As per GOI's circular on price-capping of stents by NPPA (National Pharmaceutical Pricing Authority), new price of coronary stents have been implemented effective 14th Feb, 2017. For details on stent pricing, across our hospitals. CLICK HERE

Cashless Mediclaim


The Insured is entitled for cashless access at the provider for all such ailments which are covered under the medical/health insurance policy sum insured limit/sub limits i.e. not specifically excluded under the policy.

Mentioned below are the TPA insurance providers associated with SevenHills Hospital.

  • Anmol Medicare (TPA) Ltd.
  • Bajaj Allianz General
    Insurance Company Limited
  • Dedicated Healthcare Services India Pvt.Ltd.
  • E-Meditek (TPA) Services Ltd.
  • Star Health and Allied Insurance Co. Ltd.
  • ICICI Lombard General Insurance Co. Ltd.
  • HDFC ERGO General Insurance Co Ltd.
  • MDIndia Healthcare Services (TPA) Pvt. Ltd.
  • Medi Assist India TPA Pvt. Ltd.
  • Medicare TPA Services (I) Pvt. Ltd.
  • Medsave Healthcare (TPA) Limited.
  • Paramount Health Services (TPA) Pvt. Ltd.
  • Park Mediclaim TPA Pvt. Ltd.
  • UnitedHealthcare Parekh TPA Pvt. Ltd.
  • Rothshield Healthcare (TPA) Services Ltd.
  • TTK Healthcare TPA Pvt. Ltd.
  • The New India Assurance Co. Ltd
  • Future Generali.
  • Health India.
  • Max Bupa.
  • Raksha TPA Pvt. Ltd.
  • Vipul MedCorp TPA.
  • Oriental Insurance Co. Ltd.
  • National Insurance Co. Ltd.
  • United India Insurance Co. Ltd.
  • Safeway TPA Services.
  • Family Health Plan Ltd.
  • Genins India TPA Ltd.
  • Good Health Plan Ltd.
  • Heritage Health TPA Pvt. Ltd.
  • Reliance General Insurance Co Ltd.
  • L&T General Insurance.
  • Religare Health Insurance
  • Universal Sompo GIC. Ltd.
  • Bajaj Allianz Life Insurance Company Ltd
  • Bajaj Allianz General Insurance Company Limited
  • Birla Sun Life Insurance Company Ltd
  • Cholamandalam.MS General Insurance
  • Dedicated Health Care Services
  • HDFC Mutual Fund,Investor Service Centre
  • HSBC Electronic Data Processing Ind Pvt Ltd
  • International Sos Services India Pvt Ltd
  • The Medicare,TPA Service(I) Pvt Ltd
  • National Insurance Company Limited
  • Oriental Insurance Co.Ltd
  • Paramount Healthcare Management Ltd
  • Raksha TPA Pvt Ltd
  • United India Insurance Company Ltd
  • Waltair Insurance Services Pvt Ltd
  • Allahabad Bank
  • East West Assist Pvt Ltd
  • E-Mediteek Insurance
  • Family Health Plan Ltd
  • Good Health Plan Ltd
  • Health India
  • Heritage Health Services
  • MDIndia
  • Medi Assist India Pvt Ltd
  • Med-Seva
  • New India Assurance Ltd
  • Tata Power Ltd
  • Union Bank of India
  • United Health Care (P) Ltd
  • Unison Health Care
Policies & Procedures

  • Pre-Admission & Admission Requirements

    • Request for hospitalization shall be forwarded by the provider immediately after obtaining due details from the treating doctor in the preauthorization form i.e. request for authorization letter (RAL).
    • The RAL shall be sent electronically along with all relevant details in the electronic form to the 24 hour authorization/cashless department of the insurer or of its representative. TPA's medical team may consult the treating physician and the insured.
    • The insurer's or its representative TPA's medical team may consult the treating physician or the insured, if necessary.
    • If the treating physician of the provider identifies any disease or ailment as pre-existing, the treating physician shall record it and also inform the insured immediately.
    • In the case where the symptoms appear vague/no effective diagnosis is arrived at, the medical team of the insurer or its representative TPA may consult with treating physician/insured if necessary.
  • Getting Discharged (Document Requirements)

    The following documents shall be included by the patient in the list of documents to be sent along with the claim form to the insurer or its representative TPA.

    • Original pre-authorization request form
    • Copy of authorization letter
    • Original investigation report
    • All original prescription & pharmacy receipt etc. where the insured requires the discharged card/reports or other relevant medical documents.
  • Emergency Hospitalization - Requirements

    In case of Emergencies, the procedures are as follow:

    • Request for hospitalization shall be forwarded by the provider immediately after obtaining due details from the treating doctor in the preauthorization form i.e. request for authorization letter (RAL)
    • The RAL shall be sent electronically along with all relevant details in the electronic form to the 24 hour authorization/cashless department of the insurer or of its representative. TPA's medical team may consult the treating physician and the insured.
    • The insurer's or its representative TPA's medical team may consult the treating physician or the insured, if necessary.
    • If the treating physician of the provider identifies any disease or ailment as pre-existing the treating physician shall record it and also informed the insured immediately
    • If the treating physician of the provider identifies any disease or ailment as pre-existing, the treating physician shall record it and also inform the insured immediately.
    • In the case where the symptoms appear vague/no effective diagnosis is arrived at, the medical team of the insurer or its representative TPA may consult with treating physician/insured if necessary.
    • However, any life saving, limb saving, sight saving, and emergency medical attention cannot be withheld or delayed for the purpose of waiting for authorization.
    • Provider – in the meanwhile - may consider treating him by taking a token of deposit or so, as per their norm.
    • Once authorization is issued after ascertaining the coverage, the provider shall refund the deposit amount to the insured.

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