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Dear Mediclaim member of SAIL,
Welcome to E-Meditek (TPA) Services Ltd Family!
As our most valued clientele, it gives us great pleasure to inform you that renewal of your medi-claim policy
will be serviced by us for year 2013 and we take this opportunity to thank you for this patronage.
The services include ID card issuance, cashless hospitalization and settlement of claims.
You can download e-Cards for all covered members from our website www.emeditek.com. Please use your
Mediclaim Index Number (MIN) as your USER LOGIN and Password (vide page no. 26) to log on to our
website. Kindly change your password when you login to your account for the first time.
We invite you to take advantage of other vital features and highlights of E-Meditek Web Portal:-
1. Network Hospital – Locate Nearest Hospital to avail cashless Facility
2. Track your Claims – Check claim status & download communication letters
3. View/ Request for change of member details including Mobile No./ email id/ ECS details etc.
4. Grievance lodging & its Re-dressal.
Further, the guidebook gives a preview of various services provided by E-Meditek and the process to avail
these services. The guidebook also contains list of hospitals/nursing homes in the SAIL/E-Meditek network
where you can avail OPD treatment and cashless hospitalization treatment respectively.
For any further clarification or assistance, please get in touch with us through contact points mentioned on
the back side of card. Our customer care executives will be glad to assist you.
You can also visit ‘www.emeditek.com’ for more information.
We look forward to continue our beneficial relationship and hope that you will be satisfied with the services
offered by us. Please feel free to send us your feedback for encouraging us to serve you better. It will be our
constant endeavor to provide all services to you with high quality and minimum turnaround time.
Wishing you a healthy and happy life
For E-Meditek (TPA) Services Ltd
Gopal Verma
Managing Director
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Table of Contents DOS & DON'TS ................................................................................................................................................. 4
OBJECTIVES OF THE SCHEME ................................................................................................................... 5
PERSONS COVERED ...................................................................................................................................... 5
SCHEME ............................................................................................................................................................ 5
PROCEDURE FOR RENEWAL OF MEMBERSHIP ................................................................................... 5
POLICY COVERAGE ...................................................................................................................................... 6
DEFINITIONS ................................................................................................................................................... 6
BENEFITS .......................................................................................................................................................... 7
CAPPINGS ......................................................................................................................................................... 9
IMPORTANT EXCLUSIONS ....................................................................................................................... 10
CLAIM PROCEDURE ..................................................................................................................................... 11
CUSTOMER CARE SERVICES ................................................................................................................... 15
ANNEXURE- A: CLAIM FORM - IPD ........................................................................................................ 18
ANNEXURE- B: CLAIM FORM- OPD ....................................................................................................... 20
ANNEXURE- C: CLAIM INTIMATION FORM ........................................................................................ 21
ANNEXURE- D: CASHLESS REQUEST FORM ...................................................................................... 22
ANNEXURE- E: ACKNOWLEDGEMENT SLIP ...................................................................................... 23
ANNEXURE- F: NEFT FORM ...................................................................................................................... 24
DISCLAIMERS ............................................................................................................................................... 25
USER GUIDE TO ACCESS WEBSITE ....................................................................................................... 26
SAIL FAQ'S ..................................................................................................................................................... 29
LIST OF SAIL APPROVED HOSPITALS FOR OPD TREATMENT ..................................................... 33
LIST OF EMPANELED HOSPITALS TO AVAIL CASHLESS SERVICES .......................................... 44
SAIL PLANT REPRESENTATIVES ............................................................................................................ 56
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DOS & DON'TS
1) Written claim Intimation: Reimbursement & Cashless
a) The mediclaim member is required to intimate the insurance agency or the TPA at least 48 Hrs prior to
the planned hospitalization.
b) In case of emergency hospitalization the mediclaim member is required to inform the insurance
company or the TPA within 24 Hrs of such hospitalization.
2) Mandatory claim intimation documents
a) The mediclaim member is required to submit prescription indicating diagnosis, purpose of
Hospitalization etc. documents at the time of intimation.
b) The mediclaim member is required to submit the documents along with the details of the treating
Doctor & signature.
3) Timelines for submission of Claims for reimbursement
a) The Mediclaim member is required to submit the reimbursement claim with respect to IPD /
hospitalization claim within 30 days from date of discharge from the hospital.
b) The OPD Claims are to be submitted by the mediclaim member, to the Insurance Company/ TPA
within 90 days from the date of completion of the treatment or Rs. 2000/-, whichever is earlier.
4) Submission of Claim Documents
The mediclaim member can submit the Claim documents in any E-Meditek branch irrespective of
center opted by the members. You can refer to the updated branch list of E-Meditek with contact
details mentioned in the booklet / website.
5) In case of any implant being used
The mediclaim member is required to submit the outer pouch of the implant used (having barcode
embossed) along with signature of treating doctor on the pouch is submitted along with reimbursement
claim.
6) Availing Cashless Facility
The Mediclaim member should always carry Photo ID Cards like Driving License, PAN Card, Voter
ID card, Passport for availing Cashless facility.
7) Requirement of ECS Form
For early/ hassle-free disbursement of claims, the mediclaim member is kindly requested to ensure the
submission of duly filled ECS Form (page no. 24) along with a cancelled cheque to E-Meditek, while
submitting the reimbursement claim.
8) Visit http://emeditek.in/sailweb/ for
a. Updated Hospital list & Details
b. View & Download E-card
c. Membership Details & claim status
d. Any other information regarding SAIL Mediclaim Scheme
9) Issuance of Photo ID Card
Photos are Mandatory for issuance of Photo ID Card. In case you have not submitted your photograph,
kindly submit them at respective SAIL Plant/ Unit for issuance of the cards
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MEDICLAIM SCHEME FOR THE RETIRED EMPLOYEES OF
SAIL AND THEIR SPOUSES (2013)
OBJECTIVES OF THE SCHEME
To extend the Medical Benefits to the retired employees of SAIL and their spouses
PERSONS COVERED
1) Retired employees of SAIL and their spouses.
2) The employees who have taken voluntary retirement and their spouses.
3) The employees who cease to be in employment on account of permanent total disablement and their
spouses
4) The spouse of an employee who dies in service
5) The employees who have resigned on and after attaining 57 years of age and their spouses.
This scheme is optional and those who opt for this scheme, will hereinafter be referred to as "members".
Apart From fresh Enrolments during the year, only the persons who were members of SAIL Mediclaim
Scheme-2012, are eligible to renew membership under SAIL Mediclaim Scheme - 2013.
SCHEME
The members will be covered through Group Insurance Mediclaim Policy of the Insurance Company and
will be operated through Bajaj Allianz General Ins. Co Ltd., GE Plaza, Opp. Gunjan Cinema, Airport
Road, Blue Hill Society, Yerawada, Pune, Maharashtra 411006
The period of the policy is 01/01/2013 (0000 hrs IST) to 31/12/2013 (2400 hrs IST)
E-Meditek (TPA) Services Ltd. (Head office at Plot-577,Udyog Vihar Phase-V, Gurgaon, Haryana)
has been authorized to offer TPA (Third Party Administrator) services for the Group Mediclaim Policy
issued for the retired employees of SAIL and their spouses. E-Meditek would work out of 27 locations for
the purpose of claim settlement, the bills & other related documents should be directly sent to any branch of
E-Meditek (vide page no. 15-17).
PROCEDURE FOR RENEWAL OF MEMBERSHIP
1. The scheme is operational for a period of one year and the expiry of the scheme will be 31st December of
the year.
2. The member is required to deposit the renewal fee for joining the scheme in the next calendar year by
31st December of the current year. A grace period of 30 days would be provided for renewal.
3. Though the concerned plant/unit would be informing the member of the renewal amount it will be the
liability of the member to ensure his/her renewal every year, as the concerned plant/unit will not be
responsible for any delay in the communication reaching the member.
Note: Any change of address must be immediately intimated to the concerned Plant/Unit and Insurance
Company giving the Mediclaim Index No. (MIN)
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POLICY COVERAGE
The policy covers reimbursement of Hospitalization and also Cashless Facility and/or Out-Patient
Department (OPD) expenses within the prescribed limits under the policy for illness/diseases contracted or
injury sustained by the insured person. In the event of any claim becoming admissible under the policy, the
company will pay to the insured member the amount of such expenses as reasonably and necessarily
incurred anywhere in India, but not exceeding in any one period of insurance of amounts under the
respective category in the BENEFITS mentioned in this booklet (Page No.7-8).
DEFINITIONS
a) Hospital/Nursing Home means any institution in India established for Indoor care and treatment of
sickness and injuries and which has been registered either as a Hospital or Nursing Home with the local
authorities and is under the Supervision of a registered and qualified Medical Practitioner Or
Hospital/Nursing Home should comply with minimum criteria as under,
i. It should have at least 15 inpatient beds
ii. Fully equipped operation theatre of its own wherever surgical operations are carried out.
iii. Fully qualified nursing staff under its employment round the clock.
iv. Fully qualified Doctor(s) should be in charge round the clock.
For the purpose of O.P.D. treatment, "Hospital" shall mean:
1. A Government Hospital,
2. Dispensaries/Clinics run by local Government authority/Municipalities,
3. SAIL Plant Hospitals/Dispensaries
4. Hospitals/Nursing Homes (List of SAIL Hospitals is at Page no. 33-43).
5. Franchisee of major Hospitals viz. Apollo, Max, Escorts, Fortis, etc. anywhere in India.
Note: The terms "Hospital" shall not include an establishment which is a place of rest, a place for the aged, a
place for drug addicts or alcoholic, a hotel or a similar place.
b) Hospitalization:
1. Hospitalization facility can be availed from any Hospital or Registered Nursing Home in India.
However, the Mediclaim member can avail Cashless Facility under Hospitalization only in Hospitals
empanelled by the Insurance Company for this purpose. (Refer list at Page no. 44-55)
c) Surgical Operation means manual and operative procedures for correction of deformities and defects,
repair of injuries, diagnosis and cure of diseases, relief of suffering and prolongation of life
Note:
1. When treatment such as Dialysis, Chemotherapy, Cataract, Lithotripsy, Angiography, Radiotherapy and
Microsurgery is taken in the Hospital/Nursing Home and the insured is discharged on the same day, the
treatment will be considered to be taken under Hospitalization Benefit Section.
2. While Hospitalization facility can be availed of from any Hospital or Registered Nursing Home in
India, OPD facility can only be availed of from any Govt. Hospitals/SAIL Plant Hospitals/ Dispensaries
or Hospitals listed in this Booklet.
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d) O.P.D. Treatment: Means treatment taken as an out -patient in any Govt. Hospital/SAIL Plant
Hospital or SAIL approved Hospital/Nursing Home. The Charges incurred for treatment taken from
Registered Medical Practitioners or other than SAIL approved Hospital/Nursing Home will not be
reimbursed. The Medicine should be prescribed by the Doctors on the letter heads of the hospital. Even
though a medical practitioner is attached to any of the Govt./SAIL plant hospital or SAIL approved
hospital and if the treatment is taken by him/her privately, the OPD Claim amount will not be
reimbursed, under any circumstances.
e) Anyone Illness: Anyone illness will be deemed to mean continuous period of illness and it includes
relapse within 45 days from the date of last consultation with the Doctor/Hospital Nursing Home.
Occurrence of same illness after lapse of 45 days as stated above will be considered as fresh illness for
the purpose of this policy.
f) Medical Practitioner: Means a person who holds a degree/diploma of a recognized institution and is
registered by Medical Council of respective State of India. The term Medical Practitioner would include
Physician, Specialist and Surgeon. (Cross Field Treatment will not be payable)
g) Qualified Nurse: Means a person who holds a certificate of a recognized Nursing Council and who is
employed on recommendations of the attending Medical Practitioners
BENEFITS
Hospitalization Benefit
Hospitalization benefit, Reimbursement and/or cashless will be paid upto Rs.2,00,000/- per member
(with clubbing facility between employee & spouse), as per policy terms and conditions
Reimbursement:
Reimbursement of actual charges upto Rs. 2,00,000/- per member per policy period (with clubbing
facility between employee & spouse) incurred towards Room rent, IC Unit, nursing expenses,
surgeon & anesthesia charges, consultation fee, diagnostic investigations(Laboratory & radiological),
cost of blood/blood components and its transfusion, oxygen/gas, operation theatre charges, surgical
appliances/implants, medicines & drugs, Dialysis, Chemotherapy, Radio-therapy, cost of pacemaker,
artificial limbs and similar other expenses. CLAIM UNDER HOSPITALIZATION BENEFIT IS
ADMISSABLE ONLY WHEN THE PATIENT IS ADMITTED IN A HOSPITAL FOR A
MINIMUM PERIOD OF 24 HOURS.
Pre-hospitalization
Relevant medical expenses incurred during the policy period upto 30 days prior to the hospitalization
on disease/illness sustained will be considered as part of claim under hospitalization. HOWEVER
MEDICINES BEING PRESCRIBED UNDER REGULAR OPD TREATMENT DURING PRE
HOSPITALISATION WILL NOT FALL UNDER HOSPITALIZATION CLAIMS.
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Post-hospitalization
Relevant medical expenses incurred during the policy period, upto 60 days, after hospitalization on
disease/illness/injury sustained will be considered as a part of claim under hospitalization.
HOWEVER, DURING POST HOSPITALISATION PERIOD, MEDICINES PRESCRIBED
UNDER REGULAR OPD TREATMENT FOR DISEASES/ILLNESS NOT RELATED TO THE
SAID HOSPITALISATION SHALL NOT BE REIMBURSIBLE UNDER HOSPITALISATION
CLAIM.
Cashless:
The member can also avail Cashless hospitalization Facility in any hospital empanelled by TPA, for
the provision of Cashless Hospitalization. List of such empanelled hospitals for availing cashless
treatment may vary from time to time; however, updated list may be referred from E-Meditek
website/E-Meditek centers, prior to hospitalization.
OUT-PATIENT BENEFITS (OPD)
1) Rs. 4000/- per member, for members below 70years of age as on 31.12.2012
2) Rs. 8000/- per member, for members 70 years and above as on 31.12.2012, for the policy period.
NOTE-
Persons completing 70 years of age on 1.1.2013 will also be considered for enhanced OPD benefit.
