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Dear Mediclaim member of SAIL,

Welcome to E-Meditek (TPA) Services Ltd Family!

As our most valued clientele, it gives us great pleasure to inform you that renewal of your medi-claim policy

will be serviced by us for year 2013 and we take this opportunity to thank you for this patronage.

The services include ID card issuance, cashless hospitalization and settlement of claims.

You can download e-Cards for all covered members from our website www.emeditek.com. Please use your

Mediclaim Index Number (MIN) as your USER LOGIN and Password (vide page no. 26) to log on to our

website. Kindly change your password when you login to your account for the first time.

We invite you to take advantage of other vital features and highlights of E-Meditek Web Portal:-

1. Network Hospital – Locate Nearest Hospital to avail cashless Facility

2. Track your Claims – Check claim status & download communication letters

3. View/ Request for change of member details including Mobile No./ email id/ ECS details etc.

4. Grievance lodging & its Re-dressal.

Further, the guidebook gives a preview of various services provided by E-Meditek and the process to avail

these services. The guidebook also contains list of hospitals/nursing homes in the SAIL/E-Meditek network

where you can avail OPD treatment and cashless hospitalization treatment respectively.

For any further clarification or assistance, please get in touch with us through contact points mentioned on

the back side of card. Our customer care executives will be glad to assist you.

You can also visit ‘www.emeditek.com’ for more information.

We look forward to continue our beneficial relationship and hope that you will be satisfied with the services

offered by us. Please feel free to send us your feedback for encouraging us to serve you better. It will be our

constant endeavor to provide all services to you with high quality and minimum turnaround time.

Wishing you a healthy and happy life

For E-Meditek (TPA) Services Ltd

Gopal Verma

Managing Director

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Table of Contents DOS & DON'TS ................................................................................................................................................. 4

OBJECTIVES OF THE SCHEME ................................................................................................................... 5

PERSONS COVERED ...................................................................................................................................... 5

SCHEME ............................................................................................................................................................ 5

PROCEDURE FOR RENEWAL OF MEMBERSHIP ................................................................................... 5

POLICY COVERAGE ...................................................................................................................................... 6

DEFINITIONS ................................................................................................................................................... 6

BENEFITS .......................................................................................................................................................... 7

CAPPINGS ......................................................................................................................................................... 9

IMPORTANT EXCLUSIONS ....................................................................................................................... 10

CLAIM PROCEDURE ..................................................................................................................................... 11

CUSTOMER CARE SERVICES ................................................................................................................... 15

ANNEXURE- A: CLAIM FORM - IPD ........................................................................................................ 18

ANNEXURE- B: CLAIM FORM- OPD ....................................................................................................... 20

ANNEXURE- C: CLAIM INTIMATION FORM ........................................................................................ 21

ANNEXURE- D: CASHLESS REQUEST FORM ...................................................................................... 22

ANNEXURE- E: ACKNOWLEDGEMENT SLIP ...................................................................................... 23

ANNEXURE- F: NEFT FORM ...................................................................................................................... 24

DISCLAIMERS ............................................................................................................................................... 25

USER GUIDE TO ACCESS WEBSITE ....................................................................................................... 26

SAIL FAQ'S ..................................................................................................................................................... 29

LIST OF SAIL APPROVED HOSPITALS FOR OPD TREATMENT ..................................................... 33

LIST OF EMPANELED HOSPITALS TO AVAIL CASHLESS SERVICES .......................................... 44

SAIL PLANT REPRESENTATIVES ............................................................................................................ 56

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DOS & DON'TS

1) Written claim Intimation: Reimbursement & Cashless

a) The mediclaim member is required to intimate the insurance agency or the TPA at least 48 Hrs prior to

the planned hospitalization.

b) In case of emergency hospitalization the mediclaim member is required to inform the insurance

company or the TPA within 24 Hrs of such hospitalization.

2) Mandatory claim intimation documents

a) The mediclaim member is required to submit prescription indicating diagnosis, purpose of

Hospitalization etc. documents at the time of intimation.

b) The mediclaim member is required to submit the documents along with the details of the treating

Doctor & signature.

3) Timelines for submission of Claims for reimbursement

a) The Mediclaim member is required to submit the reimbursement claim with respect to IPD /

hospitalization claim within 30 days from date of discharge from the hospital.

b) The OPD Claims are to be submitted by the mediclaim member, to the Insurance Company/ TPA

within 90 days from the date of completion of the treatment or Rs. 2000/-, whichever is earlier.

4) Submission of Claim Documents

The mediclaim member can submit the Claim documents in any E-Meditek branch irrespective of

center opted by the members. You can refer to the updated branch list of E-Meditek with contact

details mentioned in the booklet / website.

5) In case of any implant being used

The mediclaim member is required to submit the outer pouch of the implant used (having barcode

embossed) along with signature of treating doctor on the pouch is submitted along with reimbursement

claim.

6) Availing Cashless Facility

The Mediclaim member should always carry Photo ID Cards like Driving License, PAN Card, Voter

ID card, Passport for availing Cashless facility.

7) Requirement of ECS Form

For early/ hassle-free disbursement of claims, the mediclaim member is kindly requested to ensure the

submission of duly filled ECS Form (page no. 24) along with a cancelled cheque to E-Meditek, while

submitting the reimbursement claim.

8) Visit http://emeditek.in/sailweb/ for

a. Updated Hospital list & Details

b. View & Download E-card

c. Membership Details & claim status

d. Any other information regarding SAIL Mediclaim Scheme

9) Issuance of Photo ID Card

Photos are Mandatory for issuance of Photo ID Card. In case you have not submitted your photograph,

kindly submit them at respective SAIL Plant/ Unit for issuance of the cards

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MEDICLAIM SCHEME FOR THE RETIRED EMPLOYEES OF

SAIL AND THEIR SPOUSES (2013)

OBJECTIVES OF THE SCHEME

To extend the Medical Benefits to the retired employees of SAIL and their spouses

PERSONS COVERED

1) Retired employees of SAIL and their spouses.

2) The employees who have taken voluntary retirement and their spouses.

3) The employees who cease to be in employment on account of permanent total disablement and their

spouses

4) The spouse of an employee who dies in service

5) The employees who have resigned on and after attaining 57 years of age and their spouses.

This scheme is optional and those who opt for this scheme, will hereinafter be referred to as "members".

Apart From fresh Enrolments during the year, only the persons who were members of SAIL Mediclaim

Scheme-2012, are eligible to renew membership under SAIL Mediclaim Scheme - 2013.

SCHEME

The members will be covered through Group Insurance Mediclaim Policy of the Insurance Company and

will be operated through Bajaj Allianz General Ins. Co Ltd., GE Plaza, Opp. Gunjan Cinema, Airport

Road, Blue Hill Society, Yerawada, Pune, Maharashtra 411006

The period of the policy is 01/01/2013 (0000 hrs IST) to 31/12/2013 (2400 hrs IST)

E-Meditek (TPA) Services Ltd. (Head office at Plot-577,Udyog Vihar Phase-V, Gurgaon, Haryana)

has been authorized to offer TPA (Third Party Administrator) services for the Group Mediclaim Policy

issued for the retired employees of SAIL and their spouses. E-Meditek would work out of 27 locations for

the purpose of claim settlement, the bills & other related documents should be directly sent to any branch of

E-Meditek (vide page no. 15-17).

PROCEDURE FOR RENEWAL OF MEMBERSHIP

1. The scheme is operational for a period of one year and the expiry of the scheme will be 31st December of

the year.

2. The member is required to deposit the renewal fee for joining the scheme in the next calendar year by

31st December of the current year. A grace period of 30 days would be provided for renewal.

3. Though the concerned plant/unit would be informing the member of the renewal amount it will be the

liability of the member to ensure his/her renewal every year, as the concerned plant/unit will not be

responsible for any delay in the communication reaching the member.

Note: Any change of address must be immediately intimated to the concerned Plant/Unit and Insurance

Company giving the Mediclaim Index No. (MIN)

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POLICY COVERAGE

The policy covers reimbursement of Hospitalization and also Cashless Facility and/or Out-Patient

Department (OPD) expenses within the prescribed limits under the policy for illness/diseases contracted or

injury sustained by the insured person. In the event of any claim becoming admissible under the policy, the

company will pay to the insured member the amount of such expenses as reasonably and necessarily

incurred anywhere in India, but not exceeding in any one period of insurance of amounts under the

respective category in the BENEFITS mentioned in this booklet (Page No.7-8).

DEFINITIONS

a) Hospital/Nursing Home means any institution in India established for Indoor care and treatment of

sickness and injuries and which has been registered either as a Hospital or Nursing Home with the local

authorities and is under the Supervision of a registered and qualified Medical Practitioner Or

Hospital/Nursing Home should comply with minimum criteria as under,

i. It should have at least 15 inpatient beds

ii. Fully equipped operation theatre of its own wherever surgical operations are carried out.

iii. Fully qualified nursing staff under its employment round the clock.

iv. Fully qualified Doctor(s) should be in charge round the clock.

For the purpose of O.P.D. treatment, "Hospital" shall mean:

1. A Government Hospital,

2. Dispensaries/Clinics run by local Government authority/Municipalities,

3. SAIL Plant Hospitals/Dispensaries

4. Hospitals/Nursing Homes (List of SAIL Hospitals is at Page no. 33-43).

5. Franchisee of major Hospitals viz. Apollo, Max, Escorts, Fortis, etc. anywhere in India.

Note: The terms "Hospital" shall not include an establishment which is a place of rest, a place for the aged, a

place for drug addicts or alcoholic, a hotel or a similar place.

b) Hospitalization:

1. Hospitalization facility can be availed from any Hospital or Registered Nursing Home in India.

However, the Mediclaim member can avail Cashless Facility under Hospitalization only in Hospitals

empanelled by the Insurance Company for this purpose. (Refer list at Page no. 44-55)

c) Surgical Operation means manual and operative procedures for correction of deformities and defects,

repair of injuries, diagnosis and cure of diseases, relief of suffering and prolongation of life

Note:

1. When treatment such as Dialysis, Chemotherapy, Cataract, Lithotripsy, Angiography, Radiotherapy and

Microsurgery is taken in the Hospital/Nursing Home and the insured is discharged on the same day, the

treatment will be considered to be taken under Hospitalization Benefit Section.

2. While Hospitalization facility can be availed of from any Hospital or Registered Nursing Home in

India, OPD facility can only be availed of from any Govt. Hospitals/SAIL Plant Hospitals/ Dispensaries

or Hospitals listed in this Booklet.

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d) O.P.D. Treatment: Means treatment taken as an out -patient in any Govt. Hospital/SAIL Plant

Hospital or SAIL approved Hospital/Nursing Home. The Charges incurred for treatment taken from

Registered Medical Practitioners or other than SAIL approved Hospital/Nursing Home will not be

reimbursed. The Medicine should be prescribed by the Doctors on the letter heads of the hospital. Even

though a medical practitioner is attached to any of the Govt./SAIL plant hospital or SAIL approved

hospital and if the treatment is taken by him/her privately, the OPD Claim amount will not be

reimbursed, under any circumstances.

e) Anyone Illness: Anyone illness will be deemed to mean continuous period of illness and it includes

relapse within 45 days from the date of last consultation with the Doctor/Hospital Nursing Home.

Occurrence of same illness after lapse of 45 days as stated above will be considered as fresh illness for

the purpose of this policy.

f) Medical Practitioner: Means a person who holds a degree/diploma of a recognized institution and is

registered by Medical Council of respective State of India. The term Medical Practitioner would include

Physician, Specialist and Surgeon. (Cross Field Treatment will not be payable)

g) Qualified Nurse: Means a person who holds a certificate of a recognized Nursing Council and who is

employed on recommendations of the attending Medical Practitioners

BENEFITS

Hospitalization Benefit

Hospitalization benefit, Reimbursement and/or cashless will be paid upto Rs.2,00,000/- per member

(with clubbing facility between employee & spouse), as per policy terms and conditions

Reimbursement:

Reimbursement of actual charges upto Rs. 2,00,000/- per member per policy period (with clubbing

facility between employee & spouse) incurred towards Room rent, IC Unit, nursing expenses,

surgeon & anesthesia charges, consultation fee, diagnostic investigations(Laboratory & radiological),

cost of blood/blood components and its transfusion, oxygen/gas, operation theatre charges, surgical

appliances/implants, medicines & drugs, Dialysis, Chemotherapy, Radio-therapy, cost of pacemaker,

artificial limbs and similar other expenses. CLAIM UNDER HOSPITALIZATION BENEFIT IS

ADMISSABLE ONLY WHEN THE PATIENT IS ADMITTED IN A HOSPITAL FOR A

MINIMUM PERIOD OF 24 HOURS.

