooja Ganapati Temple, Above Dena Bank, Pune - 411038, Maharashtra , Contact No. 2025438227
44 Raigad (Alibaug)
Room No. 07, 2nd Floor,Opp. Bank Of Baroda,Opp. Bank Of Baroda, Near BVM Theatre, Alibag Rewas Road, Alibag, Raigad - 402201 Maharashtra , Contact No. 02141-223334
45 Ramanathapuram
1/11, Dhurairaj Sathira Street, Near Taj Tirumana Mahal, Velipattinam Post, Ramanathapuram, - 623504, Tamilnadu , Contact No. 4567-220055
S.No Location Address
20
S.No Location Address
Chavan Complex,Plot No. 7, 1st Flooron Main Road Ambedkar 46 SangaliRoad, Shastri Nagar, Civil Chowk Sangli,Dhondiram Chavan, Sangli, - 416416 Maharashtra , Contact No. 0233-2623331
47 Satara 482/A , Bhagyoday Duplex No-16,Sadar Bazar,Behind Dr.Sarwate Eye Hospital Satara, - 415001, Maharashtra. , Contact No. 02162- 228182
48 Solapur Ground Floor, Laxmanshakti, 308, South Sadar Bazar, Lashkar, Solapur - 413 003 Maharashtra , Contact No. 0217-2315531
49 Surat 901 / 9th Floor, Meridian Tower, Near Apple Hospital, Udhana Darwaja, Ring Road, Surat - 395002, Gujarat , Contact No. : 0261- 2345634 / 2345636
50 Thanjavur Survey No.163/4, Second Floor, Door No.10, Natarajapuram North, Municipal Colony Bus Stop, Medical College Main Road, Thanjavur - 613004, Tamilnadu , Contact No. 04362-244000
51 Theni 786/L1, Gandhiji Road, Theni(Madurai Road) Near Main Bus Stand, Theni 625531 , Tamilnadu , Contact No. 4546-260002
52 Thiruvarur 49, Kamalayam, North Bank, Thiruvarur - 610001, Tamilnadu , Contact No. 04366-240096
53 Tirrupur 1st Floor ,D.No.284, Kumaran Plaza, Kumaran Road, Tirupur, - 641 601, Tamilnadu , Contact No. 0421 -2232425
54 Tirunelveli Akm Complex, 4F6/11, Kailasapuram, Middle Street, Near Old Bus Stand, Tirunelveli, Dist Tirunelveli - 627 001, Tamilnadu , Contact No. 4622-339033
55 Tiruvallur 36/75,TNHB, Old Collector Office Road, Tiruvallur - 602001 , Tamilnadu , Contact No. 044 -27666046
56 Tiruvann- No: 16/2 R.V.Complex, Gandhi Nagar Byepass, Tiruvannamalai - 606601, Tamilnadu , Contact No. 04175-220229amalai
57 Trichy No.22/7, 1st Floor, M.N.S. Complex, Ulaganathapuram, TVS Tollgate, Trichy - 620 020, Tamilnadu , Contact No. 04312 – 316611
58 Tuticorin 36B/13, In Complex, Opp Kamraj Collage,Nr. Head Post Office,Tiruchendur Road, Tuticorin, -628003 , Tamilnadu , Contact No. 4612-376868
59 Vellore No:297/R1,K.T.J Complex, 2nd Floor, R.T.O Road, Sathuvachari, Vellore - 632009, Tamilnadu , Contact No. 0416-2257999
297H,1st Floor,Ktj Complex,Rto Road,Sathuvacheri,Vellore, -60 Vellore 632009, Tamilnadu , Contact No. 0416-2256899
140-H2, Railway Feeder Road, Vriudhunagar, - 626001, 61 Virudhu-Tamilnadu , Contact No. 04562 – 243040nagarPremises No.30-15-110 Located On 2nd Floor, AV Towers, Daba 62 Visakha-Gardens Main Road, Vishakhapatnam - 530 020 Andhra Pradesh , patnamContact No. 0891- 2795268
21
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 Pre Hospitalization bills ___ Nos. Yes/No
MDI Pre-Authorization Certificate: Yes/No Post Hospitalization bills ___ Nos. Yes/No
Claim Intimation Letter Yes/No Hospital Payment receipt Yes/No
Discharge Summary Yes/No Hospitalization Bill Yes/No
Medicines Bills with Dr’s prescription Yes/No Surgeon’s surgery certificate Yes/No
Operation Theater / Pharmacy Bills Yes/No Surgeon/Consultant’s bills Yes/No
Investigation reports with Dr’s prescription Yes/No
MRI ___ Nos. Yes/No ECG ___Nos. Yes/No
CT scan ___ Nos. Yes/No X-Ray ___Nos. Yes/No
US scan ___ Nos. Yes/No Other’s (If any) 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.
22
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 MDIndia Health Insurance TPA Pvt. Ltd. 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
23
ANNEXURE - C : CLAIM INTIMATION FORM Claim Intimation Form- Steel Authority of India Ltd.
Mediclaim Policy for Retired Employees
Hospitalization Information Name of the Patient: MIN no.:
Full Address:
City:
State:
Pincode:
Phone No.:
E-Mail:
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: State: Pin code: Contact no.:
Doctor Information Name of the Treating Doctor: Registration no.: Qualification: Landline Contact no.: Mobile no.: Estimated Expenses: Any other relevant information Additional attached Documents
Intimation Submitted by:
Insured Patient Relative
Name: Contact no.: I hereby authorize MDIndia Health Insurance TPA Pvt. Ltd./ Insurance Company/ Representative of Insurance Company to obtain my medical record/ Information from Hospital/ Nursing Home/ Treating Medical Professionals/ Family Physician/ diagnostic Centre / 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
24
O.P.D TREATMENT CLAIM FORM
MDIndia Health Insurance TPA Pvt. Ltd.
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 MDIndia Health Insurance TPA Pvt. Ltd./ United Insurance Co Ltd /SAIL to seek medical information/documents from any hospital /provider who has any time attend on the insured person.
Place:
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.
(Signature of Insured)
ANNEXURE - B : CLAIM FORM - OPD
25
Annexure E : Payment Voucher
MDIndia Health Insurance TPA Pvt. Ltd.Regd. Office and H.O., Building A2, 3rd Floor, E Space, Vadgaon Sheri, Nagar Road, Pune - 411 014.
Payment No :
Payment Voucher : Date : Office : Dpc. Code : Bank A/C Code :
Pay to :
Towards MIN NO. :
Authorised By AO Asst/Dy. MGR MGR AGM GM
Received with thanks from MDIndia Health Insurance TPA Pvt. Ltd.
Sum of Rupees ( In Words) ...........................................................................
..........................................................................................................................
Cheque No. ....................................................................................................
Drawn On : .................................................Dated .........................................
Cashier Signature of Recipient
AAO
Please affix Rs.1/- revenuestamp if amountexceeds Rs.5000/-
/
26
Annexure F: Request for Authorization (RAL) for Cashless Hospitalization
MDIndia Health Insurance TPA Pvt. Ltd.
28
OPD Claim / Hospitalization Claim/Additional Document Replies / Additional Payment /
Deduction payment / Reconsideration Claim
Ywill be permanently debarred from the Mediclaim membership and legal action shall be taken against him/her.
Y 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 does not lapse due to the above reasons.
Disclaimers :If any member is found to be misusing the system or has committed any fraud, the member
Annexure “G”
Document Acknowledgment Form
MDIndia Health Insurance TPA Pvt. Ltd.
Acknowledgement Slip
Created On : DD/MM/YY
Sub Reg. No
MIN No.
Inward Date
Dep Rec Date
Patient Name
Type of Doc
Source
Insurance Co.
Policy No.
Card No.
Claim No.
29
MDIndia Health Insurance TPA Pvt. Ltd S. No. 46/1, E-space, A-2 Building, 4th floor,Pune Nagar Road, Vadgaonsheri, Pune 411014.
NEFT Form To,
MDIndia Health Insurance TPA Pvt. Ltd
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:
Card 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
Saving 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
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)
E-Mail ID (for mail notification) (please provide the IDs which will be valid throughout the policy period)
1)
2)
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 MDIndia Health Insurance TPA Pvt. Ltd responsible. • I / We further undertake to refund, at any time, any excess amount whether demanded by MDIndia Health Insurance TPA Pvt. Ltd or not, which has been credited to my account [due to any reason] by MDIndia Health Insurance TPA Pvt. Ltd, in excess of (i) the amount due to me, or (ii) Claim/Refund/ Any other payment. • I / We agree that the payment will be endeavoured 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 MDIndia Health Insurance TPA Pvt. Ltd into the aforesaid account will be valid discharge to MDIndia Health Insurance TPA Pvt. Ltd 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, MDIndia Health Insurance TPA Pvt. Ltd, 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 MDIndia Health Insurance TPA Pvt. Ltd with an advance notice of 15 days, to withdraw from this mode of electronic payment. • I / We further confirm that MDIndia Health Insurance TPA Pvt. Ltd 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 MDIndia Health Insurance TPA Pvt. Ltd. • After MDIndia Health Insurance TPA Pvt. Ltd 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 MDIndia Health Insurance TPA Pvt. Ltd 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
ANNEXURE - F : NEFT FORM
NEFT Form
Card number
SAIL FAQ'S :
1) What is the validity of SAIL Mediclaim Scheme-2017-18?th th
Answer : The SAIL Mediclaim scheme 2017-18 is valid from 11 April 2017 till 10 April, 2018 (2400 hours -IST)
2) What is claim intimation?Answer : Claim intimation is the notice of hospitalization/admission which is required to be sent to anycentre of MDIndia Health Insurance TPA Pvt. Ltd in writing through letter/fax/email/Personally delivered at TPA offices, 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-address-contact 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 claim document?Answer : You can submit the documents to the nearest MDIndia Health Insurance TPA Pvt. Ltd branch(branch details have been provided in the SAIL guide book) OR you can send the documents toMDIndia Health Insurance TPA Pvt. Ltd TPA head office at the following address, S. No. 46/1, E-space, A-2 Building, 4th floor, Pune Nagar Road, Vadgaonsheri, Pune - 411014.