Unlike IPD facility, the OPD facility cannot be clubbed between the ex-employee and his/her spouse
3) O.P.D, treatment can be availed at the following institutions:
a) A Government Hospital
b) Dispensaries/Clinics run by local Government authority/Municipalities,
c) SAIL Plant Hospitals/Dispensaries
d) Hospitals/Nursing Homes as per List at (Page no. 33-43)
e) Franchisee of major Hospitals viz. Apollo, Max, Escorts, Fortis, etc. anywhere in India.
4) The members can avail OPD treatment facility in the above Hospitals. In case, the OPD treatment is
taken in a SAIL Plant Hospital, the members are not required to pay any expenses. SAIL Plant
Hospitals will make claims with the Insurance Co. for the Treatment given to the member. In case
OPD treatment is taken at approved Hospital other than SAIL Plant Hospital, the claim should be
submitted at any Centre of E-Meditek (TPA) Services Ltd. (Vide Page no. 15-17)
5) OPD treatment availed from the listed Hospitals should be necessarily claimed on the letterhead of
the listed Hospital. OPD treatment, wherein the prescription is on the letterhead of the doctor and not
on the letter head of the Hospital, will not be reimbursed.
6) OPD Claims to be submitted by the member to the TPA only when the expenses exceed Rs. 2000/
per person per policy period or within 90 days from the date of completion of the treatment whichever
is earlier.
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CAPPINGS:
1) Room Rent:- Maximum entitlement of room to be restricted to:
a. For Metro Cities Hyderabad, NCR, Bangalore, Mumbai, Chennai, Kolkata ceiling of 2% of the sum
insured per member or a single A/c non-deluxe room per day whichever is lower.
b. For Non Metro Cities which are state capitals, ceiling of 1.5% of the sum insured per member or a
single A/c non deluxe room per day whichever is lower.
c. For rest of the country- ceiling of 1% of sum insured per member or a single A/c non deluxe room
whichever is lower
In case a member goes for a higher category room, the consultation charges/investigation
charges/procedural changes/surgical charges/package rates etc. shall be limited to actual or as per their
corresponding rates for single AC non-deluxe room of the concerned hospital, whichever is lower.
IMPLANT UTILIZATION:-
2) Intra Ocular Lens:
Ceiling rates for different types of intra Ocular Lens (IOL) Implants to be as per actual or Rs. 10000/
whichever is lower and shall be reimbursable in addition to the package rates(wherever IOL is not a
part of Package) for cataract surgery procedure. It should be mandatory for the operating surgeon of all
hospitals to attach the empty IOL sticker, bearing the signature and stamp of the operating surgeon on it
along with the bill in support of the type of IOL used containing its batch number. In case the same is
not followed, the claim with regards to IOL implant, may be rejected.
3) Coronary Stents:
Ceiling rates for different types of Coronary Stents to be as per the actual or the rates as mentioned
below, whichever is lower.
S.No Name of Drug Eluting STENT/Bare METAL STENT Ceiling Rate
1 Cypher Stent ` 95,000 + VAT
2 Taxus Stent ` 67,300 + VAT
3 Endeavor ` 85,000 + VAT
4 Xience V EECSS ` 95,000 + VAT
5 Yukon Choice `55,000 + VAT 6 Pronova ` 50000 + VAT
7 Supralimus ` 55000 + VAT
8 Bare Metal Stent ` 45,000 (all inclusive)
A Maximum of three coronary Stents shall be permitted on the advice of the specialist, of which not
more than two shall be a Drug Eluting Stents (DES). However DES shall be permitted only for patients
where re-stenosis will involve high risk to patients life i.e. :
a. Osteal Proximal LAD lesions;
b. Stenosis of a coronary artery, which is giving collaterals to another blocked artery, thus supplying
a large area of myocardium; and,
c. Stenting of re-stenotic lesions after previous angioplasty.
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It is essential for the hospital to quote the batch number when a Coronary Stent of any type (ordinary
metal/Drug Eluting Stent) is implanted in the case of a beneficiary. In addition to this, the outer pouch
of the Stent packet along with the sticker on it on which the details of the stent are printed shall also be
enclosed with the medical bill for claiming reimbursement. In case hospital has not given the batch
number and/or outer pouch of the stents in a particular case, the claim with regards to the implant may
be rejected.
4) Joint Replacement Implants:
Ceiling rates for different types of Knee and Hips implants, to be as per the actual rates or the rates as
mentioned below, whichever is lower.
a. Maximum ceiling for Knee Implant to be Rs.75000/- (including cost of Bone cement)
b. Maximum ceiling for Hip Implant to be Rs.75000/- (including cost of Bone cement)
5) In addition to the aforementioned cappings, the following cappings on procedures/ packages as given
below, shall also be applicable:
S. No. Treatment Ceilings
1. Hernia repair ` 40000
2. Cholecystectomy ` 45000
3. Haemorroids ` 25000
4. Appendicetomy ` 35000
5. Hysterectomy ` 45000
IMPORTANT EXCLUSIONS
Under SAIL Group Mediclaim Insurance Policy, the Company shall not be liable to make any payment in
respect of any expenses whatsoever incurred by the insured person in connection with:
1. Any Disease/complication caused due to alcohol intake.
2. Any disease/injury caused by War/Nuclear Weapons/Radiations/Breach of Criminal law.
3. Circumcision, cosmetic or Plastic Surgery unless necessitated by an accident or as a part of any
disease/illness.
4. All health check- ups, routine eye examinations and cost of glasses and contact lenses.
5. Cost of dentures, Hearing Aid etc.
6. Convalescence, general debility, "Run-down" condition or rest cure, congenital diseases or
defects, sterility, venereal diseases, intentional self injury and use of intoxicating drugs.
7. The Hospitalization charges in which Radiological/Laboratory Investigations/other
diagnostic/studies have been carried out which are not consistent with or incidental to the
diagnosis of treatment of positive existence or presence of any ailment, sickness or injury for
which confinement at any Hospital/Nursing Home, has taken place.
8. Expenses on vitamins and tonics unless forming part of treatment for injury or disease as certified
by the attending physician.
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9. Treatment traceable to pregnancy/child birth, voluntary medical termination of pregnancy during
first 12 weeks of conception.
10. Naturopathy Treatment.
11. External and/or durable Medical/Non medical equipment of any kind used for diagnosis and or
treatment including CONSTANT POSITIVE ARIWAY PRESSURE, CONTINUOUS
AMBULATORY PERITONIAL DIALYSIS , Infusion pump etc. Ambulatory devices i.e.
walker, crutches, belts, collars, caps, splints, slings, braces, stockings, etc., of any kind. Diabetic
foot wear, glucometer Thermometer and similar related items etc., and also any medical
equipment which subsequently used at home etc.
12. Any Kind of Service charges, attendant food charges, surcharges, Admission Fees/Registration
Charges & Non-Medical Expenses levied by the hospital.
13. Treatment for Age related Macular degeneration with inj. Avastin/ Lucentis/Macugen.
14. Cytotron Therapy
15. Ozone Therapy
16. Rejuvenation Therapy
17. Enhanced External Counter Pulsation Therapy (EECP)
18. Any unproven therapy
CLAIM PROCEDURE
Mandatory Claim Intimations:-
i. The Beneficiary to inform/intimate, in writing, the Insurance Agency/TPA at least 48 Hrs Prior to
any elective/planned Hospitalization/Admission.
ii. In case of Emergency Admission/Hospitalization, the Insurance Company/TPA to be informed, in
writing within 24 hrs of such hospitalization
iii. The Claim Intimation is mandatory for Cashless & Reimbursement claims
iv. In case, Claim Intimation is not submitted or is not sent within defined timelines, the claim may
stand to be rejected or deductions made
v. Claim Intimation Format is provided on Page no. 21
vi. Claim Intimation can be sent via Letter/ Email/ Fax/ personally delivered at TPA offices.
NOTE:
For availing the facility of cashless hospitalization in hospitals, empanelled by TPA for the said
purpose, the members can avail the facility of TPA desk in such hospitals. For cashless hospital list,
please refer to updated hospital list on www.emeditek.com
Intimation can be sent via:
E-Mail: intimation.sail@emeditek.com
24 Hrs Helpline no: 0124- 4149727
Toll Free no: 18001028191
Fax: 0124-4466677
Website: www.emeditek.com
Personally delivered at E-Meditek branches mentioned in the guidebook. (Page no. 15-17)
Acknowledgement to member will be given via email/SMS.
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Process of Claim Submission for Hospitalization Treatment on Cashless/ Reimbursement Basis.
1) The reimbursement claims with respect to IPD/Hospitalization to be submitted to the insurance
company/TPA within 30 days from the Date of discharge from the hospital.
2) The reimbursement claims pertaining to Post Hospitalization to be submitted to the Insurance
Company/TPA within 30 days after the completion of permissible post hospitalization treatment
period of 60 days.
Reimbursement under Hospitalization
i. The claim form should be submitted duly filled in all respects and no column should be left
blank. The specimen copy of claim form is available on Page no. 18-19 (Annexure A)
ii. All bills, Medical Reports, test reports, Pathological test report along with original prescription,
Hospital Admission & Discharge Certificates be submitted by Registered Post, to any office of
E-Meditek (TPA) Service Ltd. at the address given in this booklet in support of the claim along
with prescribed claim form (specimen copy on page no. 18-19) within 30 days from the date of
discharge from the hospital.
iii. Ensure that the treatment is taken from a Hospital as defined above under (Note given above)
However, in case, the treatment is taken in non-registered hospitals on an emergency basis, the
insured member should have valid reasons for doing so and should immediately inform the
TPA with full details. All claim papers should be submitted in original. No photocopy will be
accepted.
iv. Further, it may be noted that in case the bills/report enclosed with the hospitalization claim
paper pertaining to establishment other than the nursing homes/hospital where the insured was
hospitalized, should be supported by proper prescription/advice of the attending doctor and
must be duly certified by the attending Doctor.
v. On receipt of completed claim form along with relevant document & discharge voucher, E-
Meditek shall process the claim. If the documents are found to be in order and other relevant
information is complete, the claim will be settled and amount will be settled through electronic
fund transfer (NEFT) as early as possible, normally within 15 days of the receipt of all claim
documents mentioned by the Insurance Company.
Cashless Hospitalization
E-Meditek offers Cashless Service to the Insured, where treatment can be obtained at any of E-
Meditek network hospitals without payment subject to the terms and conditions of the policy. E-
Meditek will settle the hospital bills directly on behalf of insured. A list of network hospitals is
attached for reference. (Ref to page no. 44-55)
NOTE:
For availing the facility of cashless hospitalization in hospitals, empanelled by TPA for the said
purpose, the members can avail the facility of TPA Desk/Insurance Cell in such Hospitals.
**ID Cards
Insured is requested to show the E-Meditek PHOTO-ID card at the time of Cashless hospitalization.
Members are advised to carry a valid photo identity proof like Driving License, Passport, and Election
Commission Card. The Request for Pre Authorization along with a copy of the E-Meditek card and a
copy of photo ID has to be faxed to E-Meditek at 0124-4466677
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The filled up Pre Authorization form is faxed by the hospital authorities. The format of the Pre
Authorization form is attached for reference on Annexure E (ref to Page no. 22). The information in this
form is to be filled in by the Hospital Authorities and partially by the Insured.
When the policyholder is advised admission to one of the network hospitals for treatment:
Part I of "Request for Pre Authorization" to be filled in by SAIL member (Ref page no. 22).
Part II of the Pre Authorization form to be filled by the attending doctor/surgeon/hospital.
Pre Authorization form to be faxed by the hospital to E-Meditek Head Office at 0124-4466677 at
least 72 hours before admission.
On receiving the Pre Authorization request, E-Meditek will do either one of the following:
A. Authorize
E-Meditek will fax an "Authorization Letter" (AL) directly to the hospital. In case the cost of
hospitalization exceeds the sum insured in the policy, the policyholder will have to pay the difference
to the hospital. E-Meditek will not be liable for any amount in excess of the amount specified in the
AL. The AL is valid only for the period of hospitalization as specified on the RAL (Request for
Authorization Letter).
B. Request Additional Information
In case the information provided in the Pre Authorization form is incomplete, unclear or insufficient,
E-Meditek will request clarification from the policyholder/hospital. Request Additional Information
may be approved or rejected subject to obtaining the Additional information and based on the terms
and conditions outlined in the policy. E-Meditek will fax "Denial of Authorization Letter"
(DAL)*directly to the hospital. Cashless facility may be denied in some situations as mentioned
below:
Any ambiguity in the policy terms and conditions with respect to the present ailment.
Insufficient sum insured to cover the hospitalization expenses.
Pre Authorization form is not received by E-Meditek in time.
If the information sent to E-Meditek is insufficient to confirm the coverage.
The policyholder or his/her relative must sign the claim form and hospital bills at the time of
discharge from the hospital.
Please note that DAL is only denial of cashless facility and is no way to be interpreted as denial of
treatment. You retain the right to get treated, pay for the services and then submit the bills to us for
reimbursement, subject to policy terms and conditions. In case of hospitals/cities not included in the
list, call at the Toll free number of E-Meditek 1800-102-8191. Each request would be dealt on a case
to case basis
Emergency Hospitalization
In case the insured is admitted to one of our network hospitals in any emergency or accident, the Pre
Authorization should be faxed to E-Meditek Head Office or Branch within 24 hours of admission. E-
Meditek 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.
