Cashless facility means the facility to admit an insurance policy holder in a hospital without making any upfront payment at the time of hospitalization. This facility will be available only in the network hospitals. You have to show the ID card only. The patient will be admitted to the hospital and all treatment procedures and hospital expenditure will be met by the insurance company. If the hospital in which you are admitted is not a networked hospital, the payments for the hospital services and medications charges have to be paid from your pocket initially. The insurance company will reimburse the expenses paid by you immediately after completing the formalities for the same.
Most of the insurance companies offer cashless services with the help of a third party administrators. Third party administrator is an organization engaged in managing and settling the medical insurance claims. This is an independent organization engaged in collecting the premiums, settling the medical claims, and providing all the possible helps to make the cashless facilities of treatment a big success. These agencies are controlling the reimbursement of hospital charges in the case of hospitals which are not networked by the insurance company.
Details of some prominent insurance companies and third party administrators in India are detailed below.
Family health plan (TPA), Limited
Family health plan (TPA) Limited is a third party administrator engaged in medical insurance field and functions as a mediator between the insured, insurance company and the hospital where the insured is undergoing treatment. The noble aim of this organization is to provide the right service to the right candidate at the right time at the right price as a cashless facility or as a reimbursement facility.
Appollo D. K. V
Appollo D.K.V is a joint venture insurance company which is comprised of Apollo Group of hospitals India, and DKV AG which is the largest health insurer in Europe. Appollo DKV has launched a number of insurance schemes like easy health individual health insurance plan, easy health family health insurance plan, insurance health, maxima, easy travel insurance plan, personal accident insurance plan etc.
Appollo DKV was renamed as Appollo Munich Health Insurance in the year 2009 and the company continues its endeavor to provide right service at the right time to the right candidate by introducing innovative policies and products. Receipt of awards like health insurance company award for the year 2013, the technology maturity award for the year 2013, etc have made the company stronger in their commitment and steadfast in their approach to serve humanity in general.
T.T.K health care services
T.T.K health care T.P.A Private Limited is a third party administrator engaged in providing services to the medical insurance policy holders in India. The company takes special interest to see that the insured is getting a hassle free and cash less service form the networked hospitals and for the hospitals which are not networked, the amount spent for hospitalization is reimbursed without any delay.
Med Save Healthcare (TPA) Ltd is a healthcare management company with headquarters at New Delhi, India. It is a joint venture between Med Save, USA and Arcotech group which is a Delhi based Indian company.
Heritage health TPA private Ltd is a third party administrator company licensed by India Government and is engaged in all medical claims of insurers of certain insurance companies. They have a dedicated networking across the country and they are providing very fast and easy claim allocations to insurers involved in accidents or succumbed to diseases.
Vipul MedCorp TPA Private Limited is an organization engaged in third party administration of insurance claims. The company is situated in India with its head office in Gurgaon, Delhi.
Tamilnadu Star health
Star health and allied insurance company is India???s first standalone insurance company. This is a Chennai based company with which the Government of Tamilnadu has entered into insurance agreement for its employees. More than 900 hospitals in Tamilnadu are included in the network of cashless facilities provided by this insurance company.
Private star health
Private star health company is a standalone insurance major engaged in medical insurance profession. The total capital of the company has crossed the landmark figure of 1000 cores recently.
ICICI Lombard is the largest insurance company in India. During the year 2012 this company has issued over 7.6 million insurance policies and settled over 4.4 million insurance claims. ICICI Lombard is a joint venture between ICICI bank and Fairfax financial holdings based in Canada with assets worth 27 billion US dollars.
Medi Assist India Private Limited is a third party administrator company in India engaged in the settlement of claims and providing cash less services for many hospitals and insurance providers. This is an ISO 9001-2000 certified organization and is authorized by the Government of India as per license No 003 issued by the Insurance Development and Regulatory Authority of India.
Good Health Plan
Good Health Plan Private Limited is a third party administrator in the field of insurance and is authorized by the Insurance Development and Regulatory Authority of India vide license No 23.
Medi Care is the health program of the Government of the United States of America intended for people who have crossed 65 years of age. People below the age of 65 who have certain disabilities or kidney problems or amyotrophic lateral sclerosis etc are also eligible to join the Medicare insurance schemes and get its benefits.
Parekh Health Care
United health care, Parekh TPA (UHCP) is a third party administrator engaged in medical insurance profession. This is a joint venture company between Parekh family (comprising of Dr. Ramnik Parekh and Mr. Nimish Parekh) and United Health Group which is world???s most admired company.
Health India TPA Services Private Limited is a third party administrator for insurance companies working in India. This company which was established in the year 2002 has earned its name for delivering quick and hassle free cash less medical service for networked hospitals and faster reimbursement of the hospitalization charges to the beneficiaries when the hospital concerned is not a networked one.
Alankit Health Care
Alankit Health Care Limited is a third party administrator engaged in the health insurance sector in India. The firm started its operations in the year 2003 and got the ISO 9001 certification. The company which caters to the needs of one million customers has been able to reduce the process time for its different operations to the lowest possible level.
Sri Gokulam Health Services TPA (P) Limited
Sri Gokulam Health Services TPA (P) Limited is licensed by the Insurance Regulatory and Development Authority to act as a third party administrator.. The company has more than 200 offices across India with total staff strength of around 10000.
Genins India private limited is one of the premiers in the third party administrators of the insurance companies in India. The company started functioning as an insurance intermediary in the year 1996 and graduated to third party administrator during 2002.
I-Care health and TPA services (p) limited
I-care health and TPA services(p) limited is a third party administrator company engaged in medical insurance activities and is licensed by the Insurance regulatory and development authority of India vide license No 32 of the year 2009.
An MD India health care service (TPA) Private Limited is a licensed third party administrator in health insurance sector. The company performs so successfully that it has been awarded the best third party administrator award for the last two years.
An E-Mediteck TPA service is a third party administrator (TPA) service is in India engaged in the medical insurance sector. The company has blended the health benefit administration with modern technology and is spearheading this field with over 7 million registered members, 10000 + health providers and 24 insurers.
Raksha T.P.A Private Limited is a third party insurance company functioning in India and is licensed by the Insurance Regulatory and Development Authority of India wide license number 015. The company has emerged as a leading third party administrator in the medical sector by its concerted effort and has got the accreditation of ISO 9001:2008. Its registered office is at Delhi with branches in almost all the major cities in India.
Future Generali Insurance
Future Generali India Insurance Company Limited is a joint venture between Italy???s insurance major Generali and India???s leading retailer group Future. Future Generali India Insurance Co ltd and Future Generali India Life insurance company limited are two major insurance companies under this group.
Religare Health Insurance Company
Religare Health Insurance Company is health insurer engaged in the field of health insurance and health insurance products. This company is jointly owned by Union Bank of India and Corporation Bank and Religare group which is based outside India.
HDFC Ergo general Insurance
HDFC Ergo general Insurance is a general Insurance company operating in India catering to the general insurance needs of the people and to the specific insurance needs like home, motor and travel etc. This insurance company is operating in the country with 81 branch offices in 71 cities and with total staff strength of more than 1000.