TPA & Insurance

One of the most crucial components of modern healthcare architecture is Health Insurance and Third-Party Assurance. Some medical treatments can be expensive and hence, the need for insurance. With our wide range of health insurance partners, we guarantee that all our patients will have seamless and efficient approval mechanism. Additionally, our network of insurance brands helps patients have a clear understanding of the coverage, eligibility, taxes, and other aspects of coverage. We provide an unparalleled patient experience by creating an ecosystem for accurate and prompt settlement of claims.

Insurers can trust us to provide accurate information, documentation, and assistance in evaluating the patient’s requirements and offering a transparent mechanism for claims.

Our Process

Submit: Provide insurance details to our TPA: Initiate the process by providing your insurance specifics to our TPA for seamless handling.
Verify: TPA confirms coverage and processes TPA conducts thorough coverage confirmation and streamlines processing for swift insurance handling.

Government Schemes

The Maharashtra and Karnataka state government is providing cashless healthcare services to the beneficiaries for serious illnesses requiring hospitalization as identified under the scheme.

Mahatma Jyotiba Phule Jan Arogya Yojana

The scheme offers health cover to the families who are a part of any of the destitute districts of Maharashtra The beneficiary should have an Annapurna Card, white/yellow/orange Ration Card, and Antyodaya Anna Yojana Card (AAY) Farmers belonging to the agriculturally distressed districts are also covered

Ayushman Bharat Pradhan Mantri Jan Arogya Yogjana

AB-PMJAY provides a defined benefit cover of Rs. 5 lakh per family per year. This cover will take care of almost all secondary care and most of tertiary care procedures. To ensure that nobody is left out (especially women, children and elderly) there will be no cap on family size and age in the scheme.

Arogya Karnataka

The objective of the scheme is to extend ‘Universal Health Coverage’ to all residents in Karnataka State. Under this new scheme, primary health care, specified secondary and tertiary health care benefits will be provided.

Railway Employees Health Scheme

Retired Railway employees covered under RELHS-97 will be provided with full medical facilities as admissible to serving employees in respect of medical treatment, investigations, diet, and reimbursement of claims for treatment in Govt. or recognized non railway hospitals.

Maharashtra Police Kutumb Kalyan Arogya Yojana

MAHARASHTRA POLICE KUTUMB AROGYA YOJANA Providing basic healthcare facilities to police personnel covered under Maharashtra state Medical Services Rules 1961 are treated and operated upon for free in 214 hospitals across the state.

Employee's State Insurance Corporation

Employees’ State Insurance Corporation is a statutory body under the ownership of Ministry of Labour and Employment, Government of India. The fund is managed by the Employees’ State Insurance Corporation according to rules and regulations stipulated in the ESI Act 1948.

ECHS

The ECHS Central Organization is located at Delhi and functions under the Chief of Staff Committee (COSC) through AG and DGDC&W in Army HQ. The Central organization is headed by Managing Director, ECHS, a serving Major General. There are 28 Regional Centres ECHS and 426 ECHS Polyclinics. ECHS is also an attached office of Dept of Ex-Servicemen Welfare (DoESW), Ministry of Defense (MoD) as are Directorate General Resettlement(DGR) and Kendriya Sainik Board (KSB)