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Out-Patient (OPD) Treatment
i. OPD claim should be submitted to the concerned office of E-Meditek (TPA) Services Ltd along with:
1) OPD claim Form duly filled in (specimen at page no. 20)
2) All Doctor's Prescription
3) All Receipts for Drugs/Diagnostic Tests
4) All Diagnostic Reports
All the above documents should be submitted in Original, in proper sequence, duly
tagged/stapled.
ii. Dental Treatment can also be availed of within the existing limit of Rs. 4000/- & Rs.8000/- (as
applicable) per member for the policy under O.P.D. treatment. Cost of dentures will not be
reimbursed.
iii. In case of expenses on Eye Treatment, cost of spectacles/contact lenses shall not be reimbursed.
iv. OPD Claims should be submitted by the beneficiary to the any office of E-Meditek (TPA) Services
Ltd only when the expenses equals or exceeds Rs. 2000/- per person or within 90 days from the date
of completion of the treatment, whichever is earlier. In addition, the claims towards OPD treatment
opted after 15th December are to be submitted within 15 days from the date of expiry of policy period
i.e. latest by 15th January of the succeeding year. (For members who avail OPD towards the fag end of
policy period have to make claims by 15th Jan). For claims not lodged within the stipulated time limit,
the company shall not be liable for such claims.
v. In case of treatment of ear, cost of hearing aid is not reimbursable
Grievance Lodging
Log on to the TPA Website (www.emeditek.com) for any queries, complaints or grievance. The member may
lodge a grievance online by following the steps as mentioned on page no. 28. The member may also send the
grievance through Post at any of the TPA centers as provided on page no. 15-17 or email at
grievance.sail@emeditek.com.
In case of major dispute in any claim, the concerned member is required to contact the dealing Executive of
his/her respective SAIL Plant/ Unit, to which the member belongs. The concerned SAIL Plant/unit would
constitute a committee of SAIL & Bajaj Allianz General Insurance Co Ltd officials, to resolve the dispute.
The decision of the committee in this regard will be binding on both the parties and the member will have to
wait for a reasonable time for the decision of the committee.
Note : - For any queries/observations/complaints/grievance, the members are required to be in touch with the
Mediclaim Officer of their respective Plant /unit only. No communication with dealing officers of Mediclaim
of other plants / units, including corporate office, will be encouraged.
15
CUSTOMER CARE SERVICES
In case, of any queries or require assistance during hospitalization/ claims processing feel free to contact us at our
toll free number. We offer 24*7*365 days support through our multi-lingual Customer Care Centre.
24 Hrs Helpline: 0124-4149727
Toll Free No. : 1800-102-8191
Fax Number: 0124- 4466677
E-Mail ID: help.sail@emeditek.com
Website: www.emeditek.com
Sail Webpage: http://emeditek.in/sailweb/
Details of dealing offices are given below:
1. Ahmedabad
E-Meditek (TPA) Services Limited
709,7th floor,Sakar-5, Behind Natraj
Cinema, Ashram Road, Ahmedabad.
Gujarat
Pin code: 380009
Ph: 079-44666666 Email: ahmedabad.sail@emeditek.com
2. Asansol
E-Meditek (TPA) Services Ltd,
SHRI VISHAL PLAZA, No. 123 (N), G.
T. Road (East), Murgasol, Post Asansol
West Bengal
Pin code: 713303
Ph: 0341-3295554
Email: asansol.sail@emeditek.com
3. Bangalore
E-Meditek (TPA) Services Limited
207, Level 2, Prestige Center Point
Cunningham Road, Bangalore, Karnataka
Pin code: 560042
Ph: 080-44666600
Fax: 080-44666655
Email: bangalore.sail@emeditek.com
4. Baroda
E-Meditek (TPA) Services Limited
101,La-citadel complex, 30 /Nutan bharat
society, Alkapuri, Baroda, Gujarat
Pin code: 390007
Ph: 0265-3084038
Email: baroda.sail@emeditek.com
5. Bhadravathi E-Meditek (TPA) Services Ltd,
Sri Venkateshwara Krupa, No 18/1
Lingayat street, Jannapura, Bhadravathi
Karnataka
Pin code: 577301
Ph: 08282-274744
Email: bhadravathi.sail@emeditek.com
6. Bhilai
Emeditek (TPA) Services Ltd.
Plot NO.21/13,Nehru Nagar (West)
Near Aggrasen Circle opp-UCO Bank
Bhilai, Chattisgarh
Pin code: 490020
Ph: 0788-4051445
Email: bhilai.sail@emeditek.com
7. Bokaro
E-Meditek (TPA) Services Ltd,
Ground Floor, Plot No HD-11, Sec-4,
Bokaro, Jharkhand
Pin code: 827004
Ph: 06542-232780
Email: bokaro.sail@emeditek.com
8. Chandigarh
E-Meditek (TPA) Services Limited
SCO 56, 1st Floor, Entry from front side,
Sector 30-C, Chandigarh
Pin code: 160030
Ph: 0172-4466600
Email: chandigarh.sail@emeditek.com
16
9. Chennai E-Meditek (TPA) Services Ltd,
New no.169 Old no.76, 3rd floor, (Above
Bank of Baroda) TTK Road, Alwarpet,
Chennai, Tamil Nadu
Pin code: 600018
Ph: 044- 44666600
Fax: 044- 44666655
Email- chennai.sail@emeditek.com
10. Dhanbad E-Meditek (TPA) Services Ltd,
Shop No.UG 31, 32 Shri Ram Plaza, Bank
Mor, Dhanbad, Jharkhand
Pin code: 826001
Ph: 7781003034
Email: dhanbad.sail@emeditek.com
11. Durgapur E-Meditek (TPA) Services Limited
12/1, Bengal Ambuja, City Centre,
Durgapur, West Bengal
Pin code: 713216
Ph: 0343-3245582
Email: durgapur.sail@emeditek.com
12. Guwahati
E-Meditek (TPA) Services Limited
148, GNB Road, Saif Enclave, 1st Floor
(Opp.Guwahati Press Club), Ambari,
Guwahati, Assam
Pin code: 781001
Ph: 0361-2731407
Email: guwahati.sail@emeditek.com
13. Hyderabad
E-Meditek (TPA) Services Limited
Plot # 45, Union Bank Of India Colony,
Road # 3, Banjara Hills, Hyderabad
Andhra Pradesh
Pin code: 500034
Ph: 040-30017800
Email: Hyderabad.sail@emeditek.com
14. Indore
E-Meditek (TPA) Services Limited
314, Orbit Mall, 3rd floor, 305-306, Scheme
NO.54,P.U. 4 A.B.Road, Indore,
Madhya Pradesh
Pin code: 452010
Ph: 0731-4466644/66/12
Email: indore.sail@emeditek.com
15. Jaipur
E-Meditek (TPA) Services Limited
307, 3rd floor, Paradise Appt. Sarojini
Marg, C-Scheme, (Behind Hotel Park
Prime) Jaipur, Rajasthan
Pin code: 302001
Ph: 0141-4466600
Email: Jaipur.sail@emeditek.com
16. Kochi
E-Meditek (TPA) Services Limited
35/292, 1st Floor, Challirickal Building,
Pottakuzhi Road, Pereparambil Lane,
Mamangalam, Palarivattom Post, Kochi
Kerala
Pin code: 682025
Ph: 0484-4466655
Email: kochi.sail@emeditek.com
17. Kolkatta
E-Meditek (TPA) Services Limited
Chitrakut building, 2nd floor, room no-
21&22, 230A, AJC Boss road, Kolkata
West Bengal
Pin code: 700020
Ph: 033- 44666600, 44666612, 13, 15, 16
Fax: 033- 44666607
Email: kolkatta.sail@emeditek.com
18. Lucknow
E-Meditek (TPA) Services Limited
314, 3rd Floor, Saran Chambers - 2, 5 Park
Road, Luck now
Uttar Pradesh
Pin code: 226001
Ph: 0522-4466660
Email: lucknow.sail@emeditek.com
17
19. Mumbai E-Meditek (TPA) Services Limited
208/209 Turf Estate, Off Dr.E.Moses
Marg, Behind Mahalakshmi Satation,
Mahalakshmi Mumbai,
Maharashtra
Pin code: 400011
Ph:022- 44666600, 44666666
Fax: 022- 44666655
Email:mumbai.sail@emeditek.com
20. Nagpur E-Meditek (TPA) Services Ltd,
Shri Prakash K Zode, Plot no 167, Hanuman
Nagar, Trikoni Maidam, Nagpur
Maharashtra
Pin code: 440009
Ph: 0712–6052999
Email: nagpur.sail@emeditek.com
21. New Delhi E-Meditek(TPA) Services Limited,
204 & 205, Kanchenjunga Building, 18,
Barakhamba Road, Cannaught Place,
New Delhi
Pin code: 110001
Ph: 011- 44666600
Email: delhi.sail@emeditek.com
22. Pune
E-Meditek (TPA) Services Limited
Office no. 101, Akruti Sankal, C.T.s no.
1010 & 2059, Sadashiv Peth, Pune
Maharashtra
Pin code: 411030
Ph: 020-44066655
Email: pune.sail@emeditek.com
23. Ranchi E-Meditek (TPA) Services Limited
B 420, Ashok Nagar, Road No - 4C, Opp -
Tata Steel ltd., Ranchi, Jharkhand
Pin Code: 834002
Ph: 0651- 2340144
Email: ranchi.sail@emeditek.com
24. Rourkela E-Meditek (TPA) Services Limited
Plot no 309, Udit Nagar, opp Ambedkar
Chowk, Rourkela, Orissa
Pin code: 769012
Ph: 0661-6550105
Email: rourkerla.sail@emeditek.com
25. Salem E-Meditek (TPA) Services Ltd,
1st Floor, Swarnambigai Plaza 3/313,
Omalur Main Road, Near TVS Bus Stop,
Salem, Tamil Nadu
Pin code: 636007
Ph: 0427-4036600
Email: salem.sail@emeditek.com
26. Surat
E-Meditek (TPA) Services Ltd
Room No:- 712 City Centre,8th Floor, Nr
Sosyo Cirlce, Udhna Magdalla Road
Surat, Gujarat
Pin code: 395002
Ph: 0261-3077395
Email: surat.sail@emeditek.com
Corporate Office:
E-Meditek (TPA) Services Limited
Plot No.- 577, Udyog Vihar, Phase - V
Gurgaon, Haryana
Pin Code: 122016
Ph: +91-124-4149727
Fax: +91-124-4466677 Toll Free no: 1800-102-8191
Email: help.sail@emeditek.com
18
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
EMSL 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.
19
SCHEDULE OF EXPENSES INCURRED BY
THE CLAIMANT
(Attach separate Annexure for details of bills)
Details of expenses claimed under
Hospitalisation
(To be supported by Bills/Receipt, Cash Memos etc)
Amount Claimed
1. Pre Hospitalisation Benefits
(Within 30 days prior to admission in the hospital)
2. Hospitalisation Benefits
3. Post- Hospitalisation Benefits
(upto 60 days from Date of Discharge)
Total
Consent Form
From:
Patient’s Name and address:
To:
Whomsoever it may concern: (Hospital/Doctor)
Madam/Sir,
I hereby authorize E-Meditek (TPA) Services Limited representatives free and unlimited access to seek medical
information (Indoor case papers, reports, documents, including photocopies thereof / pertaining my, admission /
treatment) from any hospital / medical practitioner from which or whom I have at any time sought or shall seek
medical attention concerning any disease/ sickness, ailment or injury, which affects my physical or mental health.
Yours faithfully,
Signature of the Patient
20
ANNEXURE- B: CLAIM FORM- OPD
O.P.D TREATMENT CLAIM FORM
E-Meditek (TPA) Services Limited
1) Name
2) MIN No
3) Address (IN BLOCK LETTERS) :
4) Phone Number
5) Nature of Illness
6) Period of Illness
7) Expenses Incurred
Type of Expenses
Bill
Date
Bill
No.
Name of the
Hospital/Lab/Medical Shop Amount
a) For Consultation
b) For Medicines
c) For Pathological &
other diagnostic tests
d) Any other
Total Expenses Incurred:
I declare that the given information is correct and that I have not claimed reimbursement for the above expenses
incurred by from any other source.
I also consent and authorize E-Meditek (TPA) Services Ltd/ Bajaj Allianz General Insurance Co Ltd /SAIL to seek
medical information/documents from any hospital /provider who has any time attend on the insured person.
(Signature of Insured)
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.
21
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: Pincode:
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 E-Meditek (TPA) Services ltd./ Insurance Company/ Representative of Insurance Company to
obtain my medical record/ Information from Hospital/ Nursing Home/ Treating Medical Professionals/ Family
Physician/ diagnostic Center/ medical shops necessary to process the claim
Kindly Keep In Notice
Photo ID of the patient has to be carried to hospital during hospitalization
Attachments of prescriptions and Admissions notes is a mandate
Photo Identity of the patient has to be attached along with Claim Intimation/ Documents
Non Submission of the Claim Intimation within 48 Hrs prior to admission will result the claim as NO CLAIM
SIGNATURE OF THE PATIENT
22
ANNEXURE- D: CASHLESS REQUEST FORM E-MEDITEK (TPA) SERVICES LIMITED (IRDA License No. 007)
Customer Care Tel: - 0124-4149727 Fax: - 0124-4466677 E-Mail:- cashless.sail@emeditek.com PART A – TO BE FILLED IN BY TREATING CONSULTANT
E-Meditek ID No.: Patient Name:________________________ MIN No:______________________
Age:___ Years. Gender: Male / Female Patient‘s Tel No. (Off.)___________________Mobile: __________________________________
Name of Hospital: Treating Doctor with contact no: _____________________
Presenting Complaints & Clinical Findings with Durations: ________________________________________________________________________
_________________________________________________________________________________________________________________________
Past History:
Disease Duration Disease Duration DM Arthritis HTN COPD / TB / Asthma IHD / CAD Any Other Chronic Ailment Surgical History Similar Ailment
Maternity Cases: Gravida Para LMP EDD No. of Live Children: __________
In C/O Accidents, influence of Alcohol / Intoxicant: Yes / No Whether MLC Done: Yes / No In C/O Injury, whether suggestive of self-inflicted injury: Yes / No
Proposed Line of Treatment: - _____________________________________________________ Class of Accommodation ________________
Date of Admission: ___________Expected duration of stay: _______Room No. ________ Admitting Diagnosis: ________________ PART B – TO BE FILLED BY HOSPITAL Amount in Rs.
Room Charges with breakup -
Consultant Visit Charges, Surgeon Fees, Anesthetist Fees with breakup -
Investigation Charges with breakup -
Anaesthesia, OT Charges, Surgical appliances, Medicines, Dialysis, Chemotherapy,
Radiotherapy, Cost of Stent and Implant etc with breakup -
Total Estimated Expenses: Rs
E-Meditek (TPA) Services Limited will not be held liable for the payment in the event of any discrepancy between the facts presented at the time of admission& in final documents submitted.