Pre-hospitalization

Relevant medical expenses incurred during the policy period upto 30 days prior to the hospitalization

on disease/illness sustained will be considered as part of claim under hospitalization. HOWEVER

MEDICINES BEING PRESCRIBED UNDER REGULAR OPD TREATMENT DURING PRE­

HOSPITALISATION WILL NOT FALL UNDER HOSPITALIZATION CLAIMS.

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Post-hospitalization

Relevant medical expenses incurred during the policy period, upto 60 days, after hospitalization on

disease/illness/injury sustained will be considered as a part of claim under hospitalization.

HOWEVER, DURING POST HOSPITALISATION PERIOD, MEDICINES PRESCRIBED

UNDER REGULAR OPD TREATMENT FOR DISEASES/ILLNESS NOT RELATED TO THE

SAID HOSPITALISATION SHALL NOT BE REIMBURSIBLE UNDER HOSPITALISATION

CLAIM.

Cashless:

The member can also avail Cashless hospitalization Facility in any hospital empanelled by TPA, for

the provision of Cashless Hospitalization. List of such empanelled hospitals for availing cashless

treatment may vary from time to time; however, updated list may be referred from E-Meditek

website/E-Meditek centers, prior to hospitalization.

OUT-PATIENT BENEFITS (OPD)

1) Rs. 4000/- per member, for members below 70years of age as on 31.12.2012

2) Rs. 8000/- per member, for members 70 years and above as on 31.12.2012, for the policy period.

NOTE-

Persons completing 70 years of age on 1.1.2013 will also be considered for enhanced OPD benefit.

Unlike IPD facility, the OPD facility cannot be clubbed between the ex-employee and his/her spouse

3) O.P.D, treatment can be availed at the following institutions:

a) A Government Hospital

b) Dispensaries/Clinics run by local Government authority/Municipalities,

c) SAIL Plant Hospitals/Dispensaries

d) Hospitals/Nursing Homes as per List at (Page no. 33-43)

e) Franchisee of major Hospitals viz. Apollo, Max, Escorts, Fortis, etc. anywhere in India.

4) The members can avail OPD treatment facility in the above Hospitals. In case, the OPD treatment is

taken in a SAIL Plant Hospital, the members are not required to pay any expenses. SAIL Plant

Hospitals will make claims with the Insurance Co. for the Treatment given to the member. In case

OPD treatment is taken at approved Hospital other than SAIL Plant Hospital, the claim should be

submitted at any Centre of E-Meditek (TPA) Services Ltd. (Vide Page no. 15-17)

5) OPD treatment availed from the listed Hospitals should be necessarily claimed on the letterhead of

the listed Hospital. OPD treatment, wherein the prescription is on the letterhead of the doctor and not

on the letter head of the Hospital, will not be reimbursed.

6) OPD Claims to be submitted by the member to the TPA only when the expenses exceed Rs. 2000/­

per person per policy period or within 90 days from the date of completion of the treatment whichever

is earlier.

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CAPPINGS:

1) Room Rent:- Maximum entitlement of room to be restricted to:

a. For Metro Cities Hyderabad, NCR, Bangalore, Mumbai, Chennai, Kolkata ceiling of 2% of the sum

insured per member or a single A/c non-deluxe room per day whichever is lower.

b. For Non Metro Cities which are state capitals, ceiling of 1.5% of the sum insured per member or a

single A/c non deluxe room per day whichever is lower.

c. For rest of the country- ceiling of 1% of sum insured per member or a single A/c non deluxe room

whichever is lower

In case a member goes for a higher category room, the consultation charges/investigation

charges/procedural changes/surgical charges/package rates etc. shall be limited to actual or as per their

corresponding rates for single AC non-deluxe room of the concerned hospital, whichever is lower.

IMPLANT UTILIZATION:-

2) Intra Ocular Lens:

Ceiling rates for different types of intra Ocular Lens (IOL) Implants to be as per actual or Rs. 10000/­

whichever is lower and shall be reimbursable in addition to the package rates(wherever IOL is not a

part of Package) for cataract surgery procedure. It should be mandatory for the operating surgeon of all

hospitals to attach the empty IOL sticker, bearing the signature and stamp of the operating surgeon on it

along with the bill in support of the type of IOL used containing its batch number. In case the same is

not followed, the claim with regards to IOL implant, may be rejected.

3) Coronary Stents:

Ceiling rates for different types of Coronary Stents to be as per the actual or the rates as mentioned

below, whichever is lower.

S.No Name of Drug Eluting STENT/Bare METAL STENT Ceiling Rate

1 Cypher Stent ` 95,000 + VAT

2 Taxus Stent ` 67,300 + VAT

3 Endeavor ` 85,000 + VAT

4 Xience V EECSS ` 95,000 + VAT

5 Yukon Choice `55,000 + VAT 6 Pronova ` 50000 + VAT

7 Supralimus ` 55000 + VAT

8 Bare Metal Stent ` 45,000 (all inclusive)

A Maximum of three coronary Stents shall be permitted on the advice of the specialist, of which not

more than two shall be a Drug Eluting Stents (DES). However DES shall be permitted only for patients

where re-stenosis will involve high risk to patients life i.e. :

a. Osteal Proximal LAD lesions;

b. Stenosis of a coronary artery, which is giving collaterals to another blocked artery, thus supplying

a large area of myocardium; and,

c. Stenting of re-stenotic lesions after previous angioplasty.

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It is essential for the hospital to quote the batch number when a Coronary Stent of any type (ordinary

metal/Drug Eluting Stent) is implanted in the case of a beneficiary. In addition to this, the outer pouch

of the Stent packet along with the sticker on it on which the details of the stent are printed shall also be

enclosed with the medical bill for claiming reimbursement. In case hospital has not given the batch

number and/or outer pouch of the stents in a particular case, the claim with regards to the implant may

be rejected.

4) Joint Replacement Implants:

Ceiling rates for different types of Knee and Hips implants, to be as per the actual rates or the rates as

mentioned below, whichever is lower.

a. Maximum ceiling for Knee Implant to be Rs.75000/- (including cost of Bone cement)

b. Maximum ceiling for Hip Implant to be Rs.75000/- (including cost of Bone cement)

5) In addition to the aforementioned cappings, the following cappings on procedures/ packages as given

below, shall also be applicable:

S. No. Treatment Ceilings

1. Hernia repair ` 40000

2. Cholecystectomy ` 45000

3. Haemorroids ` 25000

4. Appendicetomy ` 35000

5. Hysterectomy ` 45000

IMPORTANT EXCLUSIONS

Under SAIL Group Mediclaim Insurance Policy, the Company shall not be liable to make any payment in

respect of any expenses whatsoever incurred by the insured person in connection with:

1. Any Disease/complication caused due to alcohol intake.

2. Any disease/injury caused by War/Nuclear Weapons/Radiations/Breach of Criminal law.

3. Circumcision, cosmetic or Plastic Surgery unless necessitated by an accident or as a part of any

disease/illness.

4. All health check- ups, routine eye examinations and cost of glasses and contact lenses.

5. Cost of dentures, Hearing Aid etc.

6. Convalescence, general debility, "Run-down" condition or rest cure, congenital diseases or

defects, sterility, venereal diseases, intentional self injury and use of intoxicating drugs.

7. The Hospitalization charges in which Radiological/Laboratory Investigations/other

diagnostic/studies have been carried out which are not consistent with or incidental to the

diagnosis of treatment of positive existence or presence of any ailment, sickness or injury for

which confinement at any Hospital/Nursing Home, has taken place.

8. Expenses on vitamins and tonics unless forming part of treatment for injury or disease as certified

by the attending physician.

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9. Treatment traceable to pregnancy/child birth, voluntary medical termination of pregnancy during

first 12 weeks of conception.

10. Naturopathy Treatment.

11. External and/or durable Medical/Non medical equipment of any kind used for diagnosis and or

treatment including CONSTANT POSITIVE ARIWAY PRESSURE, CONTINUOUS

AMBULATORY PERITONIAL DIALYSIS , Infusion pump etc. Ambulatory devices i.e.

walker, crutches, belts, collars, caps, splints, slings, braces, stockings, etc., of any kind. Diabetic

foot wear, glucometer Thermometer and similar related items etc., and also any medical

equipment which subsequently used at home etc.

12. Any Kind of Service charges, attendant food charges, surcharges, Admission Fees/Registration

Charges & Non-Medical Expenses levied by the hospital.

13. Treatment for Age related Macular degeneration with inj. Avastin/ Lucentis/Macugen.

14. Cytotron Therapy

15. Ozone Therapy

16. Rejuvenation Therapy

17. Enhanced External Counter Pulsation Therapy (EECP)

18. Any unproven therapy

CLAIM PROCEDURE

Mandatory Claim Intimations:-

i. The Beneficiary to inform/intimate, in writing, the Insurance Agency/TPA at least 48 Hrs Prior to

any elective/planned Hospitalization/Admission.

ii. In case of Emergency Admission/Hospitalization, the Insurance Company/TPA to be informed, in

writing within 24 hrs of such hospitalization

iii. The Claim Intimation is mandatory for Cashless & Reimbursement claims

iv. In case, Claim Intimation is not submitted or is not sent within defined timelines, the claim may

stand to be rejected or deductions made

v. Claim Intimation Format is provided on Page no. 21

vi. Claim Intimation can be sent via Letter/ Email/ Fax/ personally delivered at TPA offices.

NOTE:

For availing the facility of cashless hospitalization in hospitals, empanelled by TPA for the said

purpose, the members can avail the facility of TPA desk in such hospitals. For cashless hospital list,

please refer to updated hospital list on www.emeditek.com

Intimation can be sent via:

E-Mail: intimation.sail@emeditek.com

24 Hrs Helpline no: 0124- 4149727

Toll Free no: 18001028191

Fax: 0124-4466677

Website: www.emeditek.com

Personally delivered at E-Meditek branches mentioned in the guidebook. (Page no. 15-17)

Acknowledgement to member will be given via email/SMS.

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Process of Claim Submission for Hospitalization Treatment on Cashless/ Reimbursement Basis.

1) The reimbursement claims with respect to IPD/Hospitalization to be submitted to the insurance

company/TPA within 30 days from the Date of discharge from the hospital.

2) The reimbursement claims pertaining to Post Hospitalization to be submitted to the Insurance

Company/TPA within 30 days after the completion of permissible post hospitalization treatment

period of 60 days.

Reimbursement under Hospitalization

i. The claim form should be submitted duly filled in all respects and no column should be left

blank. The specimen copy of claim form is available on Page no. 18-19 (Annexure A)

ii. All bills, Medical Reports, test reports, Pathological test report along with original prescription,

Hospital Admission & Discharge Certificates be submitted by Registered Post, to any office of

E-Meditek (TPA) Service Ltd. at the address given in this booklet in support of the claim along

with prescribed claim form (specimen copy on page no. 18-19) within 30 days from the date of

discharge from the hospital.

iii. Ensure that the treatment is taken from a Hospital as defined above under (Note given above)

However, in case, the treatment is taken in non-registered hospitals on an emergency basis, the

insured member should have valid reasons for doing so and should immediately inform the

TPA with full details. All claim papers should be submitted in original. No photocopy will be

accepted.

iv. Further, it may be noted that in case the bills/report enclosed with the hospitalization claim

paper pertaining to establishment other than the nursing homes/hospital where the insured was

hospitalized, should be supported by proper prescription/advice of the attending doctor and

must be duly certified by the attending Doctor.

v. On receipt of completed claim form along with relevant document & discharge voucher, E-

Meditek shall process the claim. If the documents are found to be in order and other relevant

information is complete, the claim will be settled and amount will be settled through electronic

fund transfer (NEFT) as early as possible, normally within 15 days of the receipt of all claim

documents mentioned by the Insurance Company.

Cashless Hospitalization

E-Meditek offers Cashless Service to the Insured, where treatment can be obtained at any of E-

Meditek network hospitals without payment subject to the terms and conditions of the policy. E-

Meditek will settle the hospital bills directly on behalf of insured. A list of network hospitals is

attached for reference. (Ref to page no. 44-55)

NOTE:

For availing the facility of cashless hospitalization in hospitals, empanelled by TPA for the said

purpose, the members can avail the facility of TPA Desk/Insurance Cell in such Hospitals.

**ID Cards

Insured is requested to show the E-Meditek PHOTO-ID card at the time of Cashless hospitalization.

