Medi Assist India

Phone - 080 - 26584811 (5 Lines)
Call Center Toll Free - 1-800-425-9449     (For Callers India Only)
Cashles hospitalization Process & Procedures are described below. Click here to see the process.
https://www.mediassistindia.com/CashlessProcess.html





Download the medi assist preauthorization request form (pdf)
Network Hospital List for Cashless Treatment
This is a list of hospitals your Insurer's Third Party Administrator has agreement with for providing Cashless Hospitalisation. The list attached herewith is most recent but due to dynamic nature of relationships between Hospitals & TPAs, we would recommend you to talk to the executives of the TPA & confirm whether the hospital is still in the network or not. It would be even better if you enquire with the hospital about the same.
- Emeditek
- Family Health Plan
- Mediassist
- Paramount Health
- Raksha TPA
- TTK Healthcare


Cashless Authorisation Forms
When you have decided which hospital to take treatment from (almost 95% hospitalizations in India are non-emergency & hence you would have adequate time to select the hospital for treatment to be taken), the next step is to go to the hospital atleast 48 hours in advance & fill up a Cashless Authorisation Form . Generally, this form is also available with the hospital. The fields that you MUST know for while filling the form are:

• The policy no. (In case of Company Offered Group Mediclaim , the name of company would do)
• The TPA ID No. (In case of Company Offered Group Mediclaim, mention your Employee ID)

- Bajaj Allianz
- Emeditek
- Family Health Plan
- Mediassist
- Raksha TPA


Reimbursement Claim Form
In case, you have not taken the treatment in the Network Hospital, you will have to submit all the original documents (as per the list made available here for your reference) along with the Reimbursement Claim Form issued by your Insurer. Here are some of the forms for various insurers.
- Bajaj Allianz
- Cholamandalam
- ICICI Lombard
- National Insurance
- Oriental Insurance


http://www.mediassistindia.com/
Phone - 080 - 26584811 (5 Lines)
Call Center Toll Free - 1 800 425 9449




Head Office


Medi Assist India TPA Pvt Ltd


49, SHILPA VIDYA,
1st Main, J P Nagar 3rd Phase
Bangalore - 560 078
Phone 080 - 26584811 (5 Lines)
Call Center Toll Free* 1 800 425 9449


Fax Toll Free* 1 800 425 9559
Fax Toll No* 011- 41624844 (4 Lines)
022- 66376933 (7 Lines)


E-mail : info@mediassistindia.com




Branch Offices




Mumbai


"A" Wing, 6th Floor,
Indiana Business Centre,
Makwana Road,
Near Marol Naka,(Behind Star TV Office)
Andhari East,
Mumbai - 400 059.


Ph : 022 - 30843800 /01 /02 /03 /04
Fax : 022 - 66376933




Pune


No.301, III Floor, Mantri Terrace,
Thube Park, Shivaji Nagar,
Pune - 411 005.


Ph : 020 - 25530068 / 25530078
Fax : 020 - 25530098


Cochin


No.406. Chandralayam
Kurusupally Road, Temple Lane
Ravipuram,
Cochin - 682 015.


Ph : 0484 - 2357682/ 2357692
Fax : 0484 - 2356662




Coimbatore


Krishna Chambers,166,
Thiruvengada Swamy Road (West),
Room No. 303,3rd Floor,Canara Bank Building,R S Puram,
Coimbatore - 641 002.


Ph : 0422 - 2543050 /2543060/2543070
Fax : 0422 - 2543070


Chennai


Flat No. 5,I Floor,
Above Spencer supermarket,
No.33,C.P Ramasamy Road,
Alwarpet,Chennai-600018.


Ph : 044-30282256, 30282257




Delhi


H-252, Kailash Plaza, II Floor,
Sant Nagar,
New Delhi - 110065.


Ph: 011 30913809, 30913811
Fax: 011 41624844


Jamshedpur


CEB Complex,Telco,
Jamshedpur - 831 004.


Ph : 0657-2282075
Fax : 0657-2282074




Kolkatta


"Ganga Apartments" Flat 2A, Blk-A,
86, Golaghata Road,
Kolkata - 700 048.


Ph: (033) 39835703 / 39835717
Fax: (033) 39835702


Bangalore


II Floor, No.45/A, B Block, 1st Main Road
Sarakki Industrial Layout, J P nagar Phase III
Bangalore - 560078


Ph : 080-2659 0504/05/06




Hyderabad


1-10-74, Flat No: G201,
Galada Towers, 2nd Floor,
Beside pantaloons lane,
Near Foodworld,Begumpet,
HYDERABAD –500016. A.P.


Ph : 040- 30916824/25/31(MO) AND 32409004.


Ahmedabad


701, Kaivanna Building
Beside Ahmadabad Centre Mall,
Near Panchvati Circle, Ellisbridge
Ahmedabad - 380006


Ph : 079-32405558/32421901

Common Cashless Request Form	Cashless Request Form
Common Claim Form for PSU Insurance Companies	Reimbursement Claim Form     (Claim Form Filling Guide)
Forms for Reliance General Insurance	Claim form for Reliance General Insurance
CHOLAMANDALAM Claim Form	Claim Request Form
Forms for ICICI Lombard General Insurance Company Ltd.	Claim form for Group Mediclaim Policy
Forms for Infoscions	Claim form for Infoscions
Form for MindTree Minds	Claim form for MindTree Minds
M/s HDFC ERGO - MEDI CLAIM FORM	Claim form for HDFC CHUBB
NIA Claim Form Tata Communications	NIA Claim form Tata Communications
TCL Non Hospitalization Form	TCL Non Hospitalization Form
TCL Hospitalization Form	TCL Hospitalization Form
BhartiAXA Easy Health Claim Intimation Form	BhartiAXA Easy Health Claim Intimation Form
BhartiAXA Easy Health Treating Doctors Certificate	BhartiAXA Easy Health Treating Doctors Certificate
M/S Marvell Claim form	M/S Marvell Claim form
Future Generali Group Health - Claim form	Future Generali Group Health - Claim form
Reliance Life Claim form - Major Surgical Benefit Rider	Reliance Life Claim form - Major Surgical Benefit Rider
Reliance Life Claim form - Hospital Cash Benefit	Reliance Life Claim form - Hospital Cash Benefit
Reliance Life Claim form - Critical Conditions (25) Rider	Reliance Life Claim form - Critical Conditions (25) Rider
Claim Form for HP	Claim Form for HP