If the nature of treatment is different from what has been declared in the “Cashless Request Form” and for which “Pre Approval Certificate” has been issued then the said pre approval will automatically stand withdrawn. A fresh “Pre Approval” for the changed treatment will have to be applied for and obtained as soon as such a difference is noticed but in any case before discharge of the patient.
SIGNATURE & STAMP OF CONSULTANT SIGNATURE & STAMP OF THE HOSPITAL
PART C – TO BE FILLED BY THE INSURED / CLAIMANT INSURED CONSENT / AUTHORIZATION
I have ‘no objection’ in E-Meditek (TPA) Services Limited obtaining details of my treatment / collecting documents / verifying hospital records and also authorize E-Meditek (TPA) to pay the hospital bill & reimburse itself / receive the amount from my claim receivable from my insurance company. In case my claim is rejected, I hereby undertake to pay E-Meditek (TPA) Services Limited the amount paid by them to the hospital. This consent is also final discharge for hospitalization part of the claim where it has affected the payment. I reserve the right to submit pre / post hospitalization or other claim separately as and when required and as per policy terms and conditions, which I have read and understood. In case, the letter of authorization is not utilized at the above hospital, I agree to inform and surrender the letter of authorization to the E-Meditek (TPA) Services Limited. I am aware that EMeditek (TPA) Services Limited will update my sum insured only after receipt of the letter (in case of non utilization of authorization letter). I hereby warrant the truth of the foregoing particulars in every respect and I agree that if I have made or shall make any false or untrue statement, suppress or conceal any material fact, then, my right to claim reimbursement of the said expenses would stand forfeited. I further declare that in respect of the above treatment, no benefits are admissible under any other medical scheme or insurance.
Name:_________________________________________
Signature (Insured / Claimant)
23
ANNEXURE- E: ACKNOWLEDGEMENT SLIP
Acknowledgement Slip
Created On: DD/MM/YYYY
Sub Reg. No
MIN No.
Inward Date
Dep Rec Date
Patient Name
Type of Doc
Source
Insurance Co.
Policy No.
Card No.
Claim No.
24
ANNEXURE- F: NEFT FORM
E-Meditek (TPA) Services Limited
577, Udyog Vihar, Phase V, Gurgaon 122016 NEFT Form
To,
E-Meditek (TPA) Services Limited
Madam/Sir,
I furnish below details of my bank account to be used for effecting payments due to me by NEFT/RTGS
Registration for NEFT/ RTGS Payments
Beneficiary Name:
Policy number
Mediclaim Index Number (MIN):
Bank Account Details For NEFT/RTGS Payments
Name as appearing in Account
IFSC Code *(11 digits)
PAN Number (10 digits)
Bank Name
Bank Branch Name
Bank Branch Address
MICR Code (9 digits)
Full Bank Account No. (for NEFT)*
Account Type
Current Account
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 E-Meditek (TPA) Services Limited responsible.
• I / We further undertake to refund, at any time, any excess amount whether demanded by E-Meditek (TPA) Services Limited or not, which has been
credited to my account [due to any reason] by E-Meditek (TPA) Services Limited, in excess of (i) the amount due to me, or (ii) Claim/Refund/ Any other
payment.
• I / We agree that the payment will be endeavored to be credited starting from the date of next payment cycle and unless the Mandate is revoked by me/us
issuance of relevant credit instruction for electronic payment from E-Meditek (TPA) Services Limited into the aforesaid account will be valid discharge to E-
Meditek (TPA) Services Limited for having paid (i) the amount due to me, or (ii) Claim/Refund/ Any other payment.
• I / We further confirm that we understand this mode as a method of payment introduced by Reserve Bank of India, which provides us an option to receive
the amount and or to collect our payments by electronic payment mode directly through my/our bank accounts.
• I / We further confirm that I/we understand, E-Meditek (TPA) Services Limited, shall make electronic payment to my account by issuing the Payment
instruction electronically through its banker to the Clearing Authority and the Clearing Authority would ensure credit to my/our specified bank account
provided hereinabove.
• I / We further undertake to inform E-Meditek (TPA) Services Limited with an advance notice of 15 days, to withdraw from this mode of electronic
payment.
• I / We further confirm that E-Meditek (TPA) Services Limited will have, at its sole discretion, the right to return back to the option of paying to me/us by
way of cheque if there are more than 2 consecutive failures in remittances for no fault on the side of E-Meditek (TPA) Services Limited.
• After E-Meditek (TPA) Services Limited issuing the Payment instruction electronically through its banker, for whatever reasons, if I/we do not get the
credit to my/our account, then same shall neither constitute the default in (i) Payment of amount requested by me, or (ii) Payment of amount due to me/us, or
(iii) Payment of claim/ Refund/Any other payment by E-Meditek (TPA) Services Limited nor constitute default of any terms and conditions of any
Claim/Refund/Other contract with me/us.
Name of the Authorised Person:
Signature of Authorised Person
Date D D / M M / Y Y Y Y
25
DISCLAIMERS
If any member is found to be misusing the system or has committed any fraud, the member will be
permanently debarred from the Mediclaim membership and legal action shall be taken against
him/her.
In cases, where the cheque of the member for renewal or enrolment is found to be unsigned, is
returned for lack of funds or gets delayed etc., it would be the responsibility of the member to
ensure that the Policy coverage does not lapse due to the above reasons.
26
USER GUIDE TO ACCESS WEBSITE
Enter http://emeditek.in/sailweb/ to view SAIL Web
portal
Login Screen
Depicting on side is the front page from where
navigation can be done from one page to another.
DOWNLOADS: Click on “ ” to view and download various forms needed for claim
process. Click on the arrow available in front of each form to download the form.
HOSPITAL LOCATOR: Click on “ ” to search the SAIL approved hospital. You
can search the hospital by entering the hospital name, address, city, state or pin code.
FAQs: Click on “ ” to view the list of frequently asked questions.
CONTACT US: Click on “ ” to get the list of various offices to submit your claim
related documents or to contact for any query.
LOGIN: for logging in to your account follow the basic steps:
a. Select the type of user from the drop down list.
b. Enter your MIN number in the box available just
next to the “MIN no.”
c. Enter your password in the box available next to the
“password” first time users should enter their MIN no.
as their password.
d. Click login to submit your details and enter to your
account.
Customer account MY PROFILE: As you enter to your account, by default you enter your profile page. Click on “view”,
in new window you can see your complete details like “member information, corporate information,
27
Policy information, covered person, claim history, balance, benefit information, additional benefit
information, Concurrent Insurance details, past insurance details, NEFT details, card dispatch
details and enrolment information.
STEP BY STEP GUIDE: Click on
to view solutions for your queries.
CLAIM STATUS: Click on to
view your IPD and OPD Claims. Click on the letter
icon present on the right side of the screen.
A new window will open from where you can
view, print or E-Mail the letter to your ID or
anywhere else.
MEMBERSHIP CARD: Click on
to view your basic details
along with an E-Card option available on the
extreme right of the screen.
28
MY HEALTH RECORD: Click on
to manage your
health records here by uploading and
saving the soft copy of your documents.
NEFT DETAILS: Click on
to view your account details which you have
provided SAIL. In case your details are not visible,
kindly contact SAIL office and submit your details.
REGISTER CONTACT DETAILS: Click on to Enter your mobile number and E-
Mail ID to receive claim status of your claims and to receive important information/alert via SMS and
emails.
LOG YOUR GRIEVANCE: Click on
for any queries, complaints or
grievance, please let us know by adding your
grievance by clicking on “Log Your Grievance
Here” option. Fill in your required details as all
the fields are mandatory to register your
grievance successfully. Click on “Submit” to log
your grievance.
HEALTH CALCULATOR: Click on to calculate your body fat, BMR, your
body’s water requirement and the blood volume of your body. By clicking on below
various calculators, on new page you will get a form; fill in all your required details to receive a correct
result calculated on the basis of the details provided by you.
INTIMATE YOUR CLAIM: Click on
for claim intimation. By
clicking on option under profile, you can view
the profile of the insured in a new window. As you
click on in a new window you will
receive an e-form kindly fill in your complete details
and click on Submit.
29
FEEDBACK: Click on the option to provide your non-biased feedback to the TPA.
After providing your feedback, click on to submit your feedback successfully.
Note: Images shown above are for reference purpose only. For actual view of the images, please
refer website http://emeditek.in/sailweb/ .
30
SAIL FAQ'S
1) What is the validity of SAIL Medi claim Scheme-2013?
Answer: The SAIL Medi claim scheme 2013 is valid till 31st December, 2013 (2400 hrs IST)
2) What is claim intimation?
Answer: Claim intimation is the notice of hospitalization/admission which is required to be sent to any
centre of E-Meditek in writing through letter/fax/email, 48hrs prior to planned hospitalization or within
24hrs in case of emergency hospitalization. The claim intimation should include all the relevant details like
Name of Patient, age, sex, Mediclaim Index Number (MIN), contact details, diagnosis, name-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 document?
Answer: You can submit the documents to the nearest E-Meditek branch (branch details has been provided
in the SAIL guide book) OR You can send the documents to E-Meditek head office at the following
address, E-Meditek (TPA) Services Ltd. Plot No.- 577, Udyog Vihar, Phase - 5 Gurgaon, Haryana - 122016 4) What I have to do for availing cashless hospitalization facility?
Answer: In case of planned hospitalization, E-Meditek should be informed 48 hrs in advance, through the
duly filled-in/ Pre Authorization form (available at E-Meditek website/in the booklet /at the TPA desk of
the concerned hospital). Ensure that the Pre Authorization Form is signed by the member and the treating
doctor. Your claim would be assessed as per terms and conditions of the policy by the insurer and a letter
of authorization will be issued to the hospital authorizing treatment.
In case of emergency hospitalization/admissions, the concerned hospital is required to send the request for
Authorization for cashless hospitalization to E-Meditek with in 24 hrs of hospitalization/admission. Once
E-Meditek authorizes the concerned hospital, the cashless treatment through an Authority letter, you are
not required to pay the hospital up to the amount which has been sanctioned by the said authority letter. E-
Meditek will pay your hospital bills up to the amount authorized in the Authority Letter only. 5) What is the time limit for claim submission for reimbursement in case of hospitalization?
Answer: All the claim documents should be submitted within 30 days from the date of discharge from the
hospital to any nearest E-Meditek Branch Office or Head Office.
6) What is the time limit for claim submission for reimbursement in case of OPD?
Answer: OPD Claims to be submitted by the Mediclaim member to the Insurance company/ TPA only
when the expenses exceed Rs. 2000 per person per policy period or within 90 days from the date of
completion of the treatment, whichever is earlier. All the claim documents should be submitted to any
nearest E-Meditek Branch Office or Head Office. 7) Where can I avail cashless hospitalisation facility?
Answer: You can avail the cashless hospitalisation facility in the Hospital mentioned in the guidebook
under the head "List of empanelled hospitals for cashless hospitalisation under TPA". The updated list of
such empanelled hospitals may also be seen at the TPAs website (www.emeditek.com) 8) What are the documents required to be submitted for claiming reimbursement for hospitalisation?
Answer: Kindly submit the following documents for processing your claim.
1. Duly filled-in claim form
2. Original discharge card
3. Original hospital bill
4. Original hospital bill payment receipt, and all the prescriptions.
31
5. Original investigation reports
6. Medicine Bills
7. ECS form duly filled-in along with the cancelled cheque.
9) Whom do I contact in case of any grievance?
Answer: In case of any grievance you may get in touch with the local branch office of E-Meditek or you
can contact Head Office of E-Meditek on:
1) 24 Hrs Helpline: 0124- 4149727
2) Customer Care Help line (Toll Free No): 18001028191
3) Email ID:-grievance.sail@emeditek.com
4) Or you may Fax on: 0124-4466677
10) What do you mean by Pre-Hospitalization & Post hospitalization?
Answer: The Pre hospitalization period is 30 days prior to Hospitalization and Post Hospitalization period
is up to maximum of 60 days from the date of discharge from the Hospital.
11) What is the procedure for claiming reimbursement for Pre hospitalization as well as Post
hospitalization period?
Answer: The expenditure incurred during 30 days prior to Hospitalization (Pre hospitalization) and 60
days from the date of discharge from the Hospital (Post Hospitalization), for the treatment of a particular
disease for which Hospitalization takes place, is considered for reimbursement. This along with the claim
form and prescriptions, medicine bills, investigation reports, investigation advices should be submitted
within 30 days from the date of last consultation, or 90 days from the date of discharge, whichever is
earlier. 12) My Spouse cannot sign on claim form can she give left hand thumb impression on Claim form?
Answer: Yes, she/he can fill the claim form with left hand thumb impression on Claim form and submit
the documents. 13) My OPD expenses are only 850/- can I claim for the amount?
Answer: OPD claims to be submitted by the claimant only when the expenses exceed Rs 2000/- person
or per policy period within 90 days from the date of completion of the treatment whichever is earlier. 14) Are only diagnostic test covered?
Answer: Diagnostic tests which are not consistent with line of treatment are not payable at all.
However, Charges for diagnostic test consistent with or incidental to the diagnosis and IPD treatment of
the positive existence or presence of any ailment, sickness or injury are payable. 15) What do I need to do at the time of discharge in case of a cashless facility?
Answer: You need to sign your bills, fill up a claim form and sign the same, leave all your
investigation/diagnostic reports and X-ray/ultrasound films etc. with the Hospital. The hospital authorities
will send the documents to us for assessment and payment. 16) What is room restriction?
Answer:
For metro cities (Hyderabad, NCR, Bangalore, Mumbai, Chennai, Kolkata) Ceiling of 2% of the
sum insured per member or a single AC Non Deluxe room per day, whichever is lower .
For Non- Metro cities which are state capitals –Ceiling of 1.5% of the sum insured per member or
a single AC non- deluxe room per day, whichever is lower ,
32
For rest of country – ceiling of 1% of the sum insured per member or a single AC non –deluxe
room per day, whichever is lower.
17) Are there any limits on IOL (implant used in Cataract Surgery)?