Members are advised to carry a valid photo identity proof like Driving License, Passport, and Election

Commission Card. The Request for Pre Authorization along with a copy of the E-Meditek card and a

copy of photo ID has to be faxed to E-Meditek at 0124-4466677

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The filled up Pre Authorization form is faxed by the hospital authorities. The format of the Pre

Authorization form is attached for reference on Annexure E (ref to Page no. 22). The information in this

form is to be filled in by the Hospital Authorities and partially by the Insured.

When the policyholder is advised admission to one of the network hospitals for treatment:

Part I of "Request for Pre Authorization" to be filled in by SAIL member (Ref page no. 22).

Part II of the Pre Authorization form to be filled by the attending doctor/surgeon/hospital.

Pre Authorization form to be faxed by the hospital to E-Meditek Head Office at 0124-4466677 at

least 72 hours before admission.

On receiving the Pre Authorization request, E-Meditek will do either one of the following:

A. Authorize

E-Meditek will fax an "Authorization Letter" (AL) directly to the hospital. In case the cost of

hospitalization exceeds the sum insured in the policy, the policyholder will have to pay the difference

to the hospital. E-Meditek will not be liable for any amount in excess of the amount specified in the

AL. The AL is valid only for the period of hospitalization as specified on the RAL (Request for

Authorization Letter).

B. Request Additional Information

In case the information provided in the Pre Authorization form is incomplete, unclear or insufficient,

E-Meditek will request clarification from the policyholder/hospital. Request Additional Information

may be approved or rejected subject to obtaining the Additional information and based on the terms

and conditions outlined in the policy. E-Meditek will fax "Denial of Authorization Letter"

(DAL)*directly to the hospital. Cashless facility may be denied in some situations as mentioned

below:

Any ambiguity in the policy terms and conditions with respect to the present ailment.

Insufficient sum insured to cover the hospitalization expenses.

Pre Authorization form is not received by E-Meditek in time.

If the information sent to E-Meditek is insufficient to confirm the coverage.

The policyholder or his/her relative must sign the claim form and hospital bills at the time of

discharge from the hospital.

Please note that DAL is only denial of cashless facility and is no way to be interpreted as denial of

treatment. You retain the right to get treated, pay for the services and then submit the bills to us for

reimbursement, subject to policy terms and conditions. In case of hospitals/cities not included in the

list, call at the Toll free number of E-Meditek 1800-102-8191. Each request would be dealt on a case

to case basis

Emergency Hospitalization

In case the insured is admitted to one of our network hospitals in any emergency or accident, the Pre

Authorization should be faxed to E-Meditek Head Office or Branch within 24 hours of admission. E-

Meditek would authorize or deny the request as mentioned earlier. If the insured gets admitted to a non­

network hospital, please refer to non-cashless hospitalization services section.

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Out-Patient (OPD) Treatment

i. OPD claim should be submitted to the concerned office of E-Meditek (TPA) Services Ltd along with:

1) OPD claim Form duly filled in (specimen at page no. 20)

2) All Doctor's Prescription

3) All Receipts for Drugs/Diagnostic Tests

4) All Diagnostic Reports

All the above documents should be submitted in Original, in proper sequence, duly

tagged/stapled.

ii. Dental Treatment can also be availed of within the existing limit of Rs. 4000/- & Rs.8000/- (as

applicable) per member for the policy under O.P.D. treatment. Cost of dentures will not be

reimbursed.

iii. In case of expenses on Eye Treatment, cost of spectacles/contact lenses shall not be reimbursed.

iv. OPD Claims should be submitted by the beneficiary to the any office of E-Meditek (TPA) Services

Ltd only when the expenses equals or exceeds Rs. 2000/- per person or within 90 days from the date

of completion of the treatment, whichever is earlier. In addition, the claims towards OPD treatment

opted after 15th December are to be submitted within 15 days from the date of expiry of policy period

i.e. latest by 15th January of the succeeding year. (For members who avail OPD towards the fag end of

policy period have to make claims by 15th Jan). For claims not lodged within the stipulated time limit,

the company shall not be liable for such claims.

v. In case of treatment of ear, cost of hearing aid is not reimbursable

Grievance Lodging

Log on to the TPA Website (www.emeditek.com) for any queries, complaints or grievance. The member may

lodge a grievance online by following the steps as mentioned on page no. 28. The member may also send the

grievance through Post at any of the TPA centers as provided on page no. 15-17 or email at

grievance.sail@emeditek.com.

In case of major dispute in any claim, the concerned member is required to contact the dealing Executive of

his/her respective SAIL Plant/ Unit, to which the member belongs. The concerned SAIL Plant/unit would

constitute a committee of SAIL & Bajaj Allianz General Insurance Co Ltd officials, to resolve the dispute.

The decision of the committee in this regard will be binding on both the parties and the member will have to

wait for a reasonable time for the decision of the committee.

Note : - For any queries/observations/complaints/grievance, the members are required to be in touch with the

Mediclaim Officer of their respective Plant /unit only. No communication with dealing officers of Mediclaim

of other plants / units, including corporate office, will be encouraged.

15

CUSTOMER CARE SERVICES

In case, of any queries or require assistance during hospitalization/ claims processing feel free to contact us at our

toll free number. We offer 24*7*365 days support through our multi-lingual Customer Care Centre.

24 Hrs Helpline: 0124-4149727

Toll Free No. : 1800-102-8191

Fax Number: 0124- 4466677

E-Mail ID: help.sail@emeditek.com

Website: www.emeditek.com

Sail Webpage: http://emeditek.in/sailweb/

Details of dealing offices are given below:

1. Ahmedabad

E-Meditek (TPA) Services Limited

709,7th floor,Sakar-5, Behind Natraj

Cinema, Ashram Road, Ahmedabad.

Gujarat

Pin code: 380009

Ph: 079-44666666 Email: ahmedabad.sail@emeditek.com

2. Asansol

E-Meditek (TPA) Services Ltd,

SHRI VISHAL PLAZA, No. 123 (N), G.

T. Road (East), Murgasol, Post Asansol

West Bengal

Pin code: 713303

Ph: 0341-3295554

Email: asansol.sail@emeditek.com

3. Bangalore

E-Meditek (TPA) Services Limited

207, Level 2, Prestige Center Point

Cunningham Road, Bangalore, Karnataka

Pin code: 560042

Ph: 080-44666600

Fax: 080-44666655

Email: bangalore.sail@emeditek.com

4. Baroda

E-Meditek (TPA) Services Limited

101,La-citadel complex, 30 /Nutan bharat

society, Alkapuri, Baroda, Gujarat

Pin code: 390007

Ph: 0265-3084038

Email: baroda.sail@emeditek.com

5. Bhadravathi E-Meditek (TPA) Services Ltd,

Sri Venkateshwara Krupa, No 18/1

Lingayat street, Jannapura, Bhadravathi

Karnataka

Pin code: 577301

Ph: 08282-274744

Email: bhadravathi.sail@emeditek.com

6. Bhilai

Emeditek (TPA) Services Ltd.

Plot NO.21/13,Nehru Nagar (West)

Near Aggrasen Circle opp-UCO Bank

Bhilai, Chattisgarh

Pin code: 490020

Ph: 0788-4051445

Email: bhilai.sail@emeditek.com

7. Bokaro

E-Meditek (TPA) Services Ltd,

Ground Floor, Plot No HD-11, Sec-4,

Bokaro, Jharkhand

Pin code: 827004

Ph: 06542-232780

Email: bokaro.sail@emeditek.com

8. Chandigarh

E-Meditek (TPA) Services Limited

SCO 56, 1st Floor, Entry from front side,

Sector 30-C, Chandigarh

Pin code: 160030

Ph: 0172-4466600

Email: chandigarh.sail@emeditek.com

16

9. Chennai E-Meditek (TPA) Services Ltd,

New no.169 Old no.76, 3rd floor, (Above

Bank of Baroda) TTK Road, Alwarpet,

Chennai, Tamil Nadu

Pin code: 600018

Ph: 044- 44666600

Fax: 044- 44666655

Email- chennai.sail@emeditek.com

10. Dhanbad E-Meditek (TPA) Services Ltd,

Shop No.UG 31, 32 Shri Ram Plaza, Bank

Mor, Dhanbad, Jharkhand

Pin code: 826001

Ph: 7781003034

Email: dhanbad.sail@emeditek.com

11. Durgapur E-Meditek (TPA) Services Limited

12/1, Bengal Ambuja, City Centre,

Durgapur, West Bengal

Pin code: 713216

Ph: 0343-3245582

Email: durgapur.sail@emeditek.com

12. Guwahati

E-Meditek (TPA) Services Limited

148, GNB Road, Saif Enclave, 1st Floor

(Opp.Guwahati Press Club), Ambari,

Guwahati, Assam

Pin code: 781001

Ph: 0361-2731407

Email: guwahati.sail@emeditek.com

13. Hyderabad

E-Meditek (TPA) Services Limited

Plot # 45, Union Bank Of India Colony,

Road # 3, Banjara Hills, Hyderabad

Andhra Pradesh

Pin code: 500034

Ph: 040-30017800

Email: Hyderabad.sail@emeditek.com

14. Indore

E-Meditek (TPA) Services Limited

314, Orbit Mall, 3rd floor, 305-306, Scheme

NO.54,P.U. 4 A.B.Road, Indore,

Madhya Pradesh

Pin code: 452010

Ph: 0731-4466644/66/12

Email: indore.sail@emeditek.com

15. Jaipur

E-Meditek (TPA) Services Limited

307, 3rd floor, Paradise Appt. Sarojini

Marg, C-Scheme, (Behind Hotel Park

Prime) Jaipur, Rajasthan

Pin code: 302001

Ph: 0141-4466600

Email: Jaipur.sail@emeditek.com

16. Kochi

E-Meditek (TPA) Services Limited

35/292, 1st Floor, Challirickal Building,

Pottakuzhi Road, Pereparambil Lane,

Mamangalam, Palarivattom Post, Kochi

Kerala

Pin code: 682025

Ph: 0484-4466655

Email: kochi.sail@emeditek.com

17. Kolkatta

E-Meditek (TPA) Services Limited

Chitrakut building, 2nd floor, room no-

21&22, 230A, AJC Boss road, Kolkata

West Bengal

Pin code: 700020

Ph: 033- 44666600, 44666612, 13, 15, 16

Fax: 033- 44666607

Email: kolkatta.sail@emeditek.com

18. Lucknow

E-Meditek (TPA) Services Limited

314, 3rd Floor, Saran Chambers - 2, 5 Park

Road, Luck now

Uttar Pradesh

Pin code: 226001

Ph: 0522-4466660

Email: lucknow.sail@emeditek.com

17

19. Mumbai E-Meditek (TPA) Services Limited

208/209 Turf Estate, Off Dr.E.Moses

Marg, Behind Mahalakshmi Satation,

Mahalakshmi Mumbai,

Maharashtra

Pin code: 400011

Ph:022- 44666600, 44666666

Fax: 022- 44666655

Email:mumbai.sail@emeditek.com

20. Nagpur E-Meditek (TPA) Services Ltd,

Shri Prakash K Zode, Plot no 167, Hanuman

Nagar, Trikoni Maidam, Nagpur

Maharashtra

Pin code: 440009

Ph: 0712–6052999

Email: nagpur.sail@emeditek.com

21. New Delhi E-Meditek(TPA) Services Limited,

204 & 205, Kanchenjunga Building, 18,

Barakhamba Road, Cannaught Place,

New Delhi

Pin code: 110001

Ph: 011- 44666600

Email: delhi.sail@emeditek.com

22. Pune

E-Meditek (TPA) Services Limited

Office no. 101, Akruti Sankal, C.T.s no.

1010 & 2059, Sadashiv Peth, Pune

Maharashtra

Pin code: 411030

Ph: 020-44066655

Email: pune.sail@emeditek.com

23. Ranchi E-Meditek (TPA) Services Limited

B 420, Ashok Nagar, Road No - 4C, Opp -

Tata Steel ltd., Ranchi, Jharkhand

Pin Code: 834002

Ph: 0651- 2340144

Email: ranchi.sail@emeditek.com

24. Rourkela E-Meditek (TPA) Services Limited

Plot no 309, Udit Nagar, opp Ambedkar

Chowk, Rourkela, Orissa

Pin code: 769012

Ph: 0661-6550105

Email: rourkerla.sail@emeditek.com

25. Salem E-Meditek (TPA) Services Ltd,

1st Floor, Swarnambigai Plaza 3/313,

Omalur Main Road, Near TVS Bus Stop,

Salem, Tamil Nadu

Pin code: 636007

Ph: 0427-4036600

Email: salem.sail@emeditek.com

26. Surat

E-Meditek (TPA) Services Ltd

Room No:- 712 City Centre,8th Floor, Nr

Sosyo Cirlce, Udhna Magdalla Road

Surat, Gujarat

Pin code: 395002

Ph: 0261-3077395

Email: surat.sail@emeditek.com

Corporate Office:

E-Meditek (TPA) Services Limited

Plot No.- 577, Udyog Vihar, Phase - V

Gurgaon, Haryana

Pin Code: 122016

Ph: +91-124-4149727

Fax: +91-124-4466677 Toll Free no: 1800-102-8191

Email: help.sail@emeditek.com

18

ANNEXURE- A: CLAIM FORM - IPD

CLAIM FORM

(Issuance of this form does not amount to admission of any liability under the claim on the part of the insurance.)