4) What I have to do for availing cashless hospitalization facility?Answer : In case of planned hospitalization, MDIndia Health Insurance TPA Pvt. Ltd TPA should beinformed 48 hrs in advance, through the duly filled-in/ Pre Authorization form (available at MDIndiaHealth Insurance TPA Pvt. Ltd TPA website/in the guide book /at the TPA desk of the concernedhospital). 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 ofauthorization will be issued to the hospital authorizing treatment. In case of emergencyhospitalization/admissions, the concerned hospital is required to send the request for Authorization forcashless hospitalization to MdIndia within 24 hours of hospitalization / admission. Once MDIndiaauthorizes the concerned hospital, the cashless treatment through a authority letter, you are notrequired to pay the hospital up to the amount which has been sanctioned by the said authority letterMDIndia 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 fromthe hospital to any nearest MDIndia Health Insurance TPA Pvt. Ltd TPA 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 TPA at any time butnecessarily when the expenses exceed Rs. 2000 per person per policy period or within 90 days fromthe date of completion of the treatment, whichever is earlier.
7) Where can I avail cashless hospitalization facility? Answer: You can avail the cashless hospitalization facility in the Hospital mentioned in the guidebookunder the head List of empanelled hospitals for cashless hospitalization under TPA. The updated list ofsuch empanelled hospitals may also be seen at the TPAs website (www.mdindiaonline.com) or you can call on toll free number 1800-233-5599
8) What are the documents required to be submitted for claiming reimbursement forhospitalization?Answer : Kindly submit the following documents for processing your claim.Ÿ Claim form duly filled & signed Ÿ Copy of MDIndia ID CardŸ Original detailed Discharge Summary Ÿ Original Hospital bill with break-up and Payment receipts.
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Ÿ
Ÿ All Original cash memos and bill for medicines.Ÿ Package Break-up (if applicable)Ÿ Original Investigation reports along with films.Ÿ Hospital Registration Certificate.Ÿ Your telephone numbers & E-mail ID.Ÿ Bank details with cancelled Cheque for NEFT or you can also upload Bank details on our website
www.mdindiaonline.com.
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 MDIndia HealthInsurance TPA or you can contact Head Office of MDIndia Health Insurance TPA PVT. LTD. on :a. Customer Care Help line (Toll Free No): 1800-233-5599b. Email ID: [email protected]. Or you may Fax on: 1860-233-4449
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 Posthospitalization 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 under IPD / Hospitalization. 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) Spouse cannot sign on claim form can she give let hand thumb impression on Claim form?Answer: Yes, she / he can put left hand thumb impression on the 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 Mediclaim member, to the TPA at any time but necessarilywhen the expenses exceed Rs. 2000 per person per policy period or within 90 days from the date ofcompletion of the treatment, whichever is earlier.
14) Are only diagnostic test covered under IPD? Answer: Diagnostic tests which are not consistent with line of treatment are not payable as per policy terms and conditions. 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 yourinvestigation/diagnostic reports and X-ray / ultrasound films etc. with the Hospital. The hospital authorities will send the documents to MDIndia TPA for assessment and payment.
All Original Doctor's prescription for medicine purchased.
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16) What is room restriction? Answer : For metro cities (Hyderabad, NCR, Bangalore, Mumbai, Chennai, Kolkata) Ceiling of2% of the sum insured per member, i.e. Rs. 4000, or a single AC Non Deluxe room per day,whichever is lower. Ÿ 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, Ÿ 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 Intra 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 cataractsurgery procedure. It is mandatory to attach the empty IOL sticker bearing the signature and stamp ofthe operating surgeon on it along with the bill in support of the type of IOL used containing its batchnumber at the time of claim submission.
18) What are the details on ECS / NEFT Payments?Answer : Electronic clearance system is process where the amount is directly transferred to claimantsaccount. Claimant needs to fill in the ECS form available on the MDIndia Health Insurance TPA website (www.mdindiaonline.com) or avail it from its branches. Once duly filled they can send the document to the branch or Head office along with a cancelled cheque.
19) Will the company claim reimbursement for treatment/ medicines disbursed to the membersthrough its Hospitals & Health Centers?Answer: Yes, SAIL will claim reimbursement against the treatment (OPD/ IPD) provided through itsHospital & Health Centers including SAIL dispensaries and the same will be adjusted against the.available Sum Insured for OPD/ IPD of the concerned member, as the case may be.
20) When is my membership activated/ renewed?Answer : Ÿ You have paid your premium fees through the various payment procedures as informed.Ÿ You have sent your receipt of payment along with the renewal application form (complete in all
aspects) to your concerned plant/ unit for activation/ renewal of your Membership.Ÿ Renewal will not be complete till payment receipt is sent to concerned plant / unit along with
application form.
21) Is Robotic surgery payable?Answer : No, robotic surgery or robotic assisted surgery is not payable under this policy.
22) Can I Claim hospitalization expenses of Ayurvedic / Homeopathic/Unani treatment of anyhospital? Answer : Hospitalization expenses of Ayurvedic/Homeopathic/Unani treatment are Admissible onlywhen the treatment is taken in Government Hospital/Medical College Hospital.
23) Can I claim the expenses of Rejuvenation therapy/Massage/Panchkarma?Answer: These are not payable under this Policy.
24) Can I Claim hospitalization expenses for Stem cell Transplantation?Answer: Stem cell Transplantation except Haemopoetic Stem Cell Transplant/ Bone Marrow
25) From where I can get the updated OPD list?Answer : Updated OPD centres are mentioned in the guidebook 2017-18.The updated list of OPD listmay also be seen on MDIndia TPA website (www.mdindiaonline.com) or you can call MDIndia TPA tollfree number 1800-233-5599
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Sr.No. Treatment Capping per Hospitalization
1 Hernia repair Rs. 40,000/-
2 Cholecystectomy Rs. 45,000/-
3 Haemorrhoidectomy Rs. 25,000/-
4 Appendectomy Rs. 35,000/-
5 Hysterectomy Rs. 45,000/-
6 Coronary Angiogram/ Angiography Rs. 16,000/-
7 Tonsillectomy Rs. 15,000/-
26) Are there any treatment wise capping/ceilings in the policy?Answer: In addition to the capping on Stents/ implants, the following capping on procedures/packages as given below, shall also be applicable
Ÿ The capping/ ceilings are applicable on 'per hospitalization' basis and only for cases whereŸ there are no complications/multiple diseases.Ÿ Pre-Hospitalization & Post-Hospitalization claims pertaining to the treatments do not comeŸ under the purview of the aforementioned capping.Ÿ27) Are there any Discounts on treatment services for cash patients?Answer: Few hospitals offer IPD/OPD treatment facilities to members of SAIL Mediclaim Scheme2017-18 at negotiated tariff even when payment is made on cash basis but on production ofMDIndia Member Card. For list of such hospitals, please refer Page no. 54-55
28) What is 'active line of treatment'?Answer: Active line of treatment is that treatment which is not advised on an ambulatory ordomiciliary basis and for which admission to a hospital is required. This can include anymedication administered (injectable, infusion etc) or any surgical procedure done or treatmentthats administered where close/continuous monitoring of the patient is required.
Examples of active lines of treatment are provided below.Ÿ Intra venous antibiotic needed in case of bacterial infectionŸ Coronary angiography done in case of chest pain with positive ECG changes.Ÿ In case of accelerated hypertension BP monitoring & IV medication is required.
29) Further clarification on Hospitalisation not leading to active line of treatment
Answer: Hospitalisation where only investigations are carried out without any treatment for
which admission to a hospital / Nursing Home was required is termed as hospitalisation not
leading to active line of treatment.