Answer: Ceiling rates for different types of lntra Lens (IOL) implants to be as per actual or Rs 10,000/-
whichever is lower and shall be reimbursable in addition to the package rates for cataract surgery
procedure. It is mandatory to attach the empty IOL sticker bearing the signature and stamp of the
operating surgeon on it along with the bill in support of the type of IOL used containing its batch number
at the time of claim submission.
18) Are there any limits on Stents (used in Angioplasty)?
Answer: Yes, ceiling rates for different types of Coronary Stents to be as per the actual or the rates
mentioned below, whichever is lower
Sr No. Name of the Drug Ceiling rate
Sr No. Name of the Drug Ceiling rate
1 Cypher Stent ` 95000 +VAT
5 Yukon Choice ` 55000+ VAT
2 Taxus Stent ` 67300 +VAT
6 Pronova ` 50000 +VAT
3 Endeavor ` 85000 +VAT
7 Supralimus ` 55000 +VAT
4 Xience V EECSS ` 95000 +VAT
8 Bare Metal Stent ` 45000 (All inclusive)
In case of reimbursement claimant has to submit the Outer part of the Stent Packet along with the Sticker on it,
on which the details of the stent are printed.
19) Are there any new capping/ceilings introduced in the scheme this year?
Answer: In addition to the capping on Stents/ implants, the following capping on procedures/ packages as
given below, shall also be applicable:
S. No. Treatment Ceilings
1 Hernia repair ` 40000 2 Cholecystectomy ` 45000 3 Haemorroids ` 25000 4 Appendicetomy ` 35000 5 Hysterectomy ` 45000
20) What are the details on ECS Payments?
Answer: Electronic clearance system is process where the amount is directly transferred to claimant's
account. Claimant needs to fill in the ECS form available on our website (www.emeditek.com) or avail it
from our branches. Once duly filled they can send the document to the branch or Head office along with a
cancelled cheque
33
LIST OF SAIL APPROVED HOSPITALS FOR OPD TREATMENT UNDER SAIL MEDICLAIM SCHEME
Along with Franchisee of major hospitals viz. Apollo, Max, Escorts, Fortis, etc. anywhere in India
Andhra Pradesh
Area Hospital Name
Hyderabad Aghava Ratna Towers, ChiragAli Lane
Hyderabad Apollo Hospital
Hyderabad Care Hospital
Hyderabad Jaya Diagnostic & Research Centre Ltd. MEDWIN Hospitals
Hyderabad LV Prasad Eye Institute
Hyderabad Maxvision Eye Hospital, Begumpet, Hyderabad
Hyderabad Yashoda Hospital & Medicity Hospital
Kakinada Apollo Samudra Hospitals
Kakinada Care Hosoital
Nellore Bollineli Ramanaiah Memorial Hospital
Vijayawada Global Medical Centre
Vijayawada Pinnamaneni Care Hospital
Vijayawada Saumya Apollo Hospital
Vijayawada St. Ann's Hospital
Vijayawada Vijetha Hospital
Visakhapatnam City Care Hospital
Visakhapatnam K.G. Hospital
Assam
Area Hospital Name
Guwahati International Hospital
BIHAR
Area Hospital Name
Darbhanga R.B. Memorial Hospital
Darbhanga Ram Janki Hospital
Dharbhanga DMCH
Patna Holy Family Hospital, Kurji
Patna Indira Gandhi Ayur Sansthan,Sekhpur
Patna Patna Medical College Hospital
CHANDIGARH
Area Hospital Name
Chandigarh Chhuttani Medical Center
Chandigarh Fortis Hospital
Chandigarh Inscol Hospital
34
DELHI
Area Hospital Name
23/7 Shakti Nagar,Delhi-7 Pannarth Misson
Anand Vihar Swastik Medical Centre
Ashok Nagar Tyagi Nursing Home
Ashok Vihar, Phase -III Sunder Lal Jain Charitable Hospital
Darya Ganj Sanjeevan Hospital
Delhi Max Hospitals
Dwarka Ayushman
East of Kailash National Heart Institute, 49, Community Centre
East of Kailash, New Delhi - 24 R.G. Stone Clinic Urological Research Centre
Greater Kailash –I Sukdha Hospital
Greater Kailash, Part-I East West Medical Centre Pvt. Ltd.
Greater Kailash-II Retina Associates Eye Institute
Greater Kailash –TT South Point Hospital
Green Park, Extn Mohindra Hospital
Janakpuri Mata Chanan Devi
Jangapura, New Delhi -14 Sahi Hospital
K.G. Marg & Kailash Colony Shroff Eye Centre
Lajpat Nagar Dr. Patnaik Laser Eye Institute
Lajpat Nagar Moolchand Khairati Ram Hospital
Lajpat Nagar Vidhya Sagar Institute of Mental Health and NeuroScience (VIMHANS)
Laxmi Nagar Walia Nursing Home
Madhu ban Chowk New Delhi Bhagwan Mahavir
Mandir Marg, Saket Gujarmal Modi Hospital & Research Centre For Medical Sciences
Mathura Road, Near Sarita Yihar Apollo Tndraprastha Hospital
Mayur Yihar Jeevan Anmol Hospital
Naveen Shahdara Dr. Gupta Nursing Home & Hospital
Okhla Road Batra Hospital and Medical Research Centre
Okhla Road Escorts Heart Institute and Research Centre
Okhla Road Holy Family Hospital
Panchuian Road, Delhi Heart & Lung Institute
Pandav Nagar, Naraina road Khera Hospital
Paschim Vihar Bhatia Global Hospital
Preet Vihar Anand Health Care Pvt. Ltd.
Pusa Road Jeevan Nursing Home & Hospital
Pusa Road Kolmet Hospital & Medical Research Centre
Qutab Institutional Area Rockland Hospital,
Qutab Institutional Area Sita Ram Bhartia Institute of Science & Research,
Rajendra Nagar Sir Ganga Ram
35
Area Hospital Name
RajpurRoad Tirath Ram Shah Hospi tal
Ring Road, Lajpat Nagar-IV The Heart Centre,
Rohini Bhagwati Hospital
Rohini Jaipur Golden Hospital
Rohini Rajiv Gandhi Cancer Institute & Research Centre,
Rohini Saroj Hospital & Heart I nstitute
Rohtak Road, Punjabi Bagh Maharaja Agrasain Charitable Hospital
Safadurjang Development Area Orthonova Institute of Advanced Surgery and Research Centre
Sarita Vihar Shri Ram Medical Centre
Sham Nath Marg Sant Parmanand
Sheikh Sarai Venu Eye Institute
Sheikh Sarai, Phase-II Pushpavati Singhania Research Institute for Liver, Renal & Digestive
Diseases,
South Extn Arya Vaidyashala, (Kottakal)
Tis Hazari St. Stephans Hospital
Vasant Kuni Indian Spinal Injuries Centre
Vasant Vihar Seth Prabhu Dayal Gupta Charitable Hospital
Vasant Vihar Vasant Lok Hospital
Vasundhra Enclave Dharmshila Cancer Hospital & Research Centre
Vikas Marg, Extn. Shanti Mukund Hospital
Vikas Marg, Extn. Deepak Memorial Hospital & Medical Research Centre
Village Khizrabad (Near Friends Colony) Lions Hospital & Research Centre, Lions Service Trust
GOA
Area Hospital Name
Bonapavla Manipal Goa Cancer and General Hospital
Margao Apollo Victor Hospital
GUJARAT
Area Hospital Name
Ahmedabad Dr. Jeevraj Mehta Smarak Health Foundation Medical Research Centre
Ahmedabad M.P. Shah Cancer Hospital
Ahmedabad R.G. Stone Clinic
Vadodara Bhailal Amin General Hospital
Vadodara Metro Hospital & Research Center
HARYANA
Area Hospital Name
Bahadurgarh Delhi Hospital & Nursing Home
DLF City -IV Gurgaon Sitaram Bhartia Clinic
Faridabad Escorts Hospital Centre
Gurgaon Ark Hospital
36
Area Hospital Name
Gurgaon MP Heart Research Institute
Gurgaon Paras Hospital
Gurgaon Privat Hospital
Gurgaon Uma Sanjivini Heatlh Centre Pvt. Ltd
Gurgaon Umkal Hospital
Hissar Hospital attached to Jindal Steel
Palam Vihar, Gurgaon Columbia Asia Hospital ,
Panchkula Alchemist Hospital
Panchkula Dhawan Hospital
Sector-51, Gurgaon Artemis Health Institute
Sonipat Bharat Hospital
Sonipat Janki Das Kapoor Memorial Hospital
Sonipat Sathya OmNethra & Maternity Hospital
Yamuna Nagar JP Hospital
JHARKHAND
Area Hospital Name
Bokaro Referral Hospital, P.O. Jainamore
Dhanbad BCCL Hospital
Dhanbad CCWO Hospital Sariadhella
Dhanbad Patliputra Medical College
Giridih State Referral Hospital, Dumri
Hazaribagh Mission Hospital
Jamshedpur Cancer Hospital
Jamshedpur Tata Main Hospital
Jamshedpur Telco Hospital
Ranchi Apollo Hospital, IRBA
Ranchi Gurunanak Hospital & Research Centre
Ranchi Hospital for Mental Disease
Ranchi Ispat Hospital, MECON
Ranchi Mahadevi Birla TB Sanatorium
Ranchi Marwari Sewa Sadan
Ranchi Mission Hospital , Bariatu
Ranchi Nagar Mal Modi Seva Sadan
Ranchi R.K. Missi on TB Sanatorium
Ranchi Raj Hospital Nidan - Main Road
Ranchi Rajendra Medical College Hospital
KARNATAKA
Area Hospital Name
Bangalore Bangalore Institute of Dental Science & Hospital
37
Area Hospital Name
Bangalore Central Institute of Neuro-Science
Bangalore Chinmaya Mission Hospital
Bangalore Innovative Dental and Medical Poly Care Centre
Bangalore KMC Hospital
Bangalore Mallaya Hospital
Bangalore Manipal Heart Foundation
Bangalore Manipal Hospital
Bangalore Mental Hospital
Bangalore Model Eye Clinic and Nursing Home
Bangalore Nethradhama Superspeciality Eye Hospital
Bangalore Ramiah Hospital
Bangalore Shri Satya Sai Hospital
Bangalore St. John's Medical College and Hospital
Bangalore St. Marthas Hospital
Bangalore The Bangalore Hospital
Bangalore Wockhardt Hospital
Bangalore Vittala International Institute of Ophthalmology
Manipal Kasturba Hospi tal
Mangalore A J Hospi tal & Research Centre
Mysore Basappa Memorial Hospital
KERALA
Area Hospital Name
Alapuzha YSM Hospital
Alleppey St. Thomas Mission Hospital
Calicut Bady Memorial Hospital
Chengannur Christian Mission Hospital
Chittur Road, Palakkad-13 Lakshmi Hospital
Eraviperoor Kotakkattu Medicare Hospital
Irinjalakuda Lal Memorial Hospital
Kannur Cooperative Hospital
Kannur Indira Gandhi Co-op. Hospital
Kochi Amrita Institute of Medical Science & Research Centre
Kochi Arya Vaidyasala (Kottakal)
Kochi Ernakulam Medical Centre
Kochi Giridhar Eye Institute
Kochi Indira Gandhi Co-op. Hospital
Kochi KPM Eye Hospital
Kochi Lisie Hospital
Kochi Lourdes Hospital
Kochi Medical Trust Hospital
38
Area Hospital Name
Kochi Ojus Clinic & Nursing Home
Kochi PVS Hospital
Kollam Arnrita Ayurveda Medical College Hospital & Research Centre
Kollam S.S.M. Hospital
Kottayam Karithas Hospital
Kottayam Mar Gee Varghese Dionysius Memorial Hospital
Kottayam S.H. Medical Centre
Kottayam, Kollam Holy Cross Multispeciality Hospital
Kozhencherry Muthoot Medical Centre
Melamur Palakkad -6 Karuna Hospital
Mulakuzha Century Hospital
Palakkad Diabetic Centre
Palakkad Palat Memorial Hospital
Palakkad Palana Hospital
Palakkad Thangam Hospital of PMRC
Palakkad Welcare Hospital
Pandalam N.S.S. Medical Mission Hospital
Parumala St. Gregorios Cardio-Vascular Centre
Pathanamthitta Marthoma Medical Mission Hospital
Pathanamthitta Muthoot Medical Mission Hospital
Pathanamthitta Tiruvalla Medical Mission
Perinthal manna-679322 EMS Memorial Co-operative Hospital & Research Centre
Perumbavoor San Joe, Hospital
Triuvalla Dist, Ernakulam Pushpgiri Hospital
Trivandrum Mother Hospital
Trichur Amala Cancer Hospital
Trichur Aswani Hospital
Trichur Elite Mission Hospital
Trichur Jublee Mission Hospital
Trichur Trichur Heart Hospital
Trichy Maruti Hospital
Trivandrum General Hospital
Trivandrum Mental Hospital
Trivandrum Samaritan Hospital
Trivandrum Shreechitra Tirumak Medical Centre
Trivanrum Sree Uthradom Thirunal Hospital
MADHYA PRADESH
Area Hospital Name
Bhopal Ayushman Hospital Centre
Bhopal Kasturba Hospital (BHEL)
39
Area Hospital Name
Gwalior G.R. Medical College
Indore Bombay Hospital
Indore Choitham Hospital & Research Centre
Indore M.Y. Hospital
Jabalpur Jabalpur Hospital & Research Centre
Raipur D.K. Hospital
Raipur Modern Medical Institute
Uiiain PSS Hospital & Research Centre
Ujjain Pushpa Mission Hospital
Vindyanagar Vind
MAHARASHTRA
Area Hospital Name
Mumbai B.J. Wadia Hospital
Mumbai Bombay Hospital
Mumbai G.T. Hospital
Mumbai Hinduja Hospital
Mumbai J.J .Group of Hospital
Mumbai Jaslok Hospital
Mumbai K.E.M. Hospital
Mumbai Lilavati Hospital & Research Centre
Mumbai NAIR Hospital
Mumbai Nanavathi Hospital
Mumbai R.G. Stone Clinic
Mumbai Tata Cancer Research Institute
Mumbai Tata Memorial Hospital
Nagpur Central India Institute of Medical Science
Nagpur Mental Hospital
Nagpur Wockhardt Hospital
Navi Mumbai Dr. D. Y. Patil Hospital & Research Centre
Navi Mumbai Sterling Hospital
Pune Artificial Limb Centre
Pune Jehangir Hospital
Pune K.E.M. Hospital
Pune Medipoint Hospital
Pune N.M. Wadia Institute of Cardiology
Pune Sadhu Vaswani Mission Medical Complex
Thane Lok Hospital
Vashi Navi Mumbai Sterling Wockhardt Hospital
40
ORISSA
Area Hospital Name
Berhampur M.K.C.G. Medical College
Bhubaneshwar Apollo Hospital
Bhubaneshwar CDR Hospital
Bhubaneshwar Kalinga Hospital
Cuttack S.C.B. Medical College
SambaIpur V.S.S. Medical College
PUNJAB
Area Hospital Name
Ferozpur Anil Baghi Hospital
Hoshiarpur Modern Hospital
Jallandhar Patel Hospital Pvt. Ltd.