1. Name of the Patient (In Capitals):

2. MIN No.

3. Detail of the person undergoing treatment:

(a) Name of Patient & relationship to the insured:

(b) Date of Birth: (c)Phone No.:

(d)Mobile No.: (e) E-Mail – I.D.

(f) Residential address:

4. Nature of Disease/illness contracted or injury suffered:

5. Date of injury sustained or Disease/ illness first detected

6. (a) Name of the Hospital/ Nursing Home/Clinic:

(b) Address of the Hospital/ Nursing Home/Clinic:

State/ Union Territory

(c) Registration no:

(b) Date of Admission: (c) Date of Discharge:

7. Total Amount Claimed: Rs.

I have incurred on the treatment of disease/illness/accident referred to above the expenses as per the details given by me in the

Schedule of Expenses given overleaf. In support of the above claim, I enclose the following documents:

Claim Form Duly Signed:

Yes/No

Pre Hospitalization bills ___ Nos. Yes/No

EMSL Pre-Authorization Certificate:

Yes/No

Post Hospitalization bills ___ Nos. Yes/No

Claim Intimation Letter

Yes/No

Hospital Payment receipt Yes/No

Discharge Summary

Yes/No

Hospitalization Bill

Yes/No

Medicines Bills with Dr’s prescription

Yes/No

Surgeon’s surgery certificate Yes/No

Operation Theater / Pharmacy Bills Yes/No

Surgeon/Consultant’s bills

Yes/No

Investigation reports with Dr’s prescription Yes/No

MRI ___ Nos.

Yes/No

ECG ___Nos.

Yes/No

CT scan ___ Nos.

Yes/No

X-Ray ___Nos.

Yes/No

US scan ___ Nos.

Yes/No

Other’s (If any)

Yes/No

I hereby warrant the truth of the foregoing particulars in every respect and I agree that if I have made or shall make any false or

untrue statement, suppression or concealment, my right to claim reimbursement of the said expenses shall be absolutely forfeited. I

further declare that, in respect of the above treatment, no benefits are admissible under any other Medical Scheme or Insurance.

19

SCHEDULE OF EXPENSES INCURRED BY

THE CLAIMANT

(Attach separate Annexure for details of bills)

Details of expenses claimed under

Hospitalisation

(To be supported by Bills/Receipt, Cash Memos etc)

Amount Claimed

1. Pre Hospitalisation Benefits

(Within 30 days prior to admission in the hospital)

2. Hospitalisation Benefits

3. Post- Hospitalisation Benefits

(upto 60 days from Date of Discharge)

Total

Consent Form

From:

Patient’s Name and address:

To:

Whomsoever it may concern: (Hospital/Doctor)

Madam/Sir,

I hereby authorize E-Meditek (TPA) Services Limited representatives free and unlimited access to seek medical

information (Indoor case papers, reports, documents, including photocopies thereof / pertaining my, admission /

treatment) from any hospital / medical practitioner from which or whom I have at any time sought or shall seek

medical attention concerning any disease/ sickness, ailment or injury, which affects my physical or mental health.

Yours faithfully,

Signature of the Patient

20

ANNEXURE- B: CLAIM FORM- OPD

O.P.D TREATMENT CLAIM FORM

E-Meditek (TPA) Services Limited

1) Name

2) MIN No

3) Address (IN BLOCK LETTERS) :

4) Phone Number

5) Nature of Illness

6) Period of Illness

7) Expenses Incurred

Type of Expenses

Bill

Date

Bill

No.

Name of the

Hospital/Lab/Medical Shop Amount

a) For Consultation

b) For Medicines

c) For Pathological &

other diagnostic tests

d) Any other

Total Expenses Incurred:

I declare that the given information is correct and that I have not claimed reimbursement for the above expenses

incurred by from any other source.

I also consent and authorize E-Meditek (TPA) Services Ltd/ Bajaj Allianz General Insurance Co Ltd /SAIL to seek

medical information/documents from any hospital /provider who has any time attend on the insured person.

(Signature of Insured)

Place:

Date:

Note : Please enclose the following documents in original along with the claim form :

a) OPD Card of SAIL approved I Govt. Hospital.

b) Chemist/Nursing Home Bills/Receipts and Original prescriptions.

c) All Pathological & other test report and bills, if any.

d) Discharge Voucher duly signed.

All the above should be in original. No Photocopies will be accepted.

21

ANNEXURE- C: CLAIM INTIMATION FORM

Claim Intimation Form- Steel Authority of India Ltd.

Mediclaim Policy for Retired Employees

Hospitalization Information

Name of the Patient: MIN no.:

Full Address:

City:

State:

Pincode:

Phone No.:

E-Mail:

Date:

Age: Gender: M F Contact no.:

Diagnosis:

Date of Admission: Date of Discharge:

Planned Treatment/ Emergency Treatment:

Hospital Information

Name of the Hospital:

Address:

City: State: Pincode:

Contact no.:

Doctor Information

Name of the Treating Doctor: Registration no.:

Qualification:

Landline Contact no.: Mobile no.:

Estimated Expenses:

Any other relevant information

Additional attached Documents

Intimation Submitted by:

Insured Patient Relative

Name: Contact no.:

I hereby authorize E-Meditek (TPA) Services ltd./ Insurance Company/ Representative of Insurance Company to

obtain my medical record/ Information from Hospital/ Nursing Home/ Treating Medical Professionals/ Family

Physician/ diagnostic Center/ medical shops necessary to process the claim

Kindly Keep In Notice

Photo ID of the patient has to be carried to hospital during hospitalization

Attachments of prescriptions and Admissions notes is a mandate

Photo Identity of the patient has to be attached along with Claim Intimation/ Documents

Non Submission of the Claim Intimation within 48 Hrs prior to admission will result the claim as NO CLAIM

SIGNATURE OF THE PATIENT

22

ANNEXURE- D: CASHLESS REQUEST FORM E-MEDITEK (TPA) SERVICES LIMITED (IRDA License No. 007)

Customer Care Tel: - 0124-4149727 Fax: - 0124-4466677 E-Mail:- cashless.sail@emeditek.com PART A – TO BE FILLED IN BY TREATING CONSULTANT

E-Meditek ID No.: Patient Name:________________________ MIN No:______________________

Age:___ Years. Gender: Male / Female Patient‘s Tel No. (Off.)___________________Mobile: __________________________________

Name of Hospital: Treating Doctor with contact no: _____________________

Presenting Complaints & Clinical Findings with Durations: ________________________________________________________________________

_________________________________________________________________________________________________________________________

Past History:

Disease Duration Disease Duration DM Arthritis HTN COPD / TB / Asthma IHD / CAD Any Other Chronic Ailment Surgical History Similar Ailment

Maternity Cases: Gravida Para LMP EDD No. of Live Children: __________

In C/O Accidents, influence of Alcohol / Intoxicant: Yes / No Whether MLC Done: Yes / No In C/O Injury, whether suggestive of self-inflicted injury: Yes / No

Proposed Line of Treatment: - _____________________________________________________ Class of Accommodation ________________

Date of Admission: ___________Expected duration of stay: _______Room No. ________ Admitting Diagnosis: ________________ PART B – TO BE FILLED BY HOSPITAL Amount in Rs.

Room Charges with breakup -

Consultant Visit Charges, Surgeon Fees, Anesthetist Fees with breakup -

Investigation Charges with breakup -

Anaesthesia, OT Charges, Surgical appliances, Medicines, Dialysis, Chemotherapy,

Radiotherapy, Cost of Stent and Implant etc with breakup -

Total Estimated Expenses: Rs

E-Meditek (TPA) Services Limited will not be held liable for the payment in the event of any discrepancy between the facts presented at the time of admission& in final documents submitted.

If the nature of treatment is different from what has been declared in the “Cashless Request Form” and for which “Pre Approval Certificate” has been issued then the said pre approval will automatically stand withdrawn. A fresh “Pre Approval” for the changed treatment will have to be applied for and obtained as soon as such a difference is noticed but in any case before discharge of the patient.

SIGNATURE & STAMP OF CONSULTANT SIGNATURE & STAMP OF THE HOSPITAL

PART C – TO BE FILLED BY THE INSURED / CLAIMANT INSURED CONSENT / AUTHORIZATION

I have ‘no objection’ in E-Meditek (TPA) Services Limited obtaining details of my treatment / collecting documents / verifying hospital records and also authorize E-Meditek (TPA) to pay the hospital bill & reimburse itself / receive the amount from my claim receivable from my insurance company. In case my claim is rejected, I hereby undertake to pay E-Meditek (TPA) Services Limited the amount paid by them to the hospital. This consent is also final discharge for hospitalization part of the claim where it has affected the payment. I reserve the right to submit pre / post hospitalization or other claim separately as and when required and as per policy terms and conditions, which I have read and understood. In case, the letter of authorization is not utilized at the above hospital, I agree to inform and surrender the letter of authorization to the E-Meditek (TPA) Services Limited. I am aware that EMeditek (TPA) Services Limited will update my sum insured only after receipt of the letter (in case of non utilization of authorization letter). I hereby warrant the truth of the foregoing particulars in every respect and I agree that if I have made or shall make any false or untrue statement, suppress or conceal any material fact, then, my right to claim reimbursement of the said expenses would stand forfeited. I further declare that in respect of the above treatment, no benefits are admissible under any other medical scheme or insurance.

Name:_________________________________________

Signature (Insured / Claimant)

23

ANNEXURE- E: ACKNOWLEDGEMENT SLIP

Acknowledgement Slip

Created On: DD/MM/YYYY

Sub Reg. No

MIN No.

Inward Date

Dep Rec Date

Patient Name

Type of Doc

Source

Insurance Co.

Policy No.

Card No.

Claim No.

24

ANNEXURE- F: NEFT FORM

E-Meditek (TPA) Services Limited

577, Udyog Vihar, Phase V, Gurgaon 122016 NEFT Form

To,

E-Meditek (TPA) Services Limited

Madam/Sir,

I furnish below details of my bank account to be used for effecting payments due to me by NEFT/RTGS

Registration for NEFT/ RTGS Payments

Beneficiary Name:

Policy number

Mediclaim Index Number (MIN):

Bank Account Details For NEFT/RTGS Payments

Name as appearing in Account

IFSC Code *(11 digits)

PAN Number (10 digits)

Bank Name

Bank Branch Name

Bank Branch Address

MICR Code (9 digits)

Full Bank Account No. (for NEFT)*

Account Type

Current Account

Saving Account

*Please attach a copy of a cancelled cheque to verify the details of your bank account

Please refer your cheque book for IFSC/MICR Code of your bank branch or contact your bank's Branch Manager

I wish to receive alerts from the company on processing of payments to my account through SMS and/or Email

Mobile Phone No. (for SMS alert)

E-Mail ID (for mail notification) (please provide the IDs which will be

valid throughout the policy period)

1)

2)

3)

4)

NOTE:- Please Include a confirmation of account information on bank letterhead/Copy of Passbook or a cancelled cheque. If bank letterhead is used, then

bank officer's name and signature is also required. This information will be used to verify your account no.

DECLARATION

• I / We hereby declare that the particulars given above are correct and complete and no blanks have been left. If the transaction is delayed or not effected at

all for reason of incomplete or incorrect information I / we would not hold E-Meditek (TPA) Services Limited responsible.

• I / We further undertake to refund, at any time, any excess amount whether demanded by E-Meditek (TPA) Services Limited or not, which has been

credited to my account [due to any reason] by E-Meditek (TPA) Services Limited, in excess of (i) the amount due to me, or (ii) Claim/Refund/ Any other

payment.

• I / We agree that the payment will be endeavored to be credited starting from the date of next payment cycle and unless the Mandate is revoked by me/us

issuance of relevant credit instruction for electronic payment from E-Meditek (TPA) Services Limited into the aforesaid account will be valid discharge to E-

Meditek (TPA) Services Limited for having paid (i) the amount due to me, or (ii) Claim/Refund/ Any other payment.

• I / We further confirm that we understand this mode as a method of payment introduced by Reserve Bank of India, which provides us an option to receive

the amount and or to collect our payments by electronic payment mode directly through my/our bank accounts.