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Sr.No. Treatment Capping per Hospitalization
INDICATIVE LIST OF DAY CARE PROCEDURE
Sr. Name of Day Care Procedures Sr. Name of Day Care Procedures
1 Suturing - CLW -under LA or GA 22 Therapeutic ERCP
2 Surgical debridement of wound 23 Brochoscopic treatment of bleeding Idsion
3 Therapeutic Ascitic Tapping 24 Brochoscopic treatment of fistula /stenting
4 Therapeutic Pleural Tapping 25 Bronchoalveolar lavage & biopsy
5 Therapeutic Joint Aspiration 26 Tonsillectomy without Adenoidectomy
6 Aspiration of an internal abscess undejr ultrasound guidance
27 Tonsillectomy with Adenoidectomy
7 Aspiration of hematoma 28 Excision and destruction of lingual torjisil
8 Incision and Drainage 29 Foreign body removal from nose
9 Endoscopic Foreign Body Removal - trachea /-pharynx-larynx/ bronchus
30 Myringotomy
10 Endoscopic Foreign Body Removal -(pesophagus/stomach /rectum
31 Hydrocele surgery
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True cut Biopsy - breast/- liver/- kidney-Lymph Node/-Pleura/-lung/-Muscle biopsy/ Nerve biopsy/-Synovial biopsy/-Bone^ trephine biopsy/ pericardial biopsy
32 Epididymectomy
12 Endoscopic ligation/banding 33 Orchidectomy
13 Sclerotherapy 34 Myringotomy with Grommet insertion
14 Dilatation of digestive tract strictures 35 Myringoplasty /Tympanoplasty
15 Endoscopic ultrasonography and bioosy 36 Antral wash under LA
16 Nissen fundoplication for Hiatus Hernia /Gastro esophageal reflux disease
37 Quinsy drainage
17 Endoscopic placement/removal of stints 38 Direct Laryngoscopy with or w/o biopsy
18 Endoscopic Gastrostomy 39 Reduction of nasal fracture
19 Replacement of Gastrostomy tube 40 Mastoidectomy
20 Endoscopic polypectomy 41 Removal of tympanic drain
21 Endoscopic decompression of colon 42 Reconstruction of middle ear
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INDICATIVE LIST OF DAY CARE PROCEDURES
Sr. Name of Day Care Procedures Sr. Name of Day Care Procedures
43 Incision of mastoid process & middle Ear 64 Corrective surgery for blepharoptosis
44 Excision of nose granuloma 65 Foreign body removal from conjunctiva
45 Blood transfusion for recipient 66 Foreign body removal from cornea
46 Therapeutic Phlebotomy 67 Herniorrhaphy
47 Haemodialysis/Peritoneal Dialysis 68 Hernioplasty
48 Chemotherapy 69 Incision and excision of tissue in the perianal region
49 Radiotherapy 70 Surgical treatment of anal fistula
50 Coronary Angiography (PTCA) 71 Surgical treatment of hemorrhoids
51 Pericardiocentesis 72 Sphincterotomy/Fissurectomy
52 Insetion of filter in inferior vena cava 73 Laparoscopic appendicectomy
53 Insertion of gel foam in artery or vein 74 Laparoscopic cholecystectomy
54 Carotid angioplasty 75 TURP (Resection prostate)
55 Renal angioplasty 76 Varicose vein stripping or ligation
56 Tumor embolization 77 Excision of dupuytren's contracture
57 TIPS procedure for portal hypertension 78 Carpal tunnel decompression
58 Endoscopic Drainage of Pseudopancjreatic cyst 79 Excision of granuloma
59 Lithotripsy 80 Athroscopic therapy
60 PCNS (Percutaneous nephrostomy) 81 Surgery for ligament tear
61 PCNL (percutaneous nesphrolithotomuy) 82 Surgery for meniscus tear
62 Suprapubic cytostomy 83 Surgery for hemoarthrosis/pyoarthros|s
63 Tran urethral resection of bladder tunjior 84 Removal of fracture pins/nails
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36
INDICATIVE LIST OF DAY CARE PROCEDURES
Sr. Name of Day Care Procedures Sr. Name of Day Care Procedures
85 Removal of metal wire 110 Simple restoration of surface continuity of the skin and subcutaneous tissue
86 Incision of bone, septic and aseptic j 111 Free skin transpotation, donor site
87 Closed reduction on fracture, luxationjor epiphyseolysis with osetosynthesis
112 Free skin transpotation recipient sie
88 Suture and other operations on tendons and tendon sheath
113 Revision of skin plasty
89 Reduction of dislocation under GA 114 Destruction of the diseases tissue of the skin and subcutaneous tissue
90 Cataract surgery 115 Incision, excision, destruction of the diseased tissue of the tongue
91 Excision of lachrymal cyst 116 Glossectomy
92 Excision of pterygium 117 Reconstruction of the tongue
93 Glaucoma Surgery 118 Incision and lancing of the salivary gland and salivary duct
94 Surgery for retinal detachment 119 Resection of a salivary duct
95 Chalazion removal (Eye) 120 Reconstruction of a salivary gland and salivary duct
96 Incision of lachrymal glands 121 External incision and drainage in the region of the mouth, jaw and face
97 Incision of diseased eye lids 122 Incision of hard and soft palate
98 Excision of eye lid granuloma 123 Excision and destruction of the diseased hard and soft palate
99 Operation on canthus & epicanthus j 124 Incision, excision and destruction in the mouth
100 Corrective surgery for entropion & ectrfopion 125 Surgery to the floor of mouth
101 Incision of Cornea 126 Palatoplasty
102 Foreign body removal from lens of the eye 127 Transoral incision and drainage of pharyngeal abscess
103 Foreign body removal from posterior chamber of eye
128 Dilatation and curettage
104 Foreign body removal from orbit and eye ball 129 Myomectomies
105 Excision of breast lump /Fibro adenpma 130 Simple Oophorectomies
106 Operations on the nipple 131 Coronary Angiography
107 Incision/Drainage of breast abscess 132 Dental Surgery (following Accident)
108 Incision of pilonidal sinus 133 Hysterectomy
109 Local excision of diseased tissue of skin and subcutaneous tissue
134 Laproscopic Therapeutic Surgeries
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Any other surgeries /procedures agreed to by SAIL, Insurance Company and TPA requiring
less than 24 hours hospitalization will also be considered under Hospitalization
Along with the Branches /Franchisees of major renowned chains of Hospital/Diagnostic Centres
namely Apollo, Max, Fortis, Sankara Nethralaya, Centre for Sight, Shroff Eye, Arvind Eye, Sharp
Eye and Narayana Hrudalaya, Global Hospitals, Yashoda Hospitals, Dr. Lal Path Labs & SRL
Religare anywhere in India
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LIST OF SAIL APPROVED HOSPITALS FOR OPD TREATMENT
ANDHRA PRADESH K.G HOSPITAL
HYDERABAD APOORVA HOSPITAL
AGHAVA RATAN TOWERS, CHIRAGALI LANE SEVEN HILLS HOSPITAL
APOLLO HOSPITAL CARE HOSPITAL
CARE HOSPITAL APOLLO HOSPITAL
JAYA DIAGNOSTIC & RESEACH CENTRE LTD. MEDWIN HOSPITAL MEDWIN HOSPITAL VASAN EYE CARE HOSPITAL
LV PRASAD EYE INSTITUTE LAZARUS HOSPITAL
MAX VISION EYE HOSPITAL, BEGUMPET, HYDERABAD QUEEN'S NRI HOSPITAL
YASHODA HOSPITAL ASSAM
MEDICITY HOSPITAL GUWAHATI
GLOBAL HOSPITAL INTERANATIONAL HOSPITAL
KRISHAN INSTITUTE OF MEDICAL SCIENCES DOWN TOWN HOSPITAL
SADHURAM EYE HOSPITAL PRATIKSHA HOSPITAL - THE MISSION HOSPITAL
KAKINADA BIHAR
APOLLO HOSPITAL DARBHANGA
CARE HOSPITAL R.B MEMORIAL HOSPITAL
NELLORE RAM JANKI HOSPITAL
BOLLINELI RAMANAIAH MEMORIAL HOSPITAL DMCH
VIJAYAWADA PATNA
GLOBAL MEDICAL CENTRE HOLY FAMILY HOSPITAL, KURJI
PINNAMANENI CARE HOSPITAL INDIRA GANDHI AYUR SANSTAN, SEKHPUR
SAUMYA APOLLO HOSPITAL PATNA MEDICAL COLLEGE HOSPITAL
ST. ANN'S HOSPITAL MAGADH HOSPITAL
VIJETHA HOSPITAL HEART HOSPITAL PVT. LTD
DR. RAMESH CHANDRA CARDIAC & MULTI SPECIALITY HOSPITAL INDIRA GANDHI INSTITUTE OF MEDICAL SCIENCE
NAGARJUNA HOSPITAL LIMITED CHANDIGARH
VISAKHAPATNAM CHHUTTANI MEDICAL CENTER
CITY CARE HOSPITAL FORTIS HOSPITAL
ANDHRA PRADESH