Ludhiana CMC Hospital
Rajpura Soni Hospital
RAJASTHAN
Area Hospital Name
Alwar lndraprastha Apollo Hospital
Alwar Sinha Nursing Home
Jaipur SMS Medical College
Jodhpur Goyal Hospital & Research Centre Pvt. Ltd.
Vasant Yihar, Alwar Seth Prabhir Dayal Gupta Charitable Hospital
TAMIL NADU
Area Hospital Name
Chennai Apollo Hospital
Chennai B.S.S. Hospital
Chennai Cancer Institute
Chennai Dr. Mohan's Diabetological Institute
Chennai General Hospital
Chennai Shri. Ramachandra Hospital
Chennai Indian Medical Practi tioners, Co-operative Society Hospital
Chennai K.J. Hospital
Chennai Madras General Hospital
Chennai Madras Medical Mission
Chennai Malar Hospital
Chennai Medical Research Foundation (Shankara Netralaya)
Chennai R.S.R's Trinity Acute Care, Hospital
Chennai Railway Headquarters Hospital
Chennai Ramachandra Medical College & Research Institute
Chennai St. Isabel Hospital
41
Area Hospital Name
Chennai Sundaram Medical Foundation
Chennai Tamil Nadu Hospitals
Chennai Vijaya Hospital
Coimbatore Coimbatore Aryu Viidyu (Pharmacy)
Coimbatore G Kuppuswamy Naidu Memorial Hospital
Coimbatore Ganga Medical Centre & Hospital Pvt. Ltd.
Coimbatore K.G. Hospital
Coimbatore Kennedy Hospital
Coimbatore Kottakkal Arya Vaidyasala
Coimbatore Nataraj Hospital, Kanchi Kamakoti Trust
Coimbatore Ram Krishna Hospital
Coimbatore The Eye Foundation
Combiatore Vijaya Hospital
Madurai Apollo Hospital
Madurai Arvind Eye Hospital
Madurai Bose Hospital
Madurai Meenakshi Mission Hospital & Research Centre
Pondicherry East Coast Hospital
R.S. Puram Vedanayakam Hospital
Salem Sri Gokulam Hospital
Trichy Kavery Medical Centre (KMC), Trichy
Trichy Sea Horse Hospital Ltd
Vellore Christian Medical College & Hospital
UTTAR PRADESH
Area Hospital Name
Agra Jalma lnsitute of Leprosy Trg. & Research Centre
Aligarh Gandhi Eye Hospital
Aligarh J.N. Medical College
Allahabad MLN Medical College
Ghaziabad Dr. R.S.G. (Indo German) Medical Centre
Ghaziabad Ganesh Hospital
Ghaziabad Narendra Mohan Hospital
Ghaziabad Sarvodya Hospital
Ghaziabad Yashoda Hospital
Haridwar Dispensaries run under Divya Yog Mandir (Trust)
Kanpur Regency Hospital Ltd
Kaushambi Jashoda Speciality Hospital
Lucknow OP Chaudhar Hospital & Research Centre,
Lucknow Ramakrishnan Mission
42
Area Hospital Name
Lucknow Vivekanand Polyclinic
Noida Aggarwal Eye Hospital & Dental Care Centre
Noida Fortis Hospital,
Noida Kailash Hospital & Research Centre Ltd
Noida Keerti Medical Centre
Noida Metro Heart Hospital
Noida Metro Multi Speciality Hospital
Noida NOIDA Medical Centre
Sitapur Eye Hospital
Varanasi B.H.U. Hospital
UTTARAKHAND
Area Hospital Name
Dehradun Jolly Grant Himalaya Institute of Medical Sciences
WEST BENGAL
Area Hospital Name
Barrakpore Disha Eye Hospital & Research Centre
Burdwan Burdwan Medical College & Hospital
Hooghly Aroga Niketan
Howrah West Bank Hospital
Kolkatta Advance Medicare and Research Institute
Kolkatta AMRI Hospital Ltd., Saltlake
Kolkatta Anandlok Hospital
Kolkatta Apollo Gleneagles Hospital
Kolkatta Assembly of God Church Hospital
Kolkatta Aurobindo Seva Kendra (EEDF)
Kolkatta B. P. Poddar Hospital & Medical Research Ltd
Kolkatta B.M. Birla Heart Research Insitute
Kolkatta Bangur Institute of Neurology
Kolkatta Behala Balananda Brahmachari Hospital & Research Centre
Kolkatta Calcutta Heart Clinic & Hospital
Kolkatta Calcutta Medical & Research Insitute
Kolkatta Cancer Centre and Wel fare Home
Kolkatta Chittaranjan Cancer Hospi tal
Kolkatta Dr. Rafi Ahmed Dental College & Hospital
Kolkatta Dr. Sudarsan Chakarborti Memorial Centre for Research and Treatment
Kolkatta Eskag-Sanjeevani
Kolkatta Eye Care & Research Centre
Kolkatta Fortis Hospital Ltd.
Kolkatta Harmoni Nursing Home
Kolkatta ILS Multi Speciality Clinic
43
Area Hospital Name
Kolkatta Jitendra Narayan Ray Sishu Seva Bhawan
Kolkatta K.P.C. Medical College & Hospital
Kolkatta Kothari Medical Centre
Kolkatta Microlap Nursing Home
Kolkatta Mission of Mercy Hospital
Kolkatta Nightingle Digonostic & Medicare Centre Pvt. Ltd,
Kolkatta North Bank Diagnostic Centre
Kolkatta North City Hospital & Neuro Institute
Kolkatta Paramount Hospital Pvt. Ltd
Kolkatta Park Clinic
Kolkatta Peerless Hospital
Kolkatta Ruby General Hospital
Kolkatta Rabindra Tagore International Institue of Cardiac Sciences
Kolkatta Ramakrishna Mission Seba Pratishthan
Kolkatta Sahid Khudiram Bose Institute & Research Centre
Kolkatta SEBA Hospital
Kolkatta Silver Line Hospital & Research Institute
Kolkatta Subodh Mitra Cancer Hospital & Research Centre
Kolkatta Suraksha Hospital
Kolkatta Susrut Eye Foundation & Research Centre
Kolkatta West Bengal Spastics Society
Kolkatta Wockhard Hospital & Kidney Institute IlIA
Kolkatta Wockhard Medical Centre
Kolkatta Woodland Medical Centre
Kolkatta Zenith Superspeciality Hospital
Purulia Netaji Eye Hospital
Raniganj Anandlok Hospital
44
ANDHRA PRADESH
City Area Hospital Name
Hyderabad Dmrl, X Raod,Kanchanbagh Apollo DRDO Hospital
Hyderabad 9-1-87,9-1-87/1,St. Johns Road Adj To
Keys High School, Secunderabad Apollo Hospital
Hyderabad Jubilee Hills Apollo Hospital
Hyderabad Basheerbagh Centre For Sight
Hyderabad 6-1-1070 / 1 To 4, Lakdi-Ka-Pool Global Hospital (A Unit Of Ravindranath Ge Medical
Associates Pvt. Ltd.)
Hyderabad D. No. 16-2-647/12, Judges Colony,
Malakpet HYDERABAD KIDNEY & LAPAROSCOPIC CENTRE
Hyderabad Basheerbagh Kamineni Hospital
Hyderabad King Koti Kamineni Hospital
Hyderabad L.B.Nagar Kamineni Hospital
Hyderabad Banjara Hills L. V. Prasad Eye Institute
Hyderabad Secretariat Road Mediciti Hospital
Hyderabad Nampally Railway Station Medwin Hospital
Hyderabad 1-1-216, Suraram X Roads , Jeedimetla, Narayana Hrudayalaya Hospital
Hyderabad Plot No.-22, Road No. 10, Banjarahills,
Karvy Lane Rainbow Childrens Hospital, Hyderabad
Hyderabad C - 17, Lane Beside Bata Vikrampuri
Colony Rainbow Childrens Hospital, Secunderabad
Srikakulam Near Datta Tample, Pn Colony Junction KIMS Sai Seshadri Hospital
Visakhapatnam 47-9-32, 3rd Lane, Dwarka Nagar Annapoorna Hospital
Visakhapatnam Waltair Main Road Apollo Hospital Enterprises Ltd
Visakhapatnam Seethammadhara (N. E.) Cancer Treatment & Research Centre
Visakhapatnam Waltair Main Road Care Hospital (M/S Visakha Hospital & Diagnostics Ltd)
Visakhapatnam 10-50-11/5 Ramnagar Care Hospital,Vishakhapatnam
Visakhapatnam 50-53-14, Gurudwara Lane,
Seethammadhare Chalasani Hospital Pvt. Ltd
Visakhapatnam No. 18-1-6, K. G. H. Down Road,
Maharanipeta, Visakhapatnam Indus Hospital
Visakhapatnam 47-1-104, Dwaraka Nagar Vith Lane Kala Hospital
Visakhapatnam 10-50-2, Lazarus Marg Lazarus Hospital Ltd.
Visakhapatnam 1/7, M V P Colony Mahatma Gandhi Cancer Hospital & Research Institute
Visakhapatnam # 49-48-16/5, Nggos Colony,
Akkayyapaelm Padmasri Hospital
Visakhapatnam D. No-19-50, Saimadhava Nagar, Naidu
Thota Sankar Foundation Eye Hospital
Visakhapatnam 11-4-4/A, Rockdale Layout, Visakhapatnam Sevenhills Healthcare Private Ltd.
Visakhapatnam # 15-14-9/1, Krishna Nagar, Maharanpeta Surya Sri Hospital Ltd.
Vizianagaram 18-01-10, Jidduvari St, Kota Jn. Muvva Gopala Hospital Pvt. Ltd.
Vizianagaram Near Lower Tank Bund Road, Opp Psr
Complex Tirumala Hospital
Vizianagaram Venkata Padma Healthcare Complex,
Lamps Vaatsalya Hospital (Vizianagaram)
LIST OF EMPANELED HOSPITALS TO AVAIL CASHLESS SERVICES
45
BIHAR
City Area Hospital Name
Patna Rupaspur, ROB (Nahar), West Bailey Road Atlantis Hospital
Patna Rajendra Nagar Magadh Hospital
CHANDIGARH
City Area Hospital Name
Chandigarh Sec 22 Centre For Sight
Chandigarh Sec- 34 A Inscol Hospital
Chandigarh Sec-46 D Kapoors Kidney And Urostone Centre Pvt Ltd
Chandigarh Ashokmarg Liberty Hospital
CHATTISGARH
City Area Hospital Name
Bhilai Opp Smriti Nagar Apollo Bsr Hospital
Bhilai Nehru Nagar Chandulal Chandarkar Memorial Hospital
DELHI/NCR
City Area Hospital Name
Delhi Patparganj Balaji Medical & Diagnostic Research Centre
Delhi Tughlakabad Institutional Area Batra Hospital & Medical Research Centre
Delhi Near Popular Apt & Mother Dairy Bhagwati Hospital
Delhi Budh Vihar Brahm Shakti Hospital & Research Centre Pvt
Delhi Dwarka Centre For Sight
Delhi Preet Vihar Centre For Sight
Delhi Rajouri Garden Centre For Sight
Delhi Rohini Centre For Sight
Delhi Roop Nagar Centre For Sight
Delhi Safdarjung Enclave Centre For Sight
Delhi Saket Devki Devi Foundation
Delhi Darya Ganj Dr Shroffs Charity Eye Hospital
Delhi Vasant Kunj Flt.Lt.Rajan Dhall Charitable Trust
Delhi Okhala Rd Fortis Health Management (North) Ltd.
Delhi Uttam Nagar Gandhi Nursing Home
Delhi Krishna Nagar Ganesh Ortho Trauma & Medical Centre
Delhi Okhla Road Holy Family Hospital
Delhi Delhi Mathura Road Indraprastha Medical Corporation Ltd.
Delhi Rohini Jaipur Golden Hospital
Delhi Mayurvihar Jeevan Anmol Hospital
Delhi Jeewan Nagar Jeewan Hospital & Nursing Home
Delhi Jeewan Nagar Jeewan Hospital & Nursing Home
Delhi Pusa Road Jeewan Nursing Home & Hospital
Delhi Karol Bagh Jessa Ram Hospital
46
City Area Hospital Name
Delhi Kirti Nagar Kalra Hospital SRCNC Pvt. Ltd.
Delhi Rajouri Garden Kukreja Hospital & Heart Centre Pvt. LTD
Delhi Punjabi Bagh Maharaja Agrasen Hospital
Delhi Janak Puri MATA CHANAN DEVI HOSPITAL
Delhi Pitam Pura Max Healthcare Institute Limited
Delhi Shalimar Bagh Max Hospital
Delhi Saket Max Super Speciality Hospital
Delhi Preet Vihar Metro Hospital & Cancer Institute
Delhi Near Sir Ganga Ram Hospital Mohan Eye Institute
Delhi Adjacent To Moolchand Flyores Moolchand Hospital
Delhi East Ofkailash National Heart Institute
Delhi Najafgarh Orthoplus Hospital
Delhi Near Keshnopur Bus Depo Park Hospital
Delhi Rohini Saroj Hospital & Heart Institute
Delhi Vikas Marg Sharp Sight Laser Centre Pvt. Ltd.
