Feb 15, 2015 03:16 PM
70444 Views
My family having ahealth insurance of The New India Assurance Co. Ltd capping Rs.1.5 L for senior members. My father got admitted in one of its networked hospital to avail cashless facilities. As it was an uncertain mishap for my family, so the admission was instant and unplanned. TPA was(Heritage Health TPA Pvt. Ltd) mere helpful and gave service in prompt. Network hospital has to make communication always updated with TPA for smooth documentation/process and resolutions.
1/ Network hospital was optimal and cooperative but greedy too( as you know how private hospitals do the greedy buiness!)
2/ ASAP you get admission contact your agent and TPA and update them all.
3/ Keep followup with the hospital's Mediclaim desk so that they dont make any delay to process the documentation, as and when TPA required any such docs, they shiuld deliver the same to expedite the process of cashless and post hospital reimbursement.
4/ After hospital discharge, communicate the same to TPA and submit later requried ddocuments for rest of amt reimbursement.
5/ Our hospital made a bill of Rs.50, 000, out of which 40k TPA paid instantly and rest 10k I had paid to the hospital to get a discharge of my patient. Later, with in 15 days I had to submit post hospital bills for reimbursement of rest Rs.10k amount; as per my policy and condistion later(after 35 days) I has recceived Rs.4000. Therefore, out of 50k I have received benefit of 44k and I had paid from my pocket Rs.6000.
Overall, experience with New India Assurance was decent/reliable and satisfactory as a part of being Got. organization!
Barun Das
Bangalore/Kolkata.