• I / We further confirm that I/we understand, E-Meditek (TPA) Services Limited, shall make electronic payment to my account by issuing the Payment

instruction electronically through its banker to the Clearing Authority and the Clearing Authority would ensure credit to my/our specified bank account

provided hereinabove.

• I / We further undertake to inform E-Meditek (TPA) Services Limited with an advance notice of 15 days, to withdraw from this mode of electronic

payment.

• I / We further confirm that E-Meditek (TPA) Services Limited will have, at its sole discretion, the right to return back to the option of paying to me/us by

way of cheque if there are more than 2 consecutive failures in remittances for no fault on the side of E-Meditek (TPA) Services Limited.

• After E-Meditek (TPA) Services Limited issuing the Payment instruction electronically through its banker, for whatever reasons, if I/we do not get the

credit to my/our account, then same shall neither constitute the default in (i) Payment of amount requested by me, or (ii) Payment of amount due to me/us, or

(iii) Payment of claim/ Refund/Any other payment by E-Meditek (TPA) Services Limited nor constitute default of any terms and conditions of any

Claim/Refund/Other contract with me/us.

Name of the Authorised Person:

Signature of Authorised Person

Date D D / M M / Y Y Y Y

25

DISCLAIMERS

If any member is found to be misusing the system or has committed any fraud, the member will be

permanently debarred from the Mediclaim membership and legal action shall be taken against

him/her.

In cases, where the cheque of the member for renewal or enrolment is found to be unsigned, is

returned for lack of funds or gets delayed etc., it would be the responsibility of the member to

ensure that the Policy coverage does not lapse due to the above reasons.

26

USER GUIDE TO ACCESS WEBSITE

Enter http://emeditek.in/sailweb/ to view SAIL Web

portal

Login Screen

Depicting on side is the front page from where

navigation can be done from one page to another.

DOWNLOADS: Click on “ ” to view and download various forms needed for claim

process. Click on the arrow available in front of each form to download the form.

HOSPITAL LOCATOR: Click on “ ” to search the SAIL approved hospital. You

can search the hospital by entering the hospital name, address, city, state or pin code.

FAQs: Click on “ ” to view the list of frequently asked questions.

CONTACT US: Click on “ ” to get the list of various offices to submit your claim

related documents or to contact for any query.

LOGIN: for logging in to your account follow the basic steps:

a. Select the type of user from the drop down list.

b. Enter your MIN number in the box available just

next to the “MIN no.”

c. Enter your password in the box available next to the

“password” first time users should enter their MIN no.

as their password.

d. Click login to submit your details and enter to your

account.

Customer account MY PROFILE: As you enter to your account, by default you enter your profile page. Click on “view”,

in new window you can see your complete details like “member information, corporate information,

27

Policy information, covered person, claim history, balance, benefit information, additional benefit

information, Concurrent Insurance details, past insurance details, NEFT details, card dispatch

details and enrolment information.

STEP BY STEP GUIDE: Click on

to view solutions for your queries.

CLAIM STATUS: Click on to

view your IPD and OPD Claims. Click on the letter

icon present on the right side of the screen.

A new window will open from where you can

view, print or E-Mail the letter to your ID or

anywhere else.

MEMBERSHIP CARD: Click on

to view your basic details

along with an E-Card option available on the

extreme right of the screen.

28

MY HEALTH RECORD: Click on

to manage your

health records here by uploading and

saving the soft copy of your documents.

NEFT DETAILS: Click on

to view your account details which you have

provided SAIL. In case your details are not visible,

kindly contact SAIL office and submit your details.

REGISTER CONTACT DETAILS: Click on to Enter your mobile number and E-

Mail ID to receive claim status of your claims and to receive important information/alert via SMS and

emails.

LOG YOUR GRIEVANCE: Click on

for any queries, complaints or

grievance, please let us know by adding your

grievance by clicking on “Log Your Grievance

Here” option. Fill in your required details as all

the fields are mandatory to register your

grievance successfully. Click on “Submit” to log

your grievance.

HEALTH CALCULATOR: Click on to calculate your body fat, BMR, your

body’s water requirement and the blood volume of your body. By clicking on below

various calculators, on new page you will get a form; fill in all your required details to receive a correct

result calculated on the basis of the details provided by you.

INTIMATE YOUR CLAIM: Click on

for claim intimation. By

clicking on option under profile, you can view

the profile of the insured in a new window. As you

click on in a new window you will

receive an e-form kindly fill in your complete details

and click on Submit.

29

FEEDBACK: Click on the option to provide your non-biased feedback to the TPA.

After providing your feedback, click on to submit your feedback successfully.

Note: Images shown above are for reference purpose only. For actual view of the images, please

refer website http://emeditek.in/sailweb/ .

30

SAIL FAQ'S

1) What is the validity of SAIL Medi claim Scheme-2013?

Answer: The SAIL Medi claim scheme 2013 is valid till 31st December, 2013 (2400 hrs IST)

2) What is claim intimation?

Answer: Claim intimation is the notice of hospitalization/admission which is required to be sent to any

centre of E-Meditek in writing through letter/fax/email, 48hrs prior to planned hospitalization or within

24hrs in case of emergency hospitalization. The claim intimation should include all the relevant details like

Name of Patient, age, sex, Mediclaim Index Number (MIN), contact details, diagnosis, name-address-

contact details of the Nursing home/hospital, date of admission along with a copy of Admission Note of the

treating doctor. 3) Where do I submit the document?

Answer: You can submit the documents to the nearest E-Meditek branch (branch details has been provided

in the SAIL guide book) OR You can send the documents to E-Meditek head office at the following

address, E-Meditek (TPA) Services Ltd. Plot No.- 577, Udyog Vihar, Phase - 5 Gurgaon, Haryana - 122016 4) What I have to do for availing cashless hospitalization facility?

Answer: In case of planned hospitalization, E-Meditek should be informed 48 hrs in advance, through the

duly filled-in/ Pre Authorization form (available at E-Meditek website/in the booklet /at the TPA desk of

the concerned hospital). Ensure that the Pre Authorization Form is signed by the member and the treating

doctor. Your claim would be assessed as per terms and conditions of the policy by the insurer and a letter

of authorization will be issued to the hospital authorizing treatment.

In case of emergency hospitalization/admissions, the concerned hospital is required to send the request for

Authorization for cashless hospitalization to E-Meditek with in 24 hrs of hospitalization/admission. Once

E-Meditek authorizes the concerned hospital, the cashless treatment through an Authority letter, you are

not required to pay the hospital up to the amount which has been sanctioned by the said authority letter. E-

Meditek will pay your hospital bills up to the amount authorized in the Authority Letter only. 5) What is the time limit for claim submission for reimbursement in case of hospitalization?

Answer: All the claim documents should be submitted within 30 days from the date of discharge from the

hospital to any nearest E-Meditek Branch Office or Head Office.

6) What is the time limit for claim submission for reimbursement in case of OPD?

Answer: OPD Claims to be submitted by the Mediclaim member to the Insurance company/ TPA only

when the expenses exceed Rs. 2000 per person per policy period or within 90 days from the date of

completion of the treatment, whichever is earlier. All the claim documents should be submitted to any

nearest E-Meditek Branch Office or Head Office. 7) Where can I avail cashless hospitalisation facility?

Answer: You can avail the cashless hospitalisation facility in the Hospital mentioned in the guidebook

under the head "List of empanelled hospitals for cashless hospitalisation under TPA". The updated list of

such empanelled hospitals may also be seen at the TPAs website (www.emeditek.com) 8) What are the documents required to be submitted for claiming reimbursement for hospitalisation?

Answer: Kindly submit the following documents for processing your claim.

1. Duly filled-in claim form

2. Original discharge card

3. Original hospital bill

4. Original hospital bill payment receipt, and all the prescriptions.

31

5. Original investigation reports

6. Medicine Bills

7. ECS form duly filled-in along with the cancelled cheque.

9) Whom do I contact in case of any grievance?

Answer: In case of any grievance you may get in touch with the local branch office of E-Meditek or you

can contact Head Office of E-Meditek on:

1) 24 Hrs Helpline: 0124- 4149727

2) Customer Care Help line (Toll Free No): 18001028191

3) Email ID:-grievance.sail@emeditek.com

4) Or you may Fax on: 0124-4466677

10) What do you mean by Pre-Hospitalization & Post hospitalization?

Answer: The Pre hospitalization period is 30 days prior to Hospitalization and Post Hospitalization period

is up to maximum of 60 days from the date of discharge from the Hospital.

11) What is the procedure for claiming reimbursement for Pre hospitalization as well as Post

hospitalization period?

Answer: The expenditure incurred during 30 days prior to Hospitalization (Pre hospitalization) and 60

days from the date of discharge from the Hospital (Post Hospitalization), for the treatment of a particular

disease for which Hospitalization takes place, is considered for reimbursement. This along with the claim

form and prescriptions, medicine bills, investigation reports, investigation advices should be submitted

within 30 days from the date of last consultation, or 90 days from the date of discharge, whichever is

earlier. 12) My Spouse cannot sign on claim form can she give left hand thumb impression on Claim form?

Answer: Yes, she/he can fill the claim form with left hand thumb impression on Claim form and submit

the documents. 13) My OPD expenses are only 850/- can I claim for the amount?

Answer: OPD claims to be submitted by the claimant only when the expenses exceed Rs 2000/- person

or per policy period within 90 days from the date of completion of the treatment whichever is earlier. 14) Are only diagnostic test covered?

Answer: Diagnostic tests which are not consistent with line of treatment are not payable at all.

However, Charges for diagnostic test consistent with or incidental to the diagnosis and IPD treatment of

the positive existence or presence of any ailment, sickness or injury are payable. 15) What do I need to do at the time of discharge in case of a cashless facility?

Answer: You need to sign your bills, fill up a claim form and sign the same, leave all your

investigation/diagnostic reports and X-ray/ultrasound films etc. with the Hospital. The hospital authorities

will send the documents to us for assessment and payment. 16) What is room restriction?

Answer:

For metro cities (Hyderabad, NCR, Bangalore, Mumbai, Chennai, Kolkata) Ceiling of 2% of the

sum insured per member or a single AC Non Deluxe room per day, whichever is lower .

For Non- Metro cities which are state capitals –Ceiling of 1.5% of the sum insured per member or

a single AC non- deluxe room per day, whichever is lower ,

32

For rest of country – ceiling of 1% of the sum insured per member or a single AC non –deluxe

room per day, whichever is lower.

17) Are there any limits on IOL (implant used in Cataract Surgery)?

Answer: Ceiling rates for different types of lntra Lens (IOL) implants to be as per actual or Rs 10,000/-

whichever is lower and shall be reimbursable in addition to the package rates for cataract surgery

procedure. It is mandatory to attach the empty IOL sticker bearing the signature and stamp of the

operating surgeon on it along with the bill in support of the type of IOL used containing its batch number

at the time of claim submission.

18) Are there any limits on Stents (used in Angioplasty)?

Answer: Yes, ceiling rates for different types of Coronary Stents to be as per the actual or the rates

mentioned below, whichever is lower

Sr No. Name of the Drug Ceiling rate

Sr No. Name of the Drug Ceiling rate

1 Cypher Stent ` 95000 +VAT

5 Yukon Choice ` 55000+ VAT

2 Taxus Stent ` 67300 +VAT

6 Pronova ` 50000 +VAT

3 Endeavor ` 85000 +VAT

7 Supralimus ` 55000 +VAT

4 Xience V EECSS ` 95000 +VAT

8 Bare Metal Stent ` 45000 (All inclusive)

In case of reimbursement claimant has to submit the Outer part of the Stent Packet along with the Sticker on it,

on which the details of the stent are printed.

19) Are there any new capping/ceilings introduced in the scheme this year?

Answer: In addition to the capping on Stents/ implants, the following capping on procedures/ packages as

given below, shall also be applicable:

S. No. Treatment Ceilings

1 Hernia repair ` 40000 2 Cholecystectomy ` 45000 3 Haemorroids ` 25000 4 Appendicetomy ` 35000 5 Hysterectomy ` 45000

20) What are the details on ECS Payments?