Delhi Kailash Colony Shroff Eye Centre
Delhi Old Rajinder Nagar Sir Ganga Ram Hospital
Delhi Paschim Vihar Sri Balaji Action Medical Institute
Delhi Ashok Vihar Sunder Lal Jain Hospital
Delhi Nehru Nagar Vimhans Hospital
Faridabad Faridabad Centre For Sight
Faridabad Near Neelam Bata Flyover Escorts Hospital & Research Centre
Faridabad Sector 16A Metro Heart Institute
Faridabad Neelam Flyover Q R G Central Hospital & Research Centre
Faridabad 5R/5 NIT Surya Ortho & Trauma Centre
Gurgaon Block- B Sushant Lok Alps Hospital Limited
Gurgaon Sector 51 ARTEMIS MEDICARE SERVICES LTD.
Gurgaon Gurgaon Centre For Sight
Gurgaon Huda City Metro Station Fortis Memorial Research Institute
Gurgaon Sec-38, Gurgaon Medanta The Medicity
Noida Sector 26 Apollo Hospital
Noida Sector 26 I Care Hospital & Postgraduate Institute Glaucoma
Research Centre
Noida Sector 62 International Fortis Hospital
Noida H-33, Noida Kailash Health Care Ltd.
Noida Sector 27 Kailash Hospital And Heart Institute
Noida Noida Max Healthcare Institute Limited
Noida Sector-12 Param Jyoti Eye Center
Noida Near Shalom School Paras Hospital
Noida Raj Nagar Shivam Hospital & Heart Centre Pvt Ltd.
Noida Sector 35 Surbhi Hospital
47
City Area Hospital Name
Noida Nehru Nagar Yashoda Hospital & Research Centre Ltd
Noida H 1, Kausambi Yashoda Super Speciality Hospital, GZB
GUJARAT
City Area Hospital Name
Ahmedabad Near Saijpur Tower, Naroda Road Anand Surgical Hospital Ltd
Ahmedabad Gidc Apollo Hospital International Ltd
Ahmedabad Dr Jivraj Mehta Marg Dr Jivraj Mehta Smarak Health Foundation
Ahmedabad Ellis Bridge Hcg Medi-Surge Hospital Pvt.Ltd.
Ahmedabad Green City ,Ghuma Krishna Heart & Super Speciality Institute
Ahmedabad Mill Compound Rakhiyala Narayana Hrudayalaya
Ahmedabad S.G. Highway Shalby Ltd.
Ahmedabad Off Gurukul Road, Memnagar, Sterling Hospital
Ahmedabad Shahibag The Gujarat Research & Medical Institute (Rajasthan
Hospital)
Baroda Race Course Circle Sterling Hospital
Baroda Manjsslpur Spandan Multispeciality Hospital
Surat Nanpura Smt R.B Shah Mahavir Super Speciality Hospital
Surat Ring Road Nirmal Hospital (P) Ltd
JAMMU & KASHMIR
City Area Hospital Name
Jammu B C Road, Rehari Centre For Sight
JHARKHAND
City Area Hospital Name
Bokaro Bye Pass Road Chas Krishna Murari Memorial Hospital & Research Centre
Bokaro Ram Nagar Colony Muskan Hospital & Research Centre
Bokaro Bokaro Steel City Prudence Hospital
Bokaro Sector 4, City Centre Sri Sai Hospital
Ranchi Irba Ranchi Abdur Razzaque Ansari Memorial Weavers Hospital(Apollo
Hospital)
Ranchi Booty Road Alam Hospital & Research Centre Pvt.Ltd.
Ranchi Bariatu Hill View Hospital Pvt Ltd
Ranchi Purulia Road Kashyap Memorial Eye Hospital
KARNATAKA
City Area Hospital Name
Bangalore Basavanagudi Avadhani Netralya
Bangalore Near Cantonment Railway Station Church Of South India Hospital
Bangalore Mallesh Waram Columbia Asia Hospital Pvt Ltd
Bangalore Kanakapura Main Road Deepak Hospital
Bangalore Seshadripuram Fortis Rm Hospital
Bangalore Bannergatta Road Fortis Hospital Ltd Bannerghatta Road
48
City Area Hospital Name
Bangalore Nelamangala Harsha Hospital
Bangalore Jayanagar (Near Vivekanand School) Jayanagar Orthopaedic Centre
Bangalore Agrahara Dasarahalli Jeevani Health & Medicare Pvt Ltd
Bangalore Malleshwaram Jupiter Hospital & Institute Of Vascular Surgery
Bangalore Msrngr M S Ramaiah Memorial Hospital
Bangalore Crescent Road Mallige Medical Centre
Bangalore Airport Road Manipal Hospital
Bangalore Bommasandra Industrial Area Narayana Hrudayalaya
Bangalore Rajaji Nagar Narayana Hrudayalaya
Bangalore Rajaji Nagar Narayana Nethralaya
Bangalore Jayanagar Nethradhama Hospital Pvt. Ltd.
Bangalore Jayanagar Sagar Hospital, Jayanagar Extn
Bangalore Airport Whitefield Rd Sankara Eye Hospital
Bangalore J.P. Nagar Shekar Nethralaya
Bangalore Tumkurroad Sri Raghavendra Hospital
Bangalore Ashok Nagar St. Philomena Hospital
Bangalore Below Railway Bridge Sunder Hospital
Bangalore Rahtriya Vidyalaya Road The Banglore Hospital
Bangalore Vijaynagar Vidya Eye Hospital
Bangalore Hanumantha Nagar Vishwabharathi Hospital Pvt Ltd
Bangalore Hosakerehalli Vittala International Institute Of Ophthalmology
Bhadravathi T. K. Road, Nayana Hospital
Mysore Jayalakshmipuram Basappa Memorial Hospital
Mysore Siddalingapura Post Bhagwan Mahaveer Darshan Eye Hospital
Mysore 438, Outer Ring Road, Hebbal Bharath Hospital & Inst. Of Oncology
Mysore Nr Nazarbad Police Station Gopala Gowda Shanthaveri Memorial Hospital
Mysore Kuvempunagar Kamakshi Hospital
Shimoga S. R Raod SUBBAIAH HOSPITAL
Shimoga Park Extension Road, Near Mahatmagandhi
Park Vaatsalya Hospital (Shimoga)
KERALA
City Area Hospital Name
Kanjirapally Ponkunnam P N P Memorial K V M S Hindu Medical Mission
Hospital
Kochi Kochi Amrita Institute Of Medical Sciences & Research Centre
Kochi South Kuriyappilly, Moothakunnam P.O. Bharath Rural Hospital & Training Centre
Kochi M.G.Road Cochin Hospital
Kochi Kmkjn Don Bosco Hospital
Kochi Panayappilly Gautham Hospital
Kochi Mundamveli Jishy Hospital
49
City Area Hospital Name
Kochi Pathadipalam, Changampuzha Nagar P. O.
Edapally Kims Hospital & Surgical Center Ltd.
Kochi Diwans Road Emakulam Lakshmi Hospital
Kochi Pachalam Lourdes Hospital
Kochi Pachalam, Kochi Lourdes Hospital
Kochi Edappaly M. A. J. Hospital
Kochi Mookkannoor M.E.G.J. Hospital
Kochi Ernakulam North, Specialists Hospital
Kochi Chittor Road Sree Sudheendra Medical Mission
Kochi Manjummel St. Joseph Hospital
Kochi Seaport - Airport Road, Kakkanad Sunrise Hospital, Kochi
Kochi Opp Adam Pillykadu Temple Vijaya Kumara Menon Hospital
Kochi S. A. Road, Vyttila Welcare Hospital
Kottayam Azad Lane Bharath Hospital
Kottayam Thellakom P. O. Caritas Hospital
Kottayam Thellakom Matha Hospital
Kottayam Karukachal Mercy Nursing Home (P) Ltd
Kottayam Nagampadom S. H. Medical Centre
Muvattupuzha Vi/623, Market P O , Muvattupuzha Nedumchalil Trust Hospital
Palai Bharananganam I H M Hospital
Palai Monipally Post M. U. M Hospital
Palai Aruna Puram, P.O-Pala Marian Medical Centre
Trivandrum Anayara Post Kerala Institute Of Medical Sciences
Trivandrum Anayara Lords Hospital
Trivandrum Peroorkada Punarjani Institute Of Medical Science
Trivandrum Fort S. P. Fort Hospital
Trivandrum Venjara Moody Sree Gokulam Medical College & Research Foundation
Vikom Muttuchira Holy Ghost Mission Hospital
MADHYA PRADESH
City Area Hospital Name
Bhopal Shahpura Ayushman Hospital,Bhopal
Bhopal Opp Dushehra Maidan Career Institute Of Medical Sciences (CIMS)
Bhopal Opp Nermal Meera School Chirayu Health & Medicare (P) Ltd
Bhopal M P Nagar Citi Hospital
Bhopal Aradhana Nagar Sharda Hospital & Diagnostic Centre
Indore IDA, Scheme No.-94/95, Ring Road Bombay Hospital
Indore Plot No 124, Sector Ab Centre For Sight
Indore Jawahar Marg City Nursing Home
Indore Old Palasia Greater Kailash Hospital
Indore Gram Bherasala, Ujjain Indore State Highway Mohak Hi Tech Spaciality Hospital
50
City Area Hospital Name
Indore Scheme No 74, Sec D, Vijay Nagar Rajshree Hospital &Research Center
Indore Ujjain Road Sri Aurobindo Institute Of Medical Sciences
Indore Scheme No.74-C, Sector-B Plot No. 2 Synergy Hospital
Jabalpur Near Gate No 3 Anant Institute Of Medical Science
Jabalpur North Civil Lines City Hospital & Research Centre
Jabalpur Damoh Naka Metro Hospital & Cancer Research Centre
Jabalpur Gol Bazar National Hospital
MAHARASHTRA
City Area Hospital Name
Mumbai Borivali (W) Apex Hospital
Mumbai Bandra (E) Asian Heart Institute
Mumbai Marine Lines Bombay Hospital & Medical Research Centre
Mumbai Vasai Cardinal Gracias Memorial Hospital
Mumbai Andheri (W) Criticare Multispecility Hospital & Reserach Centre
Mumbai Powai Dr. L H Hiranandani Hospital (Only For Corporate)
Mumbai Mulund (W) Dr. Mukhis Raj Hospital
Mumbai Mulund Goregaon Link Rd Fortis Hospital Ltd Mulund
Mumbai Vikhroli (W) Godrej Memorial Hospital
Mumbai Mulund(W) Hira - Mongi Navneet Hospital
Mumbai Chembur Inlaks General Hospital
Mumbai Peddar Rd Jaslok Hospital And Research Centre
Mumbai Eastern Express Highway Jupiter Lifeline Hospital Ltd
Mumbai Andheri(W) Kokilaben Dhirubhai Ambani Hospital
Mumbai Jogeswari (W) Mallika Hospital
Mumbai Mahim P D Hinduja
Mumbai Malad (W) Riddhi Vinayak Critical Care & Cardiac Centre
Mumbai Raheja Rugnalaya Marg, Mahim S L Raheja Hospital
Mumbai Gandhi Market Smt. Sushilaben R. Mehta & Sir K.P. Cardiac Institute
Mumbai Chembur Surana Sethia Hospital And Research Centre
Pune Chinchwadgoan Aditya Birla Memorial Hospital
Pune Erandawane Deenanath Mangeshkar Hospital
Pune Sassoon Road Jehangir Hospital
Pune Rasta Peth K. E. M. Hospital
Pune Chinchwad Lokmanya Care Hospital
Pune Nigdi Lokmanya Hospital
Pune Hadapsar Noble Hospital
ORISSA
City Area Hospital Name
Balasore Suelpur SRIRAM HOSPITAL
Bhubaneshwar Near Muncipal Kalyan Mandap Aditya Care Hospital
51
City Area Hospital Name
Bhubaneshwar Unit-15 Apollo Hospital Enterprise Ltd
Bhubaneshwar Acharya Vihar Square Ayush Hospital,Bhubaneswar
Bhubaneshwar Kiit University Kalinga Hospital
Bhubaneshwar Kharelnagar Near Bbsr Rly Station Neelachal Hospital (P) Ltd
Bhubaneshwar Sahid Nagar Sparsh Hospital & Critical Care Pvt Ltd
Bhubaneshwar (Blank) Swarna Hospital Pvt Ltd
Cuttack Chauliagunj Jeevandhara Nursing Home
Cuttack Plot No. 1140, Mahanadi Vihar Moon Hospital Pvt Ltd
Cuttack Telengapenth N H - 5 Panda Curie Cancer Hospital
Cuttack 4/697, Sector - 8, Cda Riverine Hospital
Cuttack Mahanadi Vihar Sabarmati General Hospital Pvt. Ltd.
Cuttack Plot No. 444, Mahanadi Vihar Shakti Hospital
Rourkela Uditnagar Shanti Memorial Hospital
Rourkela Basanti Colony Rajasthan Seva Sadan
Rourkela D-10 Civil Town Ship Rourkela Lifeline Pvt. Ltd.
Sambalpur Bhuda Raja Trilochan Netralaya
PUNJAB
City Area Hospital Name
Ludhiana 120,The Mall Arora Neuro Centre
Ludhiana Near Ansal Plaza Centre For Sight
Ludhiana Field Ganj Market Christian Medical College & Hospital
Ludhiana Model Town Deep Nursing Home And Children Hospital
Mohali SAS Nagar Centre For Sight
Patiala Jagdish Ashram Road Centre For Sight
RAJASTHAN
City Area Hospital Name
Ajmer Beawar Road Dr. Khunger Eye Care(Centre For Sight)
Jaipur Malviya Nagar Apex Hospital (P) Ltd.
Jaipur Jawaharlal Nehru Marg Bhagwan Mahaveer Cancer Hospital & Research Centre
Jaipur Mansarovar Dhanwantri Hospital & R Centre
Jaipur Malviya Nagar Fortis Escorts Hospital
Jaipur Vidhyadhar Nagar S K Soni Hospital
Jaipur Bhabha Marg Sahai Hospital &Research Centre
Jaipur Mansarovar Saket Medicare And Research Centre Pvt Ltd
Jaipur Bhawani Singh Marg Santokba Durlabhji Memorial Hospital
Jodhpur Sardarpur Centre For Sight
52
TAMIL NADU
City Area Hospital Name
Chennai Peravallur (Perambur) Abhijay Hospital (P) Ltd
Chennai 58 Lb Road Adyar P M Hospital & Research Ctr P Ltd.
