Insurance

Patients can avail the benefit of Cashless hospitalization at Breach Candy Hospital Trust if the TPA/Insurance co. has a tie up with the hospital (refer the list). The TPA help desk at the Hospital Reception will assist and guide you for the process of availing the cashless facility from the TPA/Insurance Company. However, the primary responsibility of obtaining the authorization would be of the patient/relative.

Cashless Process

The patient is required to fill up a pre-authorization form before admission. You are requested to check your insurance card/insurance policy (or speak to your insurance agent) about the TPA before downloading and filling the form. (Forms are available on our website) The patient must give a true medical history to the doctor at the time of filling in the pre-authorization form to avoid any discrepancy which may result in the denial of the claim and cancellation of the approval in the future.

Corporate Process

Breach Candy Hospital Trust has emerged as a preferred healthcare provider for employees of many corporate houses. The biggest and the best companies have for long trusted us for provision of hassle free healthcare for their employees and family members. Empanelment with us ensures fast track admission and cashless hospitalization in case there is an emergency.

Reimbursement Process

For patients who do not avail the benefit of Cashless hospitalization or whose claims are denied for Cashless, they can do the following process:

Reimbursement process

	Patient	Doctor	Hospitals
Before admission	Inform the insurance/TPA company(Planned cases – In advance) (emergency case – within 24 hours for hospitalization).
At Discharge	Fill the Reimbursement Form* Fill the request form for Indoor case paper.	Fill the Doctors part in the Reimbursement form.	Fill the Hospital details and provide the sign and stamp in the Reimbursement form#
After Discharge	Collect the Indoor case papers from the Medical records department.

* Please collect the form from your agent or the TPA/Insurance company.

# Timing - Between 9:00 AM to 5:00 PM from Monday to Saturday only.

Kindly check with your TPA/Insurance company regarding the requirement of a minimum duration of hospitalisation of 24 hours for eligibility of your insurance claim.