ASSAM
BIHAR
CHANDIGARH
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INSCOL HOSPITAL TYAGI NURSING HOME
ALCHEMIST HOSPITAL SUNDER LAL JAIN CHARITABLE HOSPITAL
DELHI SANJEEVAN HOSPITAL
KHERA HOSPITAL MAX HOSPITAL (SHALIMAR BAGH)
BHATIA GLOBAL HOSPITAL AYUSHMAN HOSPITAL
ANAND HEALTH CARE PVT. LTD. NATIONAL HEART INSTITUTE , 49, COMMUNITY CENTRE
JEEVAN NURSING HOME & HOSPITAL R.G STONE CLINIC UROLOGICAL RESEARCH CENTRE
KOLMET HOSPITAL & MEDICAL RESEARCH CENTRE SUKDHA HOSPITAL
ROCKLAND HOSPITAL EAST WEST MEDICAL CENTRE PVT. LTD
SITA RAM BHATIA INSTITUTE OF SCIENCE & RESEARCH RETINA ASSOCIATES EYE INSTITUTE
SIR GANGA RAM HOSPITAL SOUTH POINT HOSPITAL
TIRATH RAM SHAH HOSPITAL MOHINDRA HOSPITAL
THE HEART CENTRE, NEW FRIENDS COLONY MATA CHANAN DEVI HOSPITAL
BHAGWATI HOSPITAL SAHI HOSPITAL
JAIPUR GOLDEN HOSPITAL SHROFF EYE CENTRE
RAJIV GANDHI CANCER INSTITUTE & RESEARCH CENTER DR. PATNAIK LASER EYE INSTITUTE
SAROJ HOSPITAL & HEART INSTITUTE MOOLCHAND KHAIRATI RAM HOSPITAL
MAHARAJA AGRASAIN CHARITABLE HOSPITAL VIDHYA SAGAR INSTITUTE OF MENTAL HEALTH AND NEUROSCIENCE (VIMHANS)
ORTHONOVA INSTITUTE OF ADVANCED SURGERY AND RESEARCH CENTER WALIA NURSING HOME
SHRI MEDICAL CENTER BHAGWAN MAHAVIR HOSPITAL
SANT PARMANAND HOSPITAL GUJARMAL MODI HOSPITAL & RESEACH CENTRE FOR MEDICAL SCIENCES
VENU EYE INSTITUTE APOLLO INDRAPRASTHA HOSPITAL
PUSHPAVATI SINGHANIA RESEARCH INSTITUTE FOR LIVER, RENAL & DIGESTIVE DISEASES JEEVAN ANMOL HOSPITAL
ST. STEPHENS HOSPITAL DR. GUPTA NURSING HOME & HOSPITAL
INDIAN SPINAL INJURIES CENTRE BATRA HOSPITAL AND MEDICAL RESEARCH CENTRE
SETH PRABHU DAYAL GUPTA CHARITABLE HOSPITAL HOLY FAMILY HOSPITAL
VASANT LOK HOSPITAL DELHI HEART & LUNG INSTITUTE
DHARMSHILA CANCER HOSPITAL & RESEARCH CENTRE GOYAL EYE HOSPITAL
SHANTI MUKUND HOSPITAL DR. PATRIAIKS LASER EYE INSTITUTE
DEEPAK MEMORIAL HOSPITAL & MEDICAL RESEACH CENTRE MAX DEVKI DEVI HEATRT & VASCULAR INSTITUTE
LIONS HOSPPITAL & RESEARCH CENTRE, LIONS SERVICE TRUST MAX SUPER SPECIALITY HOSPITAL, SAKET
PARMARTH MISSION HOSPITAL MAX MED CENTRE
SWASTIK MEDICAL CENTRE B.L KAPUR MEMORIAL HOSPITAL
FLT. LT RAJAN DHALL HOSPITAL
DELHI
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SRI BALAJI ACTION MEDICAL INSTITUTE AND ACTION CANCER HOSPITAL BHARAT HOSPITAL
METRO HOSPITAL & CANCER INSTITUTE JANKI DAS KAPOOR MEMORIAL HOSPITAL
MAX BALAJI MEDICAL & DIAGNOSTIC RESEARCH CENTRE SATHYA OM NETHRA & MATERNITY HOSPITAL
DEWAN CHAND SATYAPAL AGGARWAL RESEARCH CENTRE GURGAON
GOA SITARAM BHARTIA CLINIC
BONAPAVLA ARK HOSPITAL
MANIPAL GOA CANCER AND GENERAL HOSPITAL MP HEART RESEARCH INSTITUTE
MARGAO PARAS HOSPITAL
APOLLO VICTOR HOSPITAL PRIVAT HOSPITAL
GUJARAT UMA SANJIVINI HEALTH CENTRE PVT. LTD
AHMEDABAD UMKAL HOSPITAL
DR. JEEVRAJ MEHTA SMARAK HEALTH FOUNDATION MEDICAL RESEACH CENTRE COLUMBIA ASIA HOSPITAL
M.P SHAH CANCER HOSPITAL ARTEMIS HEALTH INSTITUTE
R.G STONE CLINIC CENTRE FOR SIGHT
GUJARAT RESEARCH & MEDICAL INSTITUTE MEDANTA THE MEDICITY
SAL HOSPITAL & MEDICAL INSTITUTE PANCHKULA
SHETH SRI PUKHRAJ RAICHAND GENERAL HOSPITAL ALCHEMIST HOSPITAL
APOLLO HOSPITAL DHAWAN HOSPITAL
STERING HOSPITAL HISSAR
VADODARA HOSPITAL ATTACHED TO JINDAL STEEL
BHAILAL AMIN GENERAL HOSPITAL YAMUNA NAGAR
METRO HOSPITAL & RESEARCH CENTRE JP HOSPITAL
HARYANA JHARKHAND
BAHADURGARH JAMSHEDPUR
DELHI HOSPITAL & NURSING HOME CANCER HOSPITAL
FARIDABAD TATA MAIN HOSPITAL
METRO HEART INSTITUTE WITH MULTISPECIALITY TELCO HOSPITAL
SUNFLAG HOSPITAL & RESEARCH CENTRE BOKARO
SARVODAYA HOSPITAL REFERRAL HOSPITAL, P.O. JAINAMORE
ASIAN INSTITUTE OF MEDICAL SCIENCE DHANBAD
ESCORTS HOSPITAL CENTRE BCCL HOSPITAL
CENTRE FOR SIGHT CCWO HOSPITAL SARIADHELLA
SONIPAT PATLIPUTRA MEDICAL COLLEGE
GOA
GUJARAT
HARYANA JHARKHAND
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GIRIDIH ST. JOHNS MEDICAL COLLEGE & HOSPITAL
STATE REFERRAL HOSPITAL, DUMRI ST. MARTHAS HOSPITAL
HAZARIBAGH THE BANGALORE HOSPITAL
MISSION HOSPITAL WOCKHARDIT HOSPITAL
RANCHI VITTALA INTERNATIONAL INSTITUTE OF OPHTHAMOLOGY
APOLLO hospital, IRBA MALLYA APOLLO HOSPITAL
GURUNANAK HOSPITAL & RESEARCH CENTRE INSTITUTE OF NATURAPATHY & YIGIC SCIENCE
HOSPITAL FOR MENTAL DISEASE RELIGARE HOSPITAL
ISPAT HOSPITAL, MENON MANIPAL
MAHADEVI BIRLA TB SANATORIUM KASTURBA HOSPITAL
MARWARI SEWA SADAN KERALA
MISSION HOSPITAL, BARIATU ALLEPPEY
NAGAR MAL MODI SEVA SADAN VSM HOSPITAL
R.K MISSON TB SANATORIUM ST. THOMAS MISSION HOSPITAL
RAJ HOSPITAL NIDAN , MAIN ROAD CALICUT
RAJENDRA MEDICAL COLLEGE HOSPITAL BADY MEMORIAL HOSPITAL
KARNATAKA CHENGANNUR
MANGALORE CHRISTIAN MISSION HOSPITAL
A J HOSPITAL & RESEACH CENTRE CHITTUR ROAD, PALAKKAD - 13
MYSORE LAKSHMI HOSPITAL
BASAPPA MEMORIAL HOSPITAL ERAVIPEROOR
BENGALURU KOTAKKATTU MEDICARE HOSPITAL
BANGALORE INSTITUTE OF DENTAL SCIENCE & HOSPITAL KOCHI
CENTRAL INSTITUTE OF NURO SCIENCE AMRITA INSTITUTE OF MEDICAL SCIENCE & RESEARCH CENTRE
CHINMAYA MISSION HOSPITAL ARYA VAIDYASALA (KOTTAKAL)
INNOVATIVE DENTAL AND MEDICAL POLY CARE CENTRE ERNAKULAM MEDICAL CENTRE
KMC HOSPITAL GIRIDHAR EYE INSTITUTE
MALLAYA HOSPITAL CHINMAYA MISSION HOSPITAL INDIRA GANDHI CO - OP. HOSPITAL
MALLAYA HOSPITAL KPM EYE HOSPITAL
MANIPAL HEART FOUNDATION LISIE HOSPITAL
MANIPAL HOSPITAL MENTAL HOSPITAL LOURDES HOSPITAL
MODEL EYE CLINIC AND NURSING HOME MEDICAL TRUST HOSPITAL
GLOBAL HOSPITAL OJUS CLINIC & NURSING HOME
NETHRADHAMA SUPER SPECIALITY EYE HOSPITAL PVS HOSPITAL
RAMIAH HOSPITAL ALAPUZHA
SHRI SATYA SAI HOSPITAL YSM HOSPITAL
KERALA
KARNATAKA
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KOLLAM SAN JOE HOSPITAL
AMRITA AYURVEDA MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE TRIVALLA DIST, ERNAKULAM
S.S.M HOSPITAL PUSHPGIRI HOSPITAL
KOTTAKKAL TRICHUR
ARYA VAIDYA SALA AMALA CANCER HOSPITAL
KOTTAYAM ASWANI HOSPITAL
S.H MEDICAL CENTRE ELITE MISSION HOSPITAL
HOLY CROSS MULTISPECIALITY HOSPITAL JUBILEE MISSION HOSPITAL
KARITHAS HOSPITAL TRICHUR HEART HOSPITAL
MAR GEE VARGHESE DIONYSIUS MEMORIAL HOSPITAL TRICHY
KOZHENCHERRY MARUTI HOSPITAL
MUTHOOT MEDICAL CENTRE MOTHER HOSPITAL MENTAL HOSPITAL
MELAMUR PALAKKAD - 6 KANNUR
KARUNA HOSPITAL COOPERATIVE HOSPITAL
IRINJALAKUDA INDIRA GANDHI CO - OP. HOSPITAL
LAL MEMORIAL HOSPITAL TRIVANDRUM
MULAKUZHA MOTHER HOSPITAL
CENTURY HOSPITAL MENTAL HOSPITAL
PALAKKAD GENERAL HOSPITAL
DIABETIC CENTRE SAMARITAN HOSPITAL
PALAT MEMORIAL HOSPITAL SHREECHITRA TIRUMAK MEDICAL CENTRE
PALANA HOSPITAL SREE UTHRADOM THIRUNAL HOSPITAL
THANGAM HOSPITAL OF PMRC MAHARASHTRA
WELCARE HOSPITAL NAGPUR
PANDALAM CENTRAL INDIA INSTITUTE OF MEDICAL SCIENCE
N.S.S MEDICAL MISSION HOSPITAL MENTAL HOSPITAL
PARUMALA WOCKHARDT HOSPITAL
ST. GREGORIOS CARDIO - VASCULAR CENTRE FORTIS HEART HOSPITAL
PATHANAMTHITTA ORANGE HOSPITAL & RESEARCH HOSPITAL
MARTHOMA MEDICAL MISSION HOSPITAL NAVI MUMBAI
MUTHOOT MEDICAL MISSION HOSPITAL DR. D. Y PATIL HOSPITAL & RESEARCH CENTRE
TIRUVALLA MEDICAL MISSION STERLING WOCKHARDT HOSPITAL
PERINTHAL MANNA - 679322 THANE
EMS MEMORIAL CO - OPERATIVE HOSPITAL & RESEARCH CENTRE LOK HOSPITAL
PERUMBAVOOR
MAHARASHTRA
43
PUNE VASANT YIHAR, ALWAR
ARTIFICIAL LIMB CENTRE SETH PRABHIR DAYAL GUPTA CHARITABLE HOSPITAL
JEHANGIR HOSPITAL JAIPUR
K.E.M HOSPITAL SMS MEDICAL COLLEGE
MEDIPOINT HOSPITAL SONI HOSPITAL
N.M WADIA INSTITUTE OF CARDIOLOGY FORTIS ESCORTS HOSPITAL
SADHU VASWANI MISSION MEDICAL COMPLEX SANTOKBHA DURLABHJI MEMORIAL HOSPITAL
GRANT MEMORIAL FOUNDATION JODHPUR
ADITYA BIRLA MEMORIAL HOSPITAL GOYAL HOSPITAL & RESEARCH CENTRE PVT. LTD.