Chennai Kilpauk Apollo First Med Hospital
Chennai 21, Greams Lane Apollo Hospital Enterprises Ltd.
Chennai 320, Anna Salai Apollo Speciality Hospital
Chennai Nandanam Apollo Speciality Hospital
Chennai Jaganathan Street Balaji Hospital (P) Ltd.
Chennai Raja Annamalaipuram Billroth Hospital R A Puram
Chennai Shenoy Nagar Billroth Hospital Ltd
Chennai Mylapore Chennai Meenakshi Multispeciality Hospital Ltd
Chennai Kelamrakkam Chettinad Hospital & Research Institute
Chennai Kilpauk Deepam Eye Hospital
Chennai Pallikaranai Dr Kamakshi Memorial Hospital
Chennai 19,Cathedral Road Dr. Agarwals Eye Hospital Ltd. (Cathedral)
Chennai Adyar Fortis Malar Hospital Ltd.
Chennai Kanchipuram Global Hospital & Health City
Chennai Anna Nagar Khm Hospital
Chennai Naid Colony Aminjika M R Hospital
Chennai 18 College Road Medical Research Foundation
Chennai Mount Poonamallee Road Miot Hospital Ltd
Chennai Poonamallee High Road New Hope Indian Speciality Hospital
Chennai Purasawalkam Noble Hospital
Chennai Near Vallonarkottam Rajan Eye Care Hospital Pvt. Ltd.
Chennai Valasaravakkam Rakshit Hospital
Chennai Kaladipet Rohit Hospital
Chennai Chromepet Royal Balaaji Hospital
Chennai Mylapore Rsr Trinity Acute Care Hospital (A Unit Of Trinity Nursing
Home Pvt. Ltd.)
Chennai Kattankulathur S. R. M. Medical College Hospital & Research Centre
Chennai Mylapore Sampat Nursing Home
Chennai Tambaram (W) Saravana Ortho & Multispeciality Hospital
Chennai Porur Sri Ramachandra Medical Centre
Chennai Mylapore St. Isabel Hospital
Chennai Stthomas Mount St. Thomas Hospital, Chennai
Chennai Thiruvotriyur Sugam Hospital
Chennai Saidapet Vasan Eye Care Hospital*, Saidapet
Chennai Nandanam Venkataeswara Hospital
Chennai Vadapalani Vijaya Heart Foundation - Vijaya Hospital
Coimbatore Alam Nagar Road Ashwin Hospital
Coimbatore 284, Sathy Road,Gandhi Puram,Coimbatore Ellen Hospital
53
City Area Hospital Name
Coimbatore 30, Ram Gardens, Sowripalayam Road G. R. Hospital
Coimbatore 45 - A, Pankaja Mill Road,
Ramanathapuram Gem Hospital & Research Centre Pvt Ltd.
Coimbatore Chinniampalyam K. G. M. Hospital Pvt. Ltd.
Coimbatore Tatabad Kongunad Hospital (P) Ltd
Coimbatore P B # 3209, Avinashi Road, Kovai Medical Center And Hospital Ltd
Coimbatore S.F.No.522/3,Udayampalayam
Road,Sowripipalayam Post,Nava India, Kurinji Hospital
Coimbatore Avinashi Road Lotus Eye Care Hospital Ltd., Coimbatore
Coimbatore Trichy Road Richmond Hospital (P) Ltd
Coimbatore 1287, Trichy Road, Coimbatore Richmond Hospital Pvt. Ltd.
Coimbatore Sundarapurah Sree Abirami Hospital (P) Ltd
Coimbatore Mettupalayam Road V. G. Hospital
Coimbatore Nanjammas Building, 1/80-1, Metupallayam
Road, Thudiyalur Vasan Eye Care Hospital* (Thudiyalur )
Coimbatore No.777, Puliyakulam Road, Laxmi Mills Jn,
P.N.Palayam Vasan Eye Care Hospital*, Laxmi Mills-Coimbator
Coimbatore 81, T V Samy Road (West), R S Puram, Vasan Eye Care Hospital*-Coimbatore
Madurai Kknagar Apollo Speciality Hospital,Madurai
Madurai 1 ,Anna Nagar Aravind Eye Hospital
Madurai Narimedu Saravana Hospital (A Unit Of Surya Trust)
Madurai Chokkikulam Vadamalayan Hospital
Manaparai Baracks Road GKM Surgical Hospital
Salem Main Road Arokya Hospital
Salem Meyyanur Road Gokulam Hospital
Salem Rajaji Road Kiruba Hospital
Salem Five Roads Kurinji Hospital
Salem Second Agraharam Mohan Raj Childrens Hospital
Salem Ashram Road Nathan Super Specialty Hospital
Salem S.K.Nagar R P S Hospital
Salem Alagapuram S K S Hospital India Pvt. Ltd.
Salem Ammapet S. Palaniandi Mudaliar Memorial Hospital
Salem Ramakrishna Road Salem Gopi Hospital (P) Ltd
Salem Saradha College Rd Shanmuga Hospital & Salem Cancer Institute
Salem Near Gandhi Stadium Shri Shellapha Hospital
Salem Behind Sarada College Hasthamnatt Thambi Medical Surgical Eye Hospital
Salem F 22 Raman Road Vasan Eye Care Hospital*-Salem
Salem Shankar Nagar Vidya Hospital, Salem
Salem Veerapandi Vinayaka Mission Hospital
Vellore Ida Scudder Road Christian Medical College
Vellore No.30 /1, Officers Lane Vasan Eye Care Hospital*
54
UTTAR PRADESH
City Area Hospital Name
Agra 116, Delhi Gate Centre For Sight
Lucknow 37 Cantt Road F. I. Hospital
Lucknow River Bank Colony K K Hospital
Lucknow Aliganj Crossing Neera Hospital
Lucknow Sitapur Road Sewa Hospital & Research Centre
Lucknow Indiranagar Shekhar Hospital, Lucknow
Lucknow 29, Shahmeena Road Chowk
SUSHRUT INSTITUTE OF PLASTIC SURGERY, BURNS &
TRAUMA
Meerut E. K. Road CFS Netralaya Pvt Ltd (Centre For Sight)
Moradabad Kanth Road Centre For Sight
WEST BENGAL
City Area Hospital Name
Asansol Raniganj Anandalok Hospital
Asansol G T Road (W) Asansol Medical Centre Pvt Ltd
Asansol Sen Raleigh Road H L G Memorial Charitable Hospital & Research Institute (P)
Ltd
Durgapur Near City Centre Disha Eye Hospital & Research Centre Pvt Ltd
Durgapur Central Park Durgapur City Clinic & Nursing Home Pvt Ltd
Durgapur A Zone Lions Care Centre
Durgapur Bidhan Nagar The Mission Hospital
Durgapur Bidhan Nagar Vivekananda Hospital Private Ltd
Howrah AC Market Alpha Medical Services Pvt Ltd
Kolkata Salt Lake Amri Hospital
Kolkata Salt Lake City Anandalok Hospital
Kolkata Canal Circular Road Apollo Gleneagles Hospital
Kolkata National Library Avenue B. M. BIRLA HEART RESEARCH CENTRE
Kolkata Block G, New Alipur B.P Poddar Hospital & Medical Research Ltd
Kolkata Sinthee More (Binayak Enclave) Binayak Multispeciality Hospital
Kolkata (Blank) Cancer Centre Welfare Home & Research Institute
Kolkata Barsat Care & Cure Nursing Home, Uluberia
Kolkata Teghoria Charnock Hospital Pvt Ltd
Kolkata Salt Lake Columbia Asia Hospital, Kolkata
Kolkata Kasba Golpark Desun Hospital & Heart Institute
Kolkata Sheoraphuly Disha Eye Hospital(Hooghly)Pvt Ltd
Kolkata Barrackpore Disha Eye Hospital & Research Centre Pvt Ltd
Kolkata 1 /3 Dover Place DR. NIHAR MUNSI EYE FOUNDATION
Kolkata Ibrahim Road Ekbalpur Nursing Home Pvt. Ltd.
Kolkata Sodepur Eye Care Nursing Home
Kolkata 730, Anandpur Fortis Hospital Limited
Kolkata 111, A, Rashbehari Avenue Fortis Medical Centre & Fortis Hospital & Kidney Institute
55
City Area Hospital Name
Kolkata Lenin Sarani G D DIABETES (Only Kolkata Police)
Kolkata Prannath Pandit Street Health Point
Kolkata Jessore Road(South)Barasat Jubilant Kalpataru Hospital
Kolkata S C Mullick Rd K. P. C. MEDICAL COLLEGE & HOSPITAL
Kolkata Alipore Road Kothari Medical Centre
Kolkata Mukundpur Medica Super Speciality Hospital
Kolkata Bepin Paul Road Microlap Hospital
Kolkata Park Street Mission Of Mercy Hospital & Reasearch Centre
Kolkata Theatre Rd, Elgin Nightingale Diagnostic & Medicare Centre Pvt Ltd
Kolkata Baghajatin On E M By Pass Peerless Hospitex Hospital And Research Centre Ltd.
Kolkata Mukandapur Rabindranath Tagore International Institute Of Cardiac Science
Kolkata Tegharia Renaissance Hospital Pvt Ltd
Kolkata Kasba Revival Nursing Home(Burn Unit)
Kolkata Salt Lake Rotary Narayana Nethralaya
Kolkata EM Bypass Ruby General Hospital
Kolkata Belgharia Sahid Khudiram Bose Hospital
Kolkata 147,Mukundapur Sankara Netralaya
Kolkata New Alipore Shardha Healthcare Pvt Ltd
Kolkata P A Shah Road Silverline Eye Hospital(A Unit Of Biswas Medical Centre)
Kolkata Madhyamgram Spectra Eye Foundation Pvt. Ltd.
Kolkata Kolkata Sri Aurobindo Seva Kendra
Kolkata Salt Lake Subodh Mitra Cancer Hospital & Research Centre
Kolkata Salt Lake Susrut Eye Foundation & Research Centre
Kolkata Rajarhat Road Swasti Eye & Super Speciality Nursing Home
Kolkata Dimond Harbour Road The Calcutta Medical Research Institute
Kolkata Andul Road West Bank Hospital (Meridian Medical Research & Hospital
Ltd.)
Kolkata Alipore Road Woodland Multispecility Hospital Ltd
Kolkata Feeder Road Zenith Super Speciality Hospital
Note: 1.Above list is subject to change without prior notice, for updated list of Hospitals please
refer our website http://emeditek.in/sailweb/
2. *Vasan Eye Care Hospital is empaneled for Cashless Services at PAN India level, Insured can
avail cashless services at any of the Vasan Eye Care Hospital. For Complete list, please refer
our website http://emeditek.in/sailweb/
56
SAIL PLANT REPRESENTATIVES
Plant/
Unit Name Designation Phone Email ID
B. Hemalatha DGM (P-ES) 0788-2857074 hemlatab@sail-bhilaisteel.com
BSP K. Bhanu Murthy DGM (P-ES) 0788-2852043 bhanu@sail-bhilaisteel.com
Bhuwan Lal Sahu JM (P-FSS/SEWA) 0788-2854702 blsahu@sail-bhilaisteel.com
DSP Ramesh Ch. Mishra Manager(Pers) 0343-2745092 rcmishra@saildsp.co.in
RSP Gouri Prasad Misra AGM (P-M & HRS) 0661-2642343 gouriprasad.mishra@sailrsp.co.in
BSL Dr. Nanda Priyadarshini Jr. Manager (Pers- MPC
& FSC) 06542-240273 nandapriyadarshini@gmail.com
ISP &
KULTI Biswajit Thakur
AM (P-MPP&CPD
Admn.) 0341-2240313 bthakur875@gmail.com
Naresh Kumar
DGM (P-HRD , CSR &
Admn) 0343-2546634 nk_umar@yahoo.com
ASP Sarmistha Datta Jr. Mgr. (CSR & Admn) 0343-2546224 dattasarmistha931@gmail.com
Dipankar Maji Jr. Mgr. (CSR & Admn) 0343-2546224 dipankarmaji57@gmail.com
SSP Debariki Suresh Jr. Manager (Pers) 0427-2382281 debariki.suresh@gmail.com
VISL Surender Kumar Dubey SM (ES & Rajbhasha) 08282-271621 vislpersworks@yahoo.co.in
RMD Sanjit K. Das AGM (Pers.) 033-22820900 rmdcal.pers@gmail.com
CMO Hemlata Nath AGM (Pers.) 033-22888825 hemlata@sail-steel.com
Indrajit Mukhopadhyay Mgr-P 033-22888825 indrajitm@sail-steel.com
RDCIS Manas Rath Asstt. General Manager 0651-2411596 manas@sail-rdcis.com
CET Tapan Kr. Ghosh Dy. Manager (Pers) 0651-2411209 tk.ghosh@sailcet.co.in
MTI Saurabh Kr Singh AGM (Personnel) 0651-2411037 singhsaurabh_2001@rediffmail.com
GD Dr. Rituparna Mukherjee Sr Medical Officer 033-22263399 ritup_m@rediffmail.com
Vaani Kapoor Sr. Manager (P-
ITB&Med.) 011-24300330 vaani.kapoor@gmail.com
CO Neeraj Seth Jr. Manager (P-
ITB&Med.) 011-24300327 sail.neerajseth@gmail.com
Prabal Sadhu Jr. Officer (P-ITB&Med.) 011-24300329 prabal32@gmail.com
CFP P.P.Chakrabarty DGM (P&A) 07172-278222 personnel_mel@hotmail.com
SRU Sebastian Lakra Sr.Manager (Personnel) 06542-233233 sbstnlkr12@gmail.com
Note: For any queries/observations, the members are required to be in touch with Mediclaim Officer of
their respective Plant/Unit only. No communication with dealing officers of Mediclaim of other
Plants/Units including Corporate office will be entertained
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