Answer: Electronic clearance system is process where the amount is directly transferred to claimant's

account. Claimant needs to fill in the ECS form available on our website (www.emeditek.com) or avail it

from our branches. Once duly filled they can send the document to the branch or Head office along with a

cancelled cheque

33

LIST OF SAIL APPROVED HOSPITALS FOR OPD TREATMENT UNDER SAIL MEDICLAIM SCHEME

Along with Franchisee of major hospitals viz. Apollo, Max, Escorts, Fortis, etc. anywhere in India

Andhra Pradesh

Area Hospital Name

Hyderabad Aghava Ratna Towers, ChiragAli Lane

Hyderabad Apollo Hospital

Hyderabad Care Hospital

Hyderabad Jaya Diagnostic & Research Centre Ltd. MEDWIN Hospitals

Hyderabad LV Prasad Eye Institute

Hyderabad Maxvision Eye Hospital, Begumpet, Hyderabad

Hyderabad Yashoda Hospital & Medicity Hospital

Kakinada Apollo Samudra Hospitals

Kakinada Care Hosoital

Nellore Bollineli Ramanaiah Memorial Hospital

Vijayawada Global Medical Centre

Vijayawada Pinnamaneni Care Hospital

Vijayawada Saumya Apollo Hospital

Vijayawada St. Ann's Hospital

Vijayawada Vijetha Hospital

Visakhapatnam City Care Hospital

Visakhapatnam K.G. Hospital

Assam

Area Hospital Name

Guwahati International Hospital

BIHAR

Area Hospital Name

Darbhanga R.B. Memorial Hospital

Darbhanga Ram Janki Hospital

Dharbhanga DMCH

Patna Holy Family Hospital, Kurji

Patna Indira Gandhi Ayur Sansthan,Sekhpur

Patna Patna Medical College Hospital

CHANDIGARH

Area Hospital Name

Chandigarh Chhuttani Medical Center

Chandigarh Fortis Hospital

Chandigarh Inscol Hospital

34

DELHI

Area Hospital Name

23/7 Shakti Nagar,Delhi-7 Pannarth Misson

Anand Vihar Swastik Medical Centre

Ashok Nagar Tyagi Nursing Home

Ashok Vihar, Phase -III Sunder Lal Jain Charitable Hospital

Darya Ganj Sanjeevan Hospital

Delhi Max Hospitals

Dwarka Ayushman

East of Kailash National Heart Institute, 49, Community Centre

East of Kailash, New Delhi - 24 R.G. Stone Clinic Urological Research Centre

Greater Kailash –I Sukdha Hospital

Greater Kailash, Part-I East West Medical Centre Pvt. Ltd.

Greater Kailash-II Retina Associates Eye Institute

Greater Kailash –TT South Point Hospital

Green Park, Extn Mohindra Hospital

Janakpuri Mata Chanan Devi

Jangapura, New Delhi -14 Sahi Hospital

K.G. Marg & Kailash Colony Shroff Eye Centre

Lajpat Nagar Dr. Patnaik Laser Eye Institute

Lajpat Nagar Moolchand Khairati Ram Hospital

Lajpat Nagar Vidhya Sagar Institute of Mental Health and NeuroScience (VIMHANS)

Laxmi Nagar Walia Nursing Home

Madhu ban Chowk New Delhi Bhagwan Mahavir

Mandir Marg, Saket Gujarmal Modi Hospital & Research Centre For Medical Sciences

Mathura Road, Near Sarita Yihar Apollo Tndraprastha Hospital

Mayur Yihar Jeevan Anmol Hospital

Naveen Shahdara Dr. Gupta Nursing Home & Hospital

Okhla Road Batra Hospital and Medical Research Centre

Okhla Road Escorts Heart Institute and Research Centre

Okhla Road Holy Family Hospital

Panchuian Road, Delhi Heart & Lung Institute

Pandav Nagar, Naraina road Khera Hospital

Paschim Vihar Bhatia Global Hospital

Preet Vihar Anand Health Care Pvt. Ltd.

Pusa Road Jeevan Nursing Home & Hospital

Pusa Road Kolmet Hospital & Medical Research Centre

Qutab Institutional Area Rockland Hospital,

Qutab Institutional Area Sita Ram Bhartia Institute of Science & Research,

Rajendra Nagar Sir Ganga Ram

35

Area Hospital Name

RajpurRoad Tirath Ram Shah Hospi tal

Ring Road, Lajpat Nagar-IV The Heart Centre,

Rohini Bhagwati Hospital

Rohini Jaipur Golden Hospital

Rohini Rajiv Gandhi Cancer Institute & Research Centre,

Rohini Saroj Hospital & Heart I nstitute

Rohtak Road, Punjabi Bagh Maharaja Agrasain Charitable Hospital

Safadurjang Development Area Orthonova Institute of Advanced Surgery and Research Centre

Sarita Vihar Shri Ram Medical Centre

Sham Nath Marg Sant Parmanand

Sheikh Sarai Venu Eye Institute

Sheikh Sarai, Phase-II Pushpavati Singhania Research Institute for Liver, Renal & Digestive

Diseases,

South Extn Arya Vaidyashala, (Kottakal)

Tis Hazari St. Stephans Hospital

Vasant Kuni Indian Spinal Injuries Centre

Vasant Vihar Seth Prabhu Dayal Gupta Charitable Hospital

Vasant Vihar Vasant Lok Hospital

Vasundhra Enclave Dharmshila Cancer Hospital & Research Centre

Vikas Marg, Extn. Shanti Mukund Hospital

Vikas Marg, Extn. Deepak Memorial Hospital & Medical Research Centre

Village Khizrabad (Near Friends Colony) Lions Hospital & Research Centre, Lions Service Trust

GOA

Area Hospital Name

Bonapavla Manipal Goa Cancer and General Hospital

Margao Apollo Victor Hospital

GUJARAT

Area Hospital Name

Ahmedabad Dr. Jeevraj Mehta Smarak Health Foundation Medical Research Centre

Ahmedabad M.P. Shah Cancer Hospital

Ahmedabad R.G. Stone Clinic

Vadodara Bhailal Amin General Hospital

Vadodara Metro Hospital & Research Center

HARYANA

Area Hospital Name

Bahadurgarh Delhi Hospital & Nursing Home

DLF City -IV Gurgaon Sitaram Bhartia Clinic

Faridabad Escorts Hospital Centre

Gurgaon Ark Hospital

36

Area Hospital Name

Gurgaon MP Heart Research Institute

Gurgaon Paras Hospital

Gurgaon Privat Hospital

Gurgaon Uma Sanjivini Heatlh Centre Pvt. Ltd

Gurgaon Umkal Hospital

Hissar Hospital attached to Jindal Steel

Palam Vihar, Gurgaon Columbia Asia Hospital ,

Panchkula Alchemist Hospital

Panchkula Dhawan Hospital

Sector-51, Gurgaon Artemis Health Institute

Sonipat Bharat Hospital

Sonipat Janki Das Kapoor Memorial Hospital

Sonipat Sathya OmNethra & Maternity Hospital

Yamuna Nagar JP Hospital

JHARKHAND

Area Hospital Name

Bokaro Referral Hospital, P.O. Jainamore

Dhanbad BCCL Hospital

Dhanbad CCWO Hospital Sariadhella

Dhanbad Patliputra Medical College

Giridih State Referral Hospital, Dumri

Hazaribagh Mission Hospital

Jamshedpur Cancer Hospital

Jamshedpur Tata Main Hospital

Jamshedpur Telco Hospital

Ranchi Apollo Hospital, IRBA

Ranchi Gurunanak Hospital & Research Centre

Ranchi Hospital for Mental Disease

Ranchi Ispat Hospital, MECON

Ranchi Mahadevi Birla TB Sanatorium

Ranchi Marwari Sewa Sadan

Ranchi Mission Hospital , Bariatu

Ranchi Nagar Mal Modi Seva Sadan

Ranchi R.K. Missi on TB Sanatorium

Ranchi Raj Hospital Nidan - Main Road

Ranchi Rajendra Medical College Hospital

KARNATAKA

Area Hospital Name

Bangalore Bangalore Institute of Dental Science & Hospital

37

Area Hospital Name

Bangalore Central Institute of Neuro-Science

Bangalore Chinmaya Mission Hospital

Bangalore Innovative Dental and Medical Poly Care Centre

Bangalore KMC Hospital

Bangalore Mallaya Hospital

Bangalore Manipal Heart Foundation

Bangalore Manipal Hospital

Bangalore Mental Hospital

Bangalore Model Eye Clinic and Nursing Home

Bangalore Nethradhama Superspeciality Eye Hospital

Bangalore Ramiah Hospital

Bangalore Shri Satya Sai Hospital

Bangalore St. John's Medical College and Hospital

Bangalore St. Marthas Hospital

Bangalore The Bangalore Hospital

Bangalore Wockhardt Hospital

Bangalore Vittala International Institute of Ophthalmology

Manipal Kasturba Hospi tal

Mangalore A J Hospi tal & Research Centre

Mysore Basappa Memorial Hospital

KERALA

Area Hospital Name

Alapuzha YSM Hospital

Alleppey St. Thomas Mission Hospital

Calicut Bady Memorial Hospital

Chengannur Christian Mission Hospital

Chittur Road, Palakkad-13 Lakshmi Hospital

Eraviperoor Kotakkattu Medicare Hospital

Irinjalakuda Lal Memorial Hospital

Kannur Cooperative Hospital

Kannur Indira Gandhi Co-op. Hospital

Kochi Amrita Institute of Medical Science & Research Centre

Kochi Arya Vaidyasala (Kottakal)

Kochi Ernakulam Medical Centre

Kochi Giridhar Eye Institute

Kochi Indira Gandhi Co-op. Hospital

Kochi KPM Eye Hospital

Kochi Lisie Hospital

Kochi Lourdes Hospital

Kochi Medical Trust Hospital

38

Area Hospital Name

Kochi Ojus Clinic & Nursing Home

Kochi PVS Hospital

Kollam Arnrita Ayurveda Medical College Hospital & Research Centre

Kollam S.S.M. Hospital

Kottayam Karithas Hospital

Kottayam Mar Gee Varghese Dionysius Memorial Hospital

Kottayam S.H. Medical Centre

Kottayam, Kollam Holy Cross Multispeciality Hospital

Kozhencherry Muthoot Medical Centre

Melamur Palakkad -6 Karuna Hospital

Mulakuzha Century Hospital

Palakkad Diabetic Centre

Palakkad Palat Memorial Hospital

Palakkad Palana Hospital

Palakkad Thangam Hospital of PMRC

Palakkad Welcare Hospital

Pandalam N.S.S. Medical Mission Hospital

Parumala St. Gregorios Cardio-Vascular Centre

Pathanamthitta Marthoma Medical Mission Hospital

Pathanamthitta Muthoot Medical Mission Hospital

Pathanamthitta Tiruvalla Medical Mission

Perinthal manna-679322 EMS Memorial Co-operative Hospital & Research Centre

Perumbavoor San Joe, Hospital

Triuvalla Dist, Ernakulam Pushpgiri Hospital

Trivandrum Mother Hospital

Trichur Amala Cancer Hospital

Trichur Aswani Hospital

Trichur Elite Mission Hospital

Trichur Jublee Mission Hospital

Trichur Trichur Heart Hospital

Trichy Maruti Hospital

Trivandrum General Hospital

Trivandrum Mental Hospital

Trivandrum Samaritan Hospital

Trivandrum Shreechitra Tirumak Medical Centre

Trivanrum Sree Uthradom Thirunal Hospital

MADHYA PRADESH

Area Hospital Name

Bhopal Ayushman Hospital Centre

Bhopal Kasturba Hospital (BHEL)

39

Area Hospital Name

Gwalior G.R. Medical College

Indore Bombay Hospital

Indore Choitham Hospital & Research Centre

Indore M.Y. Hospital

Jabalpur Jabalpur Hospital & Research Centre

Raipur D.K. Hospital

Raipur Modern Medical Institute

Uiiain PSS Hospital & Research Centre

Ujjain Pushpa Mission Hospital

Vindyanagar Vind

MAHARASHTRA

Area Hospital Name

Mumbai B.J. Wadia Hospital

Mumbai Bombay Hospital

Mumbai G.T. Hospital

Mumbai Hinduja Hospital

Mumbai J.J .Group of Hospital

Mumbai Jaslok Hospital

Mumbai K.E.M. Hospital

Mumbai Lilavati Hospital & Research Centre

Mumbai NAIR Hospital

Mumbai Nanavathi Hospital

Mumbai R.G. Stone Clinic

Mumbai Tata Cancer Research Institute

Mumbai Tata Memorial Hospital

Nagpur Central India Institute of Medical Science

Nagpur Mental Hospital

Nagpur Wockhardt Hospital

Navi Mumbai Dr. D. Y. Patil Hospital & Research Centre

Navi Mumbai Sterling Hospital

Pune Artificial Limb Centre

Pune Jehangir Hospital

Pune K.E.M. Hospital

Pune Medipoint Hospital

Pune N.M. Wadia Institute of Cardiology

Pune Sadhu Vaswani Mission Medical Complex

Thane Lok Hospital

Vashi Navi Mumbai Sterling Wockhardt Hospital

40

ORISSA

Area Hospital Name

Berhampur M.K.C.G. Medical College

Bhubaneshwar Apollo Hospital

Bhubaneshwar CDR Hospital

Bhubaneshwar Kalinga Hospital

Cuttack S.C.B. Medical College

SambaIpur V.S.S. Medical College

PUNJAB

Area Hospital Name

Ferozpur Anil Baghi Hospital

Hoshiarpur Modern Hospital

Jallandhar Patel Hospital Pvt. Ltd.