POONA HOSPITAL & RESEARCH CENTRE KOTA
MUMBAI SUDHHA HOSPITAL & MEDICAL RESEARCH CENTRE PVT LTD.
B.J WADIA HOSPITAL GLOBAL ODI HOSPITAL
BOMBAY HOSPITAL PUNJAB
G.T HOSPITAL FEROZPUR
P.D. HINDUJA HOSPITAL ANIL BAGHI HOSPITAL
J.J GROUP OF HOSPITAL HOSHIARPUR
JASLOK HOSPITAL MODERN HOSPITAL
K.E.M HOSPITAL JALLANDHAR
LILAVATI HOSPITAL & RESEARCH HOSPITAL PATEL HOSPITAL PVT. LTD.
NAIR HOSPITAL LUDHIANA
NANAVATHI HOSPITAL CMC HOSPITAL
R.G STONE CLINIC DAYANAND MEDICAL COLLEGE & HOSPITAL
TATA CANCER RESEARCH INSTITUTE RAJPURA
TATA MEMORIAL HOSPITAL SONI HOSPITAL
STERLING HOSPITAL UTTAR PRADESH
M.G. MEMORIAL TRUST LUCKNOW
FORTIS HOSPITAL OP CHAUDHAR HOSPITAL & RESEARCH CENTRE
HOLY FAMILY HOSPITAL RAMAKRISHNAN MISSION
HOLY SPIRIT HOSPITAL VIVEKANAND POLYCLINIC
JUPITER HOSPITAL NOIDA
RELIGARE SPL DIAGNOSTIC AGGARWAL EYE HOSPITAL & DENTAL CARE CENTRE
RAJASTHAN FORTIS HOSPITAL
ALWAR KAILASH HOSPITAL & RESEARCH CENTRE LTD.
INDRAPRASTHA APOLLO HOSPITAL KEERTI MEDICAL CENTRE
SINHA NURSING HOME METRO HEART HOSPITAL
PUNJAB
UTTAR PRADESH
RAJASTHAN
44
METRO MULTI SPECIALITY HOSPITAL HARIDWAR
NOIDA MEDICAL CENTRE DISPENSARIES RUN UNDER DIVYA YOG MANDIR (TRUST)
MAX HOSPITAL MADHYA PRADESH
I CARE EYE HOSPITAL & PG INSTITUTE, I CARE RESEARCH CENTRE BHOPAL
BANSAL HOSPITAL
SITAPUR AYUSHMAN HOSPITAL CENTRE
EYE HOSPITAL KASTURBA HOSPITAL
VARANASI GWALIOR
B.H.U HOSPITAL G.R MEDICAL COLLEGE
AUROBINDO SEVA KENDRA (EEDF) CANCER HOSPITAL & RESEARCH INSTITUTE
AGRA INDORE
JALMA INSTITUTE OF LEPROSY TRAINING & RESEARCH CENTRE BOMBAY HOSPITAL
GG MEDICAL HEALTH CARE CHOITHAM HOSPITAL & RESEARCH CENTRE
ASOPA HOSPITAL & RESEARCH CENTRE M.Y HOSPITAL
ALIGARH CHL APOLLO HOSPITAL
GANDHI EYE HOSPITAL SUYASH HOSPITAL (PVT)
J.N MEDICAL COLLEGE JABALPUR
ALLAHABAD JABALPUR HOSPITAL & RESEARCH CENTRE
MLN MEDICAL COLLEGE UJJAIN
NAZARAT HOSPITAL PSS HOSPITAL & RESEARCH CENTRE
PRITI HOSPITAL PUSHPA MISSION HOSPITAL
GHAZIABAD VINDYANAGAR
DR. R.S.G (INDO GERMAN) MEDICAL CENTRE VIND
GANESH HOSPITAL CHHATISHGARH
NARENDRA MOHAN HOSPITAL RAIPUR
SARVODAYA HOSPITAL D.K HOSPITAL
YASHODA HOSPITAL & HERAT INSTITUTE MODERN MEDICAL INSTITUTE
PUSHPANJALI CROSSLAY HOSPITAL ORISSA
YASHODA HOSPITAL BERHAMPUR
KANPUR M.K.C.G. MEDICAL COLLEGE
REGENCY HOSPITAL LTD. BHUBANESHWAR
MADHURAJ NUSRSING HOME PVT. LTD. APOLLO HOSPITAL
KAUSHAMBI CDR HOSPITAL
JASHODA SPECIALITY HOSPITAL KALINGA HOSPITAL
UTTARAKHAND CUTTACK
DEHRADUN S.C.B. MEDICAL COLLEGE
JOLLY GRANT HIMALAYA INSTITUTE OF MEDICAL SCIENCES
UTTARAKHAND
ORISSA
CHHATISHGARH
MADHYA PRADESH
45
SAMBALPUR VIJAYA HOSPITAL
V.S.S. MEDICAL COLLEGE TRICHY
TAMILNADU KAVERY MEDICAL CENTRE (KMC), TRICHY
CHENNAI SEA HORSE HOSPITAL LTD.
APOLLO HOSPITAL MADURAI
B.S.S. HOSPITAL APOLLO HOSPITAL
CANCER INSTITUTE ARVIND EYE HOSPITAL
DR. MOHAN'S DIABETOLOGICAL INSTITUTE BOSE HOSPITAL
GENERAL HOSPITAL MEENAKSHI MISSION HOSPITAL & RESEARCH CENTRE
SHRI. RAMACHANDRA HOSPITAL PONDICHERRY
INDIAN MEDICAL PRACTIONERS, CO- OPEARTIVE SOCIETY HOSPITAL EAST COAST HOSPITAL
K.J.HOSPITAL R.S. PURAM
MADRAS GENERAL HOSPITAL VEDANAYAKAM HOSPITAL
MADRAS MEDICAL MISSION SALEM
MALAR HOSPITAL SRI GOKULAM HOSPITAL
MEDICAL RESEARCH FOUNDATION (SHANKARA NETRALAYA) VELLORE
R.S.RS TRINITY ACUTE CARE HOSPITAL CHRISTIAN MEDICAL COLLEGE & HOSPITAL
RAILWAY HEADQUARTERS HOSPITAL WEST BENGAL
RAMACHANDRA MEDICAL COLLEGE & RESEARCH INSTITUTE BARRAKPORE
ST. ISABEL HOSPITAL DISHA EYE HOSPITAL & RESEARCH CENTRE
SUNDARAM MEDICAL FOUNDATION BURDWAN
TAMIL NADU HOSPITALS BURDWAN MEDICAL COLLEGE & HOSPITAL
VIJAYA HOSPITAL HOOGHLY
DR.AGARWALS EYE HOSPITAL AROGA NIKETAN
GLOBAL HOSPITAL HOWRAH
RELIGARE SRL DIAGNOSTICS WEST BANK HOSPITAL
COIMBATORE KOLKATA
COIMBATORE ARYU VIIDYU (PHARMACY) ADVANCE MEDICARE AND RESEARCH INSTITUTE
G KUPPUSWAMY NAIDU MEMORIAL HOSPITAL AMRI HOSPITAL LTD. , SALTLAKE
GANGA MEDICAL CENTRE & HOSPITAL PVT. LTD ANANDLOK HOSPITAL
K.G.. HOSPITAL APOLLO GLENEAGLES HOSPITAL
KENNEDY HOSPITAL ASSEMBLY OF GOD CHURCH HOSPITAL
KOTTAKKAL ARYA VAIDYASALA AUROBINDO SEVA KENDRA (EEDF)
NATARAJ HOSPITAL, KANCHI KAMAKOTI TRUST B.P. PODDAR HOSPITAL & MEDICAL RESEARCH LTD.
RAM KRISHNA HOSPITAL B.M. BIRLA HEART RESEARCH INSTITUTE
KAVAI MEDICAL CENTRE BANGUR INSTITUTE OF NEUROLOGY
THE EYE FOUNDATION BEHALA BALANANDA BRAHMACHARI HOSPITAL & RESEARCH CENTRE
G.G MEDICAL HEALTH CARE CALCUTTA HEART CLINIC & HOSPITAL
ASOPA HOSPITAL & RESEARCH CENTRE WEST BANK HOSPITAL
WEST BENGAL
TAMIL NADU
46
CALCUTTA MEDICAL & RESEARCH INSTITUTE SUBODH MITRA CANCER HOSPITAL & RESEARCH CENTRE
CANCER CENTRE AND WEL FARE HOME SURAKSHA HOSPITAL
CHITTARANJAN CANCER HOSPITAL SUSRUT EYE FOUNDATION & RESEARCH CENTRE
DR.RAFI AHMED DENTAL COLLEGE & HOSPITAL WEST BENGAL SPASTICS SOCIETY
DR. SUDARSAN CHAKARBORTI MEMORIAL CENTRE FOR RESEARCH & TREATMENT KOLKATTA WOCKHARD HOSPITAL & KIDNEY INSTITUTE ILIA
ESKAG- SANJEEVANI WOCKHARD MEDICAL CENTRE
EYE CARE & RESEARCH CENTRE WOODLAND MEDICAL CENTRE
FORTIS HOSPITAL LTD. ZENITH SUPER SPECIALITY HOSPITAL
HARMONI NURSING HOME PRIYAMVADA BIRLA ARAVIND EYE HOSPITAL
ILS MUTI SPECIALITY CLINIC BELLE VUE CLINIC
JITENDRA NARAYAN RAY SISHU SEVA BHAWAN FORTIS HOSPITAL & KIDNEY INSTITUTE
K.P.C. MEDICAL COLLEGE & HOSPITAL FORTIS MEDICAL CENTRE
KOTHARI MEDICAL CENTRE TATA MEDICAL CENTRE
MICROLAP NUSING HOME RG STONE UROLOGY & LAPAROSCOPY HOSPITAL
MISSION OF MERCY HOSPITAL INSTITUTE OF NEUROSCIENCES
NIGHTINGLE DIAGNOSTIC & MEDICARE CENTRE PVT. LTD.
