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Insurance:
Currently most of companies like their staff to be insured for medical emergencies.
If the premium has been paid up to date and the medical investigation/procedure is covered by the policy any person can claim a reimbursement from the insurance company. In many cases the patient pays the bills and then claims the amount. As the cost of medical treatment is high, the insurance companies are offering cashless transactions at recognized hospitals for patients with valid insurance policy. These cashless transactions are carried out through a Third Party Administrators (TPA), appointed by the insurance company, to co-ordinate with the hospital.
The hospital has to be recognised by the TPA for the patient to avail the cashless facility. The Vivus - BMJ Heart Centre is registered with all the top TPA's across the country (see the list below).
1. ALANKIT HEAKTH CARE LTD
2. BAJAJ ALLIANZ LIFE INSURANCE
3. DEDICATES HEALTH SERVICES
4. E MEDITEK SERVICES
5. FOCUS HEALTH CARE LIMITED
6. FAMILY HEALTH PLAN LIMITED
7. GOOD HEALTH PLAN LIMITED
8. GENINS INDIA LTD
9. MEDIASSIST
10. MEDICARE TPA SERVICES
11. PARK MEDICALIM SERVICES
12. PARAMOUNT HEALTH SERVICES
13. RAKSHA TPA SERVICES
14. STAR HEALTH CARE
15. TTK HEALTH SERVICES PVT LTD
16. UNITED HEALTH CARE
17. VIPUL MEDCORP PVT LTD
Documents required for availing the insurance facility:
Cashless authorization can be availed by both planned and emergency admissions.
The hospital, on basis of the information provided will get clearance from the TPA for a cashless transaction. In case the clearance is not given the patient has to make the payment and then file papers for reimbursement. The hospital will provide all the necessary papers required for the claim.

The patient has to provide the policy details or card number given by the TPA.
In case of insurance coverage provided from the employer, the cashless process can be done through employee ID reference.
All medical expenses will be covered through insurance excluding non-medical expenses up to the sum insured limit only.
FAQs:
What is Non-Medical Expenses?
Registration fees, Food and Beverages, Attender Stay which are not relavant to the treatment of the patient.
Our hospital is empanelled with below mentioned health coverage schemes associated with Insurance and TPA to serve the specific group or Professionals.
1. AROGYA BHAGYA YOJANA
2. YESHASVINI TRUST
3. UTI SENIOR CITIZEN
AROGYA BHAGYA YOJANA

The state police department staffs and officials can avail the cashless hospitalization scheme through Arogya

  Bhagya Yojane. This service is provided to hospital through the TPA called Family Health Plan Ltd.
In this scheme the official has to bring only the reference letter from the commissioner office the cashless approval from FHPL will be handled by hospital representative.
Both planned and emergency hospitalization is covered under this scheme.
Please carry the Arogya Bhagya Card which has the member details when you are approaching the hospital.
YESHASVINI TRUST
The state farmers are offered a health scheme associated with Yeshaswini trust and Karnataka State Government.
All cardiac Interventional and Surgical treatment is covered under this scheme excluding the implants, for the members having appropriate documents registered through co-operative society.
UNIT TRUST OF INDIA (UTI) SENIOR CITIZEN's UNIT PLAN
The Senior Citizens get medical reimbursement if they have opted the UTI scheme, In association with The New India Assurance Company Limited the cashless authorization is provided.
The member has to have the UTI book with the latest update and the hospital representative will co-ordinate for further needful.
For any details on the above subject please contact:
Name: K.Raghu
Phone: 080 41999328
Mobile: 9880656021
© Vivus Group 2008