Ludhiana CMC Hospital

Rajpura Soni Hospital

RAJASTHAN

Area Hospital Name

Alwar lndraprastha Apollo Hospital

Alwar Sinha Nursing Home

Jaipur SMS Medical College

Jodhpur Goyal Hospital & Research Centre Pvt. Ltd.

Vasant Yihar, Alwar Seth Prabhir Dayal Gupta Charitable Hospital

TAMIL NADU

Area Hospital Name

Chennai Apollo Hospital

Chennai B.S.S. Hospital

Chennai Cancer Institute

Chennai Dr. Mohan's Diabetological Institute

Chennai General Hospital

Chennai Shri. Ramachandra Hospital

Chennai Indian Medical Practi tioners, Co-operative Society Hospital

Chennai K.J. Hospital

Chennai Madras General Hospital

Chennai Madras Medical Mission

Chennai Malar Hospital

Chennai Medical Research Foundation (Shankara Netralaya)

Chennai R.S.R's Trinity Acute Care, Hospital

Chennai Railway Headquarters Hospital

Chennai Ramachandra Medical College & Research Institute

Chennai St. Isabel Hospital

41

Area Hospital Name

Chennai Sundaram Medical Foundation

Chennai Tamil Nadu Hospitals

Chennai Vijaya Hospital

Coimbatore Coimbatore Aryu Viidyu (Pharmacy)

Coimbatore G Kuppuswamy Naidu Memorial Hospital

Coimbatore Ganga Medical Centre & Hospital Pvt. Ltd.

Coimbatore K.G. Hospital

Coimbatore Kennedy Hospital

Coimbatore Kottakkal Arya Vaidyasala

Coimbatore Nataraj Hospital, Kanchi Kamakoti Trust

Coimbatore Ram Krishna Hospital

Coimbatore The Eye Foundation

Combiatore Vijaya Hospital

Madurai Apollo Hospital

Madurai Arvind Eye Hospital

Madurai Bose Hospital

Madurai Meenakshi Mission Hospital & Research Centre

Pondicherry East Coast Hospital

R.S. Puram Vedanayakam Hospital

Salem Sri Gokulam Hospital

Trichy Kavery Medical Centre (KMC), Trichy

Trichy Sea Horse Hospital Ltd

Vellore Christian Medical College & Hospital

UTTAR PRADESH

Area Hospital Name

Agra Jalma lnsitute of Leprosy Trg. & Research Centre

Aligarh Gandhi Eye Hospital

Aligarh J.N. Medical College

Allahabad MLN Medical College

Ghaziabad Dr. R.S.G. (Indo German) Medical Centre

Ghaziabad Ganesh Hospital

Ghaziabad Narendra Mohan Hospital

Ghaziabad Sarvodya Hospital

Ghaziabad Yashoda Hospital

Haridwar Dispensaries run under Divya Yog Mandir (Trust)

Kanpur Regency Hospital Ltd

Kaushambi Jashoda Speciality Hospital

Lucknow OP Chaudhar Hospital & Research Centre,

Lucknow Ramakrishnan Mission

42

Area Hospital Name

Lucknow Vivekanand Polyclinic

Noida Aggarwal Eye Hospital & Dental Care Centre

Noida Fortis Hospital,

Noida Kailash Hospital & Research Centre Ltd

Noida Keerti Medical Centre

Noida Metro Heart Hospital

Noida Metro Multi Speciality Hospital

Noida NOIDA Medical Centre

Sitapur Eye Hospital

Varanasi B.H.U. Hospital

UTTARAKHAND

Area Hospital Name

Dehradun Jolly Grant Himalaya Institute of Medical Sciences

WEST BENGAL

Area Hospital Name

Barrakpore Disha Eye Hospital & Research Centre

Burdwan Burdwan Medical College & Hospital

Hooghly Aroga Niketan

Howrah West Bank Hospital

Kolkatta Advance Medicare and Research Institute

Kolkatta AMRI Hospital Ltd., Saltlake

Kolkatta Anandlok Hospital

Kolkatta Apollo Gleneagles Hospital

Kolkatta Assembly of God Church Hospital

Kolkatta Aurobindo Seva Kendra (EEDF)

Kolkatta B. P. Poddar Hospital & Medical Research Ltd

Kolkatta B.M. Birla Heart Research Insitute

Kolkatta Bangur Institute of Neurology

Kolkatta Behala Balananda Brahmachari Hospital & Research Centre

Kolkatta Calcutta Heart Clinic & Hospital

Kolkatta Calcutta Medical & Research Insitute

Kolkatta Cancer Centre and Wel fare Home

Kolkatta Chittaranjan Cancer Hospi tal

Kolkatta Dr. Rafi Ahmed Dental College & Hospital

Kolkatta Dr. Sudarsan Chakarborti Memorial Centre for Research and Treatment

Kolkatta Eskag-Sanjeevani

Kolkatta Eye Care & Research Centre

Kolkatta Fortis Hospital Ltd.

Kolkatta Harmoni Nursing Home

Kolkatta ILS Multi Speciality Clinic

43

Area Hospital Name

Kolkatta Jitendra Narayan Ray Sishu Seva Bhawan

Kolkatta K.P.C. Medical College & Hospital

Kolkatta Kothari Medical Centre

Kolkatta Microlap Nursing Home

Kolkatta Mission of Mercy Hospital

Kolkatta Nightingle Digonostic & Medicare Centre Pvt. Ltd,

Kolkatta North Bank Diagnostic Centre

Kolkatta North City Hospital & Neuro Institute

Kolkatta Paramount Hospital Pvt. Ltd

Kolkatta Park Clinic

Kolkatta Peerless Hospital

Kolkatta Ruby General Hospital

Kolkatta Rabindra Tagore International Institue of Cardiac Sciences

Kolkatta Ramakrishna Mission Seba Pratishthan

Kolkatta Sahid Khudiram Bose Institute & Research Centre

Kolkatta SEBA Hospital

Kolkatta Silver Line Hospital & Research Institute

Kolkatta Subodh Mitra Cancer Hospital & Research Centre

Kolkatta Suraksha Hospital

Kolkatta Susrut Eye Foundation & Research Centre

Kolkatta West Bengal Spastics Society

Kolkatta Wockhard Hospital & Kidney Institute IlIA

Kolkatta Wockhard Medical Centre

Kolkatta Woodland Medical Centre

Kolkatta Zenith Superspeciality Hospital

Purulia Netaji Eye Hospital

Raniganj Anandlok Hospital

44

ANDHRA PRADESH

City Area Hospital Name

Hyderabad Dmrl, X Raod,Kanchanbagh Apollo DRDO Hospital

Hyderabad 9-1-87,9-1-87/1,St. Johns Road Adj To

Keys High School, Secunderabad Apollo Hospital

Hyderabad Jubilee Hills Apollo Hospital

Hyderabad Basheerbagh Centre For Sight

Hyderabad 6-1-1070 / 1 To 4, Lakdi-Ka-Pool Global Hospital (A Unit Of Ravindranath Ge Medical

Associates Pvt. Ltd.)

Hyderabad D. No. 16-2-647/12, Judges Colony,

Malakpet HYDERABAD KIDNEY & LAPAROSCOPIC CENTRE

Hyderabad Basheerbagh Kamineni Hospital

Hyderabad King Koti Kamineni Hospital

Hyderabad L.B.Nagar Kamineni Hospital

Hyderabad Banjara Hills L. V. Prasad Eye Institute

Hyderabad Secretariat Road Mediciti Hospital

Hyderabad Nampally Railway Station Medwin Hospital

Hyderabad 1-1-216, Suraram X Roads , Jeedimetla, Narayana Hrudayalaya Hospital

Hyderabad Plot No.-22, Road No. 10, Banjarahills,

Karvy Lane Rainbow Childrens Hospital, Hyderabad

Hyderabad C - 17, Lane Beside Bata Vikrampuri

Colony Rainbow Childrens Hospital, Secunderabad

Srikakulam Near Datta Tample, Pn Colony Junction KIMS Sai Seshadri Hospital

Visakhapatnam 47-9-32, 3rd Lane, Dwarka Nagar Annapoorna Hospital

Visakhapatnam Waltair Main Road Apollo Hospital Enterprises Ltd

Visakhapatnam Seethammadhara (N. E.) Cancer Treatment & Research Centre

Visakhapatnam Waltair Main Road Care Hospital (M/S Visakha Hospital & Diagnostics Ltd)

Visakhapatnam 10-50-11/5 Ramnagar Care Hospital,Vishakhapatnam

Visakhapatnam 50-53-14, Gurudwara Lane,

Seethammadhare Chalasani Hospital Pvt. Ltd

Visakhapatnam No. 18-1-6, K. G. H. Down Road,

Maharanipeta, Visakhapatnam Indus Hospital

Visakhapatnam 47-1-104, Dwaraka Nagar Vith Lane Kala Hospital

Visakhapatnam 10-50-2, Lazarus Marg Lazarus Hospital Ltd.

Visakhapatnam 1/7, M V P Colony Mahatma Gandhi Cancer Hospital & Research Institute

Visakhapatnam # 49-48-16/5, Nggos Colony,

Akkayyapaelm Padmasri Hospital

Visakhapatnam D. No-19-50, Saimadhava Nagar, Naidu

Thota Sankar Foundation Eye Hospital

Visakhapatnam 11-4-4/A, Rockdale Layout, Visakhapatnam Sevenhills Healthcare Private Ltd.

Visakhapatnam # 15-14-9/1, Krishna Nagar, Maharanpeta Surya Sri Hospital Ltd.

Vizianagaram 18-01-10, Jidduvari St, Kota Jn. Muvva Gopala Hospital Pvt. Ltd.

Vizianagaram Near Lower Tank Bund Road, Opp Psr

Complex Tirumala Hospital

Vizianagaram Venkata Padma Healthcare Complex,

Lamps Vaatsalya Hospital (Vizianagaram)

LIST OF EMPANELED HOSPITALS TO AVAIL CASHLESS SERVICES

45

BIHAR

City Area Hospital Name

Patna Rupaspur, ROB (Nahar), West Bailey Road Atlantis Hospital

Patna Rajendra Nagar Magadh Hospital

CHANDIGARH

City Area Hospital Name

Chandigarh Sec 22 Centre For Sight

Chandigarh Sec- 34 A Inscol Hospital

Chandigarh Sec-46 D Kapoors Kidney And Urostone Centre Pvt Ltd

Chandigarh Ashokmarg Liberty Hospital

CHATTISGARH

City Area Hospital Name

Bhilai Opp Smriti Nagar Apollo Bsr Hospital

Bhilai Nehru Nagar Chandulal Chandarkar Memorial Hospital

DELHI/NCR

City Area Hospital Name

Delhi Patparganj Balaji Medical & Diagnostic Research Centre

Delhi Tughlakabad Institutional Area Batra Hospital & Medical Research Centre

Delhi Near Popular Apt & Mother Dairy Bhagwati Hospital

Delhi Budh Vihar Brahm Shakti Hospital & Research Centre Pvt

Delhi Dwarka Centre For Sight

Delhi Preet Vihar Centre For Sight

Delhi Rajouri Garden Centre For Sight

Delhi Rohini Centre For Sight

Delhi Roop Nagar Centre For Sight

Delhi Safdarjung Enclave Centre For Sight

Delhi Saket Devki Devi Foundation

Delhi Darya Ganj Dr Shroffs Charity Eye Hospital

Delhi Vasant Kunj Flt.Lt.Rajan Dhall Charitable Trust

Delhi Okhala Rd Fortis Health Management (North) Ltd.

Delhi Uttam Nagar Gandhi Nursing Home

Delhi Krishna Nagar Ganesh Ortho Trauma & Medical Centre

Delhi Okhla Road Holy Family Hospital

Delhi Delhi Mathura Road Indraprastha Medical Corporation Ltd.

Delhi Rohini Jaipur Golden Hospital

Delhi Mayurvihar Jeevan Anmol Hospital

Delhi Jeewan Nagar Jeewan Hospital & Nursing Home

Delhi Jeewan Nagar Jeewan Hospital & Nursing Home

Delhi Pusa Road Jeewan Nursing Home & Hospital

Delhi Karol Bagh Jessa Ram Hospital

46

City Area Hospital Name

Delhi Kirti Nagar Kalra Hospital SRCNC Pvt. Ltd.