SRI AUROBINDA SEVA KENDRA (EEDF MEDICAL CENTRE
NORTH BANK DIAGNOSTIC CENTRE RELIGARE SRL DIAGNOSTICS
NORT CITY HOSPITAL & NEURO INSTITUTE SANKARA NETHRALAYA
PARAMOUNT HOSPITAL PVT. LTD. WEST BANK HOSPITAL
PARK CLINIC CHARNOCK HOSPITAL & RESEARCH CENTRE
PEERLESS HOSPITAL & B.K ROY RESEARCH CENTRE DESUN HOSPITAL & HEART INSTITUTE
RUBY GENERAL HOSPITAL COLUMBIA ASIA HOSPITAL
RABINDRA NATH TAGORE INTERNATIONAL INSTITUTE OF CARDIAC SCIENCES ISPAT HOSPITAL
RAMAKRISHNA MISSION SEBA PRATISHTHAN PURULIA
SAHID KHUDIRAM BOSE INSTITUTE & RESEARCH CENTRE NETAJI EYE HOSPITAL
SEBA HOSPITAL RANIGANJ
SILVER LINE HOSPITAL & RESEARCH INSTITUTE ANANDLOK HOSPITAL
THE CALCUTTA MEDICAL RESEARCH INSTITUTE SILIGURI
MEDICAL NORTH BENGAL CLINIC
DURGAPUR
THE MISSION HOSPITAL
47
LIST OF HOSPITALS FOR IPD TREATMENT
ANDHRA PRADESH
B M SHAH HOSPITAL & MEDICAL RESEARCH CENTRE
SRIKAKULAM
DELHI
KIMS SAI SESHADRI HOSPITAL ( A UNIT OF ARUNODAYA HOSPITAL PVT LTD )
DELHI
VISAKHAPATNAM
BALAJI MEDICAL & DIAGNOSTICS RESEARCH CENTRE
ANNAPOORNA HOSPITAL
BATRA HOSPITAL & MEDICAL RESEARCH CENTRE
APOLLO HOSPITAL
BHAGWATI HOSPITAL
CARE HOSPITAL (M/S VISAKHA HOSPITALS & DIAGNOSTICS LTD)
BRAHM SHAKTI HOSPITAL & RESEARCH CENTRE PVT
INCOR HOSPITAL VIZAG PVT LTD AND OMNI R K WOMEN & CHILD HOSPITAL
CHAUDHARY EYE CENTRE & LASER VISION
KALA HOSPITALS (P) LTD
FORTIS HOSPITALS LTD. SHALIMAR BAGH
LAZARUS HOSPITAL
GANDHI HOSPITAL
MAHATMA GANDHI CANCER HOSPITAL & RESERCH INSTITUTE
INDRAPRASTHA APOLLO HOSPITALS
MANIPAL WOMAN AND CHILD HOSPITAL
JAIPUR GOLDEN HOSPITAL
PADMASRI HOSPITAL
JEEVAN ANMOL HOSPITAL
QUEEN NRI HOSPITAL
JEEWAN MALA HOSPITAL (P) LTD
SANKAR FOUNDATION EYE HOSPITAL
KALRA HOSPITAL
SEVEN HILLS HEALTHCARE PRIVATE LTD
KUKREJA HOSPITAL AND HEART CENTRE
SURAKSHA HEALTH PARK HOSPITAL
MAHARAJA AGRASEN HOSPITAL
SURYASRI HOSPITAL PVT LTD
MATA CHANAN DEVI HOSPITAL
VIZIANAGARAM
MAX SUPER SPECIALITY HOSPITAL UNIT OF MAX HEALTHCARE INSTITUTE LTD
MUVVA GOPALA HOSPITALS PVT LTD
MOHAN EYE INSTITUTE
TIRUMALA NURSING HOME
MOOLCHAND KHAIRATI RAM HOSPITAL
VENKATA PADMA HOSPITAL
NARANG EYE INSTITUTE
BIHAR
NATIONAL HEART INSTITUTE
PATNA
R B SETH JESSA RAM & BROS CHARITABLE HOSPITAL
MAGADH HOSPITAL
SANT PARMANAND HOSPITAL
PARAS HMRI HOSPITAL
SAROJ HOSPITAL & HEART INSTITUTE
CHANDIGARH
SHARP SIGHT CENTRE MEDFORT VISION CARE ENERPRISE
CHANDIGARH
SHROFF EYE CENTRE
GREWAL EYE INSTITUTE
TIRATH RAM SHAH CHARITABLE HOSPITAL
INSCOL HOSPITAL
VISION EYE CENTRE
LANDMARK HOSPITAL
NEW DELHI
MUKAT HOSPITAL & HEART INSTITUTE
DR SHROFFS CHARITY EYE HOSPITAL
CHHATTISGARH
HOLY FAMILY HOSPITAL
BHILAI
JEEWAN HOSPITAL & NURSING HOME
APOLLO BSR HOSPITAL
JEEWAN NURSING HOME & HOSPITAL
DELHI
ANDHRA PRADESH
CHANDIGARH
CHHATTISGARH
BIHAR
48
M/S FORTIS FLT. LT. RAJAN DHALL HOSPITAL (A UNIT OF FLT. LT. RAJAN DHALL CHARITABLE TRUST)
FORTIS HOSPITALS LTD. GURGAON
MAX SUPER SPECIALITY HOSPITAL
MEDANTA THE MEDICITY
MAX SUPER SPECIALITY HOSPITAL A UNIT OF DEVKI DEVI FOUNDATION
JAMMU AND KASHMIR
METRO HOSPITAL & CANCER INSTITUTE
JAMMU
NEW DELHI CENTRE FOR SIGHT LTD
CENTRE FOR EYE SIGHT
ORTHO PLUS HOSPITAL
JHARKHAND
PARK HOSPITAL
BOKARO
SIR GANGA RAM HOSPITAL
K M MEMORIAL HOSPITAL & RESEARCH CENTRE
SRI BALAJI ACTION MEDICAL INSTITUTE
MUSKAN HOSPITAL & REASEARCH CENTRE
SUNDER LAL JAIN HOSPITAL
NEELAM HOSPITAL & RESEARCH CENTRE
VIMHANS HOSPITAL
RANCHI
GUJARAT
ALAM HOSPITAL & REASEARCH CENTRE PVT LTD
AHMEDABAD
KASHYAP MEMORIAL EYE HOSPITAL
ANAND SURGICAL HOSPITAL LTD
MEDANTA ABDUR RAZZAQUE ANSARI MEMORIAL WEAVERS HOSPITAL A UNIT OF GLOBAL HEALTH PVT LTD
APOLLO HOSPITALS INTERNATIONAL LTD
ORCHID MEDICAL CENTRE PVT LTD
HCG MULTISPECIALITY HOSPITAL
KARNATAKA
NARAYANA HRUDAYALAYA HOSPITAL
BANGALORE
SHALBY HOSPITALS LTD
APOLLO HOSPITALS BANGALORE
STERLING HOSPITAL
BGS GLOBAL HOSPITAL
SURAT
CHURCH OF SOUTH INDIA
NIRMAL HOSPITAL PRIVATE LIMITED
COLUMBIA ASIA HOSPITALS PVT LTD
VADODARA
DEEPAK HOSPITAL
SPANDAN MULTISPECIALITY HOSPITAL
FORTIS HOSPITAL LTD BANNERGHATTA ROAD
STERLING ADDLIFE INDIA LIMITED
HARSHA HOSPITAL
HARYANA
JEEVANI HEALTH & MEDICARE PVT LTD
FARIDABAD
JUPITER HOSPITAL
AASTHA EYE CENTRE
LALITHA HEALTHCARE PVT LTD A FORTIS NETWORK HOSPITAL
ASIAN INSTITUTE OF MEDICAL SCIENCE
MALLIGE MEDICAL CENTRE (P) LTD
FORTIS HOSPITALS LTD. FARIDABAD
NARAYANA HRUDAYALAYA LTD
METRO SPECIALITY HOSPITALS PVT LTD
NARAYANA NETHRALAYA
QRG CENTRAL HOSPITAL
NETHRADHAMA HOSPITALS PVT LTD
GURGAON
NETHRADHAMA SUPERSPECIALITY EYE HOSPITAL
ALPS HOSPITAL LIMITED
SAGAR HOSPITALS
ARTEMIS MEDICARE SERVICES LTD
SAKRA WORLD HOSPITAL ( A UNIT OF TAKSHASILA HOSPITALS OPERATING PVT LTD )
EYE Q SUPER SPECIALITY EYE HOSPITAL
SANKARA EYE HOSPITAL
HARYANA
KARNATAKA
GUJARAT
JAMMU AND KASHMIR
JHARKHAND
49
Holy Cross Hospital
Shekar Eye Hospital A Unit Of Varasiddi Hosptial
Kims Bellerose Institute Of Medical Sciences Pvt Ltd
St Philomena Hospital Vasan Eye Care Hospital
Sundar Hospital Muvattupuzha
The Bangalore Hospital
Nirmala Medical Centre
Vidya Eye Hospital Paravur
Vishwabharathi Hospital Pvt Ltd
Bharath Rural Hospital & Training Center
Vittala International Institute Of Ophthalmology
Thiruvananthapuram
Bhadravathi Kerala Institute Of Medical Sciences
Nayana Hospital
Lords Hospital
Mysore Sp Fort Hospital
Basappa Memorial Hospital Sree Gokulam Medical College & Research Foundation
Bharath Hospital & Institute Of Oncology
Madhya Pradesh
Gopal Gowda Shanthaveri Memorial Hospital Bhopal
Kamakshi Hospital
Career Institute Of Medical Sciences
Shimoga Chirayu Medical College & Hospital
Subbaiah Hospital Noble Hospital
Vaatsalya Hospital
Sharda Hospital & Dignostic Centre
Kerala Indore
Ernakulam
Bombay Hospital Trust
Specialists Hospital City Nursing Home
Kochi Convenient Hospitals Ltd
Amrita Institute Of Medical Sciences Of Research Centre
Greater Kailash Hospital
Aster Dm Healthcare Pvt Ltd Mohak Hi Tech Speciality Hospital
Cochin Hospital New Delhi Centre For Sight Ltd
Gautham Hospital
Sri Aurobindo Institute Of Medical Sciences
Giridhar Eye Institute Synergy Hospital
Jishy Hospital
Jabalpur
Lisie Hospital Anant Institute Of Medical Sciences
Lourdes Hospital City Hospital & Research Centre
Pvs Memorial Hospital Ltd
Metro Hospital & Cancer Research Centre
Sree Sudheendra Medical Mission Maharashtra
Vijaya Kumara Menon Hospital
Mumbai
Kottayam Asian Heart Institute
Bharath Hospital Bombay Hospital & Medical Research Centre
Caritas Hospital
Dr L H Hiranandani Hospital
Dr Mukhis Raj Hospital
50
FORTIS HOSPITALS LTD MULUND SHANTI MEMORIAL HOSPITAL PVT LTD
GODREJ MEMORIAL HOSPITAL SUN HOSPITAL PRIVATE LIMITED
HIRA MONGI NAVNEET HOSPITAL ROURKELA
INLAKS GENERAL HOSPITAL RAJASTHAN SEVA SADAN
JASLOK HOSPITAL AND RESEARCH CENTRE ROURKELA LIFELINE PVT LTD
KOKILABEN DHIRUBHAI AMBANI HOSPITAL SHANTI MEMORIAL HOSPITAL
MALLIKA HOSPITAL PUNJAB
P D HINDUJA NATIONAL HOSPITAL & MEDICAL RESEARCH CENTRE
LUDHIANA
RIDDHI VINAYAK CRITICAL CARE AND CARDIAC CENTRE
DAYANAND MEDICAL COLLEGE & HOSPITAL
S L RAHEJA HOSPITAL DEEP NURSING HOME AND CHILDREN HOSPITAL
SMT S R MEHTA & SIR K P CARDIAC INSTITUTE DHAMI EYE-CARE HOSPITAL
SURANA SETHIA HOSPITAL & RESEARCH CENTRE MOHAN DAI OSWAL CANCER TREATMENT & RESEARCH FOUNDATION
MAHARASHTRA MOHALI
PUNE
ADITYA BIRLA MEMORIAL HOSPITAL J P EYE HOSPITAL
DEENANATH MANGESHKAR HOSPITAL & RESEARCH CENTRE
PATIALA
JEHANGIR HOSPITAL GURU NANAK MEHAR HANS EYE HOSPITAL AND LASER CENTRE
K E M HOSPITAL RAJASTHAN
LOKMANYA HOSPITAL AJMER
NOBLE HOSPITAL GHEESI BAI MEMORIAL MITTAL HOSPITAL & RESEARCH CENTRE
THANE JAIPUR
JUPITER LIFELINE HOSPITAL LTD APEX HOSPITAL (P) LTD
ORISSA BHAGWAN MAHAVEER CANCER HOSPITAL & RESEARCH CENTRE
BHUBANESHWAR DHANWANTRI HOSPITAL & RESEARCH CENTRE
ADITYA CARE HOSPITAL FORTIS ESCORTS HOSPITAL
APOLLO HOSPITALS ENTERPRISE LTD METRO MAS HEARTCARE & MULTISPECIALITY HOSPITAL
AYUSH HOSPITAL & TRAUMA CARE PVT LTD SAHAI HOSPITAL &RESEARCH CENTRE
HEMALATA HOSPITALS & RESEARCH CENTRE SAKET MEDICARE & REASEARCH CENTRE PVT.LTD
KALINGA HOSPITAL LTD SONI HOSPITAL
NEELACHAL HOSPITAL PVT LTD JODHPUR
SPARSH HOSPITALS & CRITICAL CARE PVT LTD GOYAL HOSPITAL & RESEARCH CENTRE(P) LTD.
CUTTACK TAMIL NADU
PANDA CURIE CANCER CENTRE CHENNAI
RUDRA HOSPITAL ABHIJAY HOSPITAL (P) LTD
SADGURU MEDICAL AND REACRCH CENTRE PVT LTD ADYAR P M HOSPITAL & RESEARCH CTR P LTD.
SAHARA NURSING HOME APOLLO FIRST MED
TAMIL NADU
ORISSA
RAJASTHAN
MAHARASHTRA
PUNJAB
51
APOLLO HOSPITALS ENTERPRISE LTD
ELLEN HOSPITAL
APOLLO SPECIALITY HOSPITAL
G R HOSPITAL
BALAJI HOSPITALS (P) LTD.
GEM HOSPITAL & RESEARCH CENTRE PVT LTD
BILLROTH HOSPITAL R A PURAM
KGM HOSPITAL PVT LTD
BILLROTH HOSPITALS LTD
KONGUNAD HOSPITALS (P) LTD
CHENNAI MEENAKSHI MULTISPECIALITY HOSPITAL LTD
KOVAI MEDICAL CENTER AND HOSPITAL LTD
CHETTINAD HOSPITAL & RESEARCH INSTITUTE
KURINJI HOSPITAL ( A UNIT OF VANGAL AMMAN HEALTH SERVICE LTD )
DEEPAM EYE HOSPITAL
LOTUS EYE HOSPITAL & INSTITUTE
DR AGARWAL EYE HOSPITAL LTD.
PSG HOSPITAL
DR KAMAKSHI MEMORIAL HOSPITAL
RICHMOND HOSPITALS (P) LTD
FORTIS MALAR HOSPITAL
SREE ABIRAMI HOSPITAL (P) LTD
GLOBAL HOSPITALS & HEALTH CITY
V G HOSPITAL
KAUVERY HOSPITAL
VASAN EYE CARE HOSPITAL
KHM HOSPITAL
MADURAI
M R HOSPITAL
APOLLO SPECIALITY HOSPITALS
MEDICAL RESEARCH FOUNDATION
SARAVANA HOSPITALS
MIOT HOSPITALS LIMITED
VADAMALAYAN HOSPITALS PVT LTD
NOBLE HOSPITAL
SALEM
RAJAN EYE CARE HOSPITAL PVT. LTD
KIRUBA HOSPITAL
RAKSHITH HOSPITAL
KURINJI HOSPITAL
ROHIT HOSPITAL
M/S. VIDYA HOSPITAL
ROYAL BALAAJI HOSPITAL
NATHAN SUPER SPECIALITY HOSPITAL
RSR TRINITY ACUTE CARE HOSPITAL
NEURO FOUNDATION
SAMPAT NURSING HOME
S K S HOSPITAL INDIA PVT LTD
SARAVANA ORTHO & MULTISPECIALITY HOSPITAL
S. PALANIANDI MUDALIAR MEMORIAL HOSPITAL
SRI RAMACHANDRA MEDICAL CENTRE
SALEM GOPI HOSPITAL (P) LTD
SRM INSTITUTES FOR MEDICAL SCIENCE
SHANMUGA HOSPITAL & SALEM CANCER INSTITUTE
ST ISABEL HOSPITAL
SHRI SHELLAPHA HOSPITAL
ST THOMAS HOSPITAL
SRI GOKULAM HOSPITALS (P) LTD
SUGAM HOSPITAL
VASAN EYE CARE HOSPITAL
VASAN EYE CARE HOSPITAL
VINAYAKA MISSION HOSPITAL
VENKATAESWARA HOSPITALS
VELLORE
VIJAYA HEART FOUNDATION
CHRISTIAN MEDICAL COLLEGE
COIMBATORE
VASAN EYE CARE HOSPITAL
ASHWIN HOSPITAL
52
TELANGANA
FORTIS HOSPITALS LTD NOIDA
HYDERABAD
ICARE EYE HOSPITAL & POST GRADUATE INSTITUTE
APOLLO HOSPITALS
KAILASH HOSPITAL AND HEART INSTITUTE
GLOBAL HOSPITAL
MAX HOSPITAL NOIDA
HYDERABAD KIDENY & LAPAROSCOPIC CENTER
SURBHI HOSPITAL
KAMINENI HOSPITAL
WEST BENGAL
KAMINENI HOSPITALS
ASANSOL
L V PRASAD EYE INSTITUTE
ASANSOL MEDICAL CENTRE PVT LTD
MALLA REDDY NARAYANA HOSPITAL
H L G MEMORIAL CHARITABLE HOSPITAL &
RESEARCH INSTITUTE (P) LTD
STERLING HOSPITAL
MEDWIN HOSPITAL
DURGAPUR
NEW DELHI CENTRE FOR SIGHT LTD
DISHA EYE HOSPITAL & RESEARCH CENTRE PVT LTD
RAINBOW CHILDREN HOSPITAL
DURGAPUR CITY HOSPITAL AND CLINIC PVT LTD
YASHODA SUPER SPECIALITY HOSPITAL
I Q CITY NARAYANA HRUDAYALAYA HOSPITAL
SECUNDERABAD
THE MISSION HOSPITAL
RAINBOW CHILDRENS HOSPITAL
VIVEKANANDA HOSPITAL PRIVATE LTD
UTTAR PRADESH
HOOGHLY
AGRA
DISHA EYE HOSPITAL(HOOGHLY)PVT LTD
RAVI HOSPITAL
HOWRAH
GHAZIABAD
NARAYANA MULTISPECIALTY HOSPITAL A UNIT OF
MERIDIAN MEDICAL RESEARCH & HOSPITAL LTD
PARAM JYOTI EYE CENTRE
NARAYANA SUPERSPECIALITY HOSPITAL
YASHODA HOSPITAL
KOLKATA
YASHODA HOSPITAL & RESEARCH CENTRE LTD
AMRI HOSPITALS
GREATER NOIDA
ANANDALOK HOSPITAL
KAILASH HOSPITAL LTD
APOLLO GLENEAGLES HOSPITALS
LUCKNOW
B M BIRLA HEART RESEARCH CENTRE
F I HOSPITAL
B P PODDAR HOSPITAL & MEDICAL RESEARCH LTD
NEERA HOSPITAL
CURRAE EYE CARE HOSPITAL
SHEKHAR HOSPITAL PVT LTD
DESUN HOSPITAL & HEART INSTITUTE
VIVEKANANDA POLYCLINIC &
INSTITUTE OF MEDICAL SCIENCES
DISHA EYE HOSPITAL
MEERUT
DR.NIHAR MUNSHI EYE FOUNDATION
CFS NETRALAYA PVT LTD
EKBALPUR NURSING HOME PVT LTD
MORADABAD
FORTIS HOSPITAL LTD
COSMOS HOSPITAL
FORTIS HOSPITALS LTD
NOIDA
GD HOSPITAL & DIABETES INSTITUTE
APOLLO HOSPITALS HEALTH POINT
K P C MEDICAL COLLEGE & HOSPITAL JADAVPUR
53
KOTHARI MEDICAL CENTRE
MEDICAL SUPERSPECIALITY HOSPITAL
MICROLAP
MISSION OF MERCY HOSPITAL RESEARCH CENTRE
NARAYANA MULTISPECIALITY HOSPITAL
NAVKETAN NURSING HOME PVT LTD A UNIT OF
COLUMBIA ASIA HOSPITAL
PEERLESS HOSPITEX HOSPITAL AND RESEARCH CENTRE LTD.