Delhi Rajouri Garden Kukreja Hospital & Heart Centre Pvt. LTD

Delhi Punjabi Bagh Maharaja Agrasen Hospital

Delhi Janak Puri MATA CHANAN DEVI HOSPITAL

Delhi Pitam Pura Max Healthcare Institute Limited

Delhi Shalimar Bagh Max Hospital

Delhi Saket Max Super Speciality Hospital

Delhi Preet Vihar Metro Hospital & Cancer Institute

Delhi Near Sir Ganga Ram Hospital Mohan Eye Institute

Delhi Adjacent To Moolchand Flyores Moolchand Hospital

Delhi East Ofkailash National Heart Institute

Delhi Najafgarh Orthoplus Hospital

Delhi Near Keshnopur Bus Depo Park Hospital

Delhi Rohini Saroj Hospital & Heart Institute

Delhi Vikas Marg Sharp Sight Laser Centre Pvt. Ltd.

Delhi Kailash Colony Shroff Eye Centre

Delhi Old Rajinder Nagar Sir Ganga Ram Hospital

Delhi Paschim Vihar Sri Balaji Action Medical Institute

Delhi Ashok Vihar Sunder Lal Jain Hospital

Delhi Nehru Nagar Vimhans Hospital

Faridabad Faridabad Centre For Sight

Faridabad Near Neelam Bata Flyover Escorts Hospital & Research Centre

Faridabad Sector 16A Metro Heart Institute

Faridabad Neelam Flyover Q R G Central Hospital & Research Centre

Faridabad 5R/5 NIT Surya Ortho & Trauma Centre

Gurgaon Block- B Sushant Lok Alps Hospital Limited

Gurgaon Sector 51 ARTEMIS MEDICARE SERVICES LTD.

Gurgaon Gurgaon Centre For Sight

Gurgaon Huda City Metro Station Fortis Memorial Research Institute

Gurgaon Sec-38, Gurgaon Medanta The Medicity

Noida Sector 26 Apollo Hospital

Noida Sector 26 I Care Hospital & Postgraduate Institute Glaucoma

Research Centre

Noida Sector 62 International Fortis Hospital

Noida H-33, Noida Kailash Health Care Ltd.

Noida Sector 27 Kailash Hospital And Heart Institute

Noida Noida Max Healthcare Institute Limited

Noida Sector-12 Param Jyoti Eye Center

Noida Near Shalom School Paras Hospital

Noida Raj Nagar Shivam Hospital & Heart Centre Pvt Ltd.

Noida Sector 35 Surbhi Hospital

47

City Area Hospital Name

Noida Nehru Nagar Yashoda Hospital & Research Centre Ltd

Noida H 1, Kausambi Yashoda Super Speciality Hospital, GZB

GUJARAT

City Area Hospital Name

Ahmedabad Near Saijpur Tower, Naroda Road Anand Surgical Hospital Ltd

Ahmedabad Gidc Apollo Hospital International Ltd

Ahmedabad Dr Jivraj Mehta Marg Dr Jivraj Mehta Smarak Health Foundation

Ahmedabad Ellis Bridge Hcg Medi-Surge Hospital Pvt.Ltd.

Ahmedabad Green City ,Ghuma Krishna Heart & Super Speciality Institute

Ahmedabad Mill Compound Rakhiyala Narayana Hrudayalaya

Ahmedabad S.G. Highway Shalby Ltd.

Ahmedabad Off Gurukul Road, Memnagar, Sterling Hospital

Ahmedabad Shahibag The Gujarat Research & Medical Institute (Rajasthan

Hospital)

Baroda Race Course Circle Sterling Hospital

Baroda Manjsslpur Spandan Multispeciality Hospital

Surat Nanpura Smt R.B Shah Mahavir Super Speciality Hospital

Surat Ring Road Nirmal Hospital (P) Ltd

JAMMU & KASHMIR

City Area Hospital Name

Jammu B C Road, Rehari Centre For Sight

JHARKHAND

City Area Hospital Name

Bokaro Bye Pass Road Chas Krishna Murari Memorial Hospital & Research Centre

Bokaro Ram Nagar Colony Muskan Hospital & Research Centre

Bokaro Bokaro Steel City Prudence Hospital

Bokaro Sector 4, City Centre Sri Sai Hospital

Ranchi Irba Ranchi Abdur Razzaque Ansari Memorial Weavers Hospital(Apollo

Hospital)

Ranchi Booty Road Alam Hospital & Research Centre Pvt.Ltd.

Ranchi Bariatu Hill View Hospital Pvt Ltd

Ranchi Purulia Road Kashyap Memorial Eye Hospital

KARNATAKA

City Area Hospital Name

Bangalore Basavanagudi Avadhani Netralya

Bangalore Near Cantonment Railway Station Church Of South India Hospital

Bangalore Mallesh Waram Columbia Asia Hospital Pvt Ltd

Bangalore Kanakapura Main Road Deepak Hospital

Bangalore Seshadripuram Fortis Rm Hospital

Bangalore Bannergatta Road Fortis Hospital Ltd Bannerghatta Road

48

City Area Hospital Name

Bangalore Nelamangala Harsha Hospital

Bangalore Jayanagar (Near Vivekanand School) Jayanagar Orthopaedic Centre

Bangalore Agrahara Dasarahalli Jeevani Health & Medicare Pvt Ltd

Bangalore Malleshwaram Jupiter Hospital & Institute Of Vascular Surgery

Bangalore Msrngr M S Ramaiah Memorial Hospital

Bangalore Crescent Road Mallige Medical Centre

Bangalore Airport Road Manipal Hospital

Bangalore Bommasandra Industrial Area Narayana Hrudayalaya

Bangalore Rajaji Nagar Narayana Hrudayalaya

Bangalore Rajaji Nagar Narayana Nethralaya

Bangalore Jayanagar Nethradhama Hospital Pvt. Ltd.

Bangalore Jayanagar Sagar Hospital, Jayanagar Extn

Bangalore Airport Whitefield Rd Sankara Eye Hospital

Bangalore J.P. Nagar Shekar Nethralaya

Bangalore Tumkurroad Sri Raghavendra Hospital

Bangalore Ashok Nagar St. Philomena Hospital

Bangalore Below Railway Bridge Sunder Hospital

Bangalore Rahtriya Vidyalaya Road The Banglore Hospital

Bangalore Vijaynagar Vidya Eye Hospital

Bangalore Hanumantha Nagar Vishwabharathi Hospital Pvt Ltd

Bangalore Hosakerehalli Vittala International Institute Of Ophthalmology

Bhadravathi T. K. Road, Nayana Hospital

Mysore Jayalakshmipuram Basappa Memorial Hospital

Mysore Siddalingapura Post Bhagwan Mahaveer Darshan Eye Hospital

Mysore 438, Outer Ring Road, Hebbal Bharath Hospital & Inst. Of Oncology

Mysore Nr Nazarbad Police Station Gopala Gowda Shanthaveri Memorial Hospital

Mysore Kuvempunagar Kamakshi Hospital

Shimoga S. R Raod SUBBAIAH HOSPITAL

Shimoga Park Extension Road, Near Mahatmagandhi

Park Vaatsalya Hospital (Shimoga)

KERALA

City Area Hospital Name

Kanjirapally Ponkunnam P N P Memorial K V M S Hindu Medical Mission

Hospital

Kochi Kochi Amrita Institute Of Medical Sciences & Research Centre

Kochi South Kuriyappilly, Moothakunnam P.O. Bharath Rural Hospital & Training Centre

Kochi M.G.Road Cochin Hospital

Kochi Kmkjn Don Bosco Hospital

Kochi Panayappilly Gautham Hospital

Kochi Mundamveli Jishy Hospital

49

City Area Hospital Name

Kochi Pathadipalam, Changampuzha Nagar P. O.

Edapally Kims Hospital & Surgical Center Ltd.

Kochi Diwans Road Emakulam Lakshmi Hospital

Kochi Pachalam Lourdes Hospital

Kochi Pachalam, Kochi Lourdes Hospital

Kochi Edappaly M. A. J. Hospital

Kochi Mookkannoor M.E.G.J. Hospital

Kochi Ernakulam North, Specialists Hospital

Kochi Chittor Road Sree Sudheendra Medical Mission

Kochi Manjummel St. Joseph Hospital

Kochi Seaport - Airport Road, Kakkanad Sunrise Hospital, Kochi

Kochi Opp Adam Pillykadu Temple Vijaya Kumara Menon Hospital

Kochi S. A. Road, Vyttila Welcare Hospital

Kottayam Azad Lane Bharath Hospital

Kottayam Thellakom P. O. Caritas Hospital

Kottayam Thellakom Matha Hospital

Kottayam Karukachal Mercy Nursing Home (P) Ltd

Kottayam Nagampadom S. H. Medical Centre

Muvattupuzha Vi/623, Market P O , Muvattupuzha Nedumchalil Trust Hospital

Palai Bharananganam I H M Hospital

Palai Monipally Post M. U. M Hospital

Palai Aruna Puram, P.O-Pala Marian Medical Centre

Trivandrum Anayara Post Kerala Institute Of Medical Sciences

Trivandrum Anayara Lords Hospital

Trivandrum Peroorkada Punarjani Institute Of Medical Science

Trivandrum Fort S. P. Fort Hospital

Trivandrum Venjara Moody Sree Gokulam Medical College & Research Foundation

Vikom Muttuchira Holy Ghost Mission Hospital

MADHYA PRADESH

City Area Hospital Name

Bhopal Shahpura Ayushman Hospital,Bhopal

Bhopal Opp Dushehra Maidan Career Institute Of Medical Sciences (CIMS)

Bhopal Opp Nermal Meera School Chirayu Health & Medicare (P) Ltd

Bhopal M P Nagar Citi Hospital

Bhopal Aradhana Nagar Sharda Hospital & Diagnostic Centre

Indore IDA, Scheme No.-94/95, Ring Road Bombay Hospital

Indore Plot No 124, Sector Ab Centre For Sight

Indore Jawahar Marg City Nursing Home

Indore Old Palasia Greater Kailash Hospital

Indore Gram Bherasala, Ujjain Indore State Highway Mohak Hi Tech Spaciality Hospital

50

City Area Hospital Name

Indore Scheme No 74, Sec D, Vijay Nagar Rajshree Hospital &Research Center

Indore Ujjain Road Sri Aurobindo Institute Of Medical Sciences

Indore Scheme No.74-C, Sector-B Plot No. 2 Synergy Hospital

Jabalpur Near Gate No 3 Anant Institute Of Medical Science

Jabalpur North Civil Lines City Hospital & Research Centre

Jabalpur Damoh Naka Metro Hospital & Cancer Research Centre

Jabalpur Gol Bazar National Hospital

MAHARASHTRA

City Area Hospital Name

Mumbai Borivali (W) Apex Hospital

Mumbai Bandra (E) Asian Heart Institute

Mumbai Marine Lines Bombay Hospital & Medical Research Centre

Mumbai Vasai Cardinal Gracias Memorial Hospital

Mumbai Andheri (W) Criticare Multispecility Hospital & Reserach Centre

Mumbai Powai Dr. L H Hiranandani Hospital (Only For Corporate)

Mumbai Mulund (W) Dr. Mukhis Raj Hospital

Mumbai Mulund Goregaon Link Rd Fortis Hospital Ltd Mulund

Mumbai Vikhroli (W) Godrej Memorial Hospital

Mumbai Mulund(W) Hira - Mongi Navneet Hospital

Mumbai Chembur Inlaks General Hospital

Mumbai Peddar Rd Jaslok Hospital And Research Centre

Mumbai Eastern Express Highway Jupiter Lifeline Hospital Ltd

Mumbai Andheri(W) Kokilaben Dhirubhai Ambani Hospital

Mumbai Jogeswari (W) Mallika Hospital

Mumbai Mahim P D Hinduja

Mumbai Malad (W) Riddhi Vinayak Critical Care & Cardiac Centre

Mumbai Raheja Rugnalaya Marg, Mahim S L Raheja Hospital

Mumbai Gandhi Market Smt. Sushilaben R. Mehta & Sir K.P. Cardiac Institute

Mumbai Chembur Surana Sethia Hospital And Research Centre

Pune Chinchwadgoan Aditya Birla Memorial Hospital

Pune Erandawane Deenanath Mangeshkar Hospital

Pune Sassoon Road Jehangir Hospital

Pune Rasta Peth K. E. M. Hospital

Pune Chinchwad Lokmanya Care Hospital

Pune Nigdi Lokmanya