RABINDRANATH TAGORE INTERNATIONAL INSTITUTE OF
CARDIAC SCIENCES & ARMENIAN CHRUCH TRAUMA CTR
RENAISSANCE HOSPITAL PRIVATE LIMITED
ROTARY NARAYANA NETRALAYARUBY GENERAL HOSPITAL
RUBY GENERAL HOSPITAL
SAHID KHUDIRAM BOSE HOSPITAL
SAROJ GUPTA CANCER CENTRE AND RESEARCH INSTITUTE
SILVERLINE EYE HOSPITAL
SPECTRA EYE FOUNDATION PVT LTD
SRI AUROBINDO SEVA KENDRA ( AN EEDF MEDICARE CENTRE )
SUSRUT EYE FOUNDATION & RESEARCH CENTRE
SWASTI EYE & SUPER SPECIALITY NURSING HOME
THE CALCUTTA MEDICAL RESEARCH INSTITUTE
ZENITH SUPER SPECIALITY HOSPITAL
For Updated List please visit www.mdindiaonline.com or call on 1800-233-5599
List Of Hospitals/Diagnostic Centres Which Offer IPD/OPD ServicesAt Negotiated Rates To Members Of
Sail Mediclaim Scheme 2017-18 On Cash Basis
1.
A) Global - Hyderabad B) Global - Bengaluru C) Global - Chennai D) Global - Mumbai
2. Ruby General Hospital, Kolkatta
3. BM Birla Hospital, Kolkatta
4. Peerless Hospital, Kolkatta
5. Kothari Medical Centre, Kolkatta
6. Fortis Group of Hospitals
a) Fortis – Delhi
b) Fortis – Bengaluru (2 units)
c) Fortis – Chennai (2 units)
d) Fortis – Kolkatta (2 units)
e) Fortis – Mumbai (Mulund)
f) Fortis – Raipur
7. Yashoda Hospital, Hyderabad (3 units)
8. Narayana Hrudayalaya Group of Hospitals
a) Narayana Hrudayalaya – Kolkatta (Rabindranath Tagore)
b) Narayana Hrudayalaya – Bengaluru (2 units)
c) Narayana Hrudayalaya – Shimoga
9. Apollo BSR, Bhilai
10. Sanjeevai CBCC USA Cancer Hospital, Raipur
11. Kailash Hospital, Noida, Uttar Pradesh
12. Pushpanjali Crosslay Hospital, Ghaziabad, Uttar Pradesh
13. Moolchand Hospital, New Delhi
14. Saroj Super Specialty Hospital, New Delhi
15. Jaipur Golden Hospital, New Delhi
16. Yashoda Super Specialty Hospital, Ghaziabad, Uttar Pradesh
17. Dharamshila Cancer Hospital and Research Centre, New Delhi
18. Branches & Wellness Centres of M/s Dr Lal Pathlabs Ltd. in Delhi/ NCR
19. Maharaja Agrasen Hospital, New Delhi
20. Rockland Hospital, Qutab Institutional Area, New Delhi
21. Artemis Hospital, Gurgaon, Haryana
Global Group of Hospitals
54
List Of Hospitals/Diagnostic Centres Which Offer IPD/OPD ServicesAt Negotiated Rates To Members Of
Sail Mediclaim Scheme 2017-18 On Cash Basis
22. Rockland Hospital, Dwarka, New Delhi
23. National Heart Institute, New Delhi
24. Sri Balaji Action Medical Inst. & M/s. Action Cancer Hospital, New Delhi
25. Noida Medicare Centre, Noida, Uttar Pradesh
26. Sunder Lal Jain Hospital, New Delhi
27. Indian Spinal Injuries Centre, New Delhi
28. Mata Channan Devi Hospital, New Delhi
29. Paras Hospital, Gurgaon, Haryana
55
SAIL MEDICLAIM SCHEME (11 APRIL , 2017 TO 10 APRIL 2018) DETAILS OF INTERNAL RESOURCE PERSON OF SAIL PLANTS AND UNITS
th th
56
Plant/ Unit
Name Designation Phone Email ID Address
BSP Rajeev Mehrotra Astt Gen. Manager
0788-2858091/92/93/94
Final Settlement Section, Old Sector 5 Health Centre Building, Near to Sector 5 Chowk, Bhilai 490001
DSP R.C.Mishra Sr. Manager (Pers)
0343-2745092
[email protected] R.No.215, T.A.Building, Durgapur Steel Plant, Indira Priyadarshni Marg, Durgapur-5 B-Zone
RSP
Somajeet Badpanda
Senior Manager (Pl-C,W&ES)
0661-2448151
[email protected], [email protected]
Rourkela Steel Plant, At–Public Health Office Complex, Sector – 5, P.O. - Rourkela – 769002 (Odisha).
Subas Chandra Jena
Manager (Pl-W&ES)
0661-2448506
BSL Dr. Nanda Priyadarshini
AM (P-FSC) 06542 -240273
Final Settlement Cell, Personnel Department, Bokaro Steel Plant, Bokaro Steel City-827001 Surendra
Upadhyay AM (P- Maitri Bhawan)
06542-233184
ISP Biswajit Thakur DM (P-CF) 0341-2240260
[email protected] Personnel Department, IISCO Steel Plant, Burnpur Vandana
Chhoker JM (P-CF)
ASP
Sarmistha Datta AM (CSR & Admn)
0343-2546224
[email protected] Ispat Bhawan, Surya Sen Sarani, Alloy Steels Plant, Durgapur – 713208
SSP B. Lavanya AM (Pers.) 0427-2382281
[email protected] Personnel Department, Salem Steel Plant, Salem-636030 (TN)
VISL Naveen Rahul AM (Pers.) 08282-27160
[email protected] SAIL-VISL, New Town, Bhadravathi-577301 Karnataka
RMD Sanjit K. Das AGM (P-IR&W)
033 - 22820900
SAIL, Raw Materials Division, Industry House (6th floor), 10, Camac Street, Kolkata - 700 017.
CMO Rajat Sarkar DGM (P-HRP, Rectt & Welfare)
033-22887318
[email protected] Ispat Bhawan, 40 JL Nehru Road, Kolkata-700071
Ranchi Units
Manas Rath DGM(P)
0651-2411596
[email protected] RDCIS, SAIL PO-Doranda, Ranchi 834002
GD Dr. Rituparna Mukherjee
Asstt. Divisional Medical Officer
033-22263399
97, Park Street (2nd
Floor), Kolkata-700016
SGW-Kulti
Dr. S. Misra Asstt. Director (Med.)
0341-2515391
[email protected] I.G.M. Hospital, SAIL Growth Works, Kulti
CO Neeraj Seth DM (P-ITB&Med.)
011-24300327
Floor, Ispat Bhawan, Lodi Road, New Delhi-110003
Prabal Sadhu JO (P-ITB&Med.)
011-24300329
Coll. Divn.
Gunjan Anand
AM (Pers.)
0326-2385001-002
[email protected] Personnel Deptt., Central Office, PO: Chasnalla, Dt.:Dhanbad (Jharkhand), PIN : 828135
CFP P.P.Chakrabarty DGM(P&A) 07172-278222
SAIL-CFP, MUL Road, Chandrapur, Maharashtra-442401
SRU Sebastian Lakra Sr. Manager (P)
06542-232315
[email protected] SRU, Indira Gandhi Marg, Sector-IV, Bokaro Steel City-827004 (Jharkhand)
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CUSTOMER SATISFACTION FEEDBACK FORM
This form can be emailed or sent to the MDI offices / SAIL offices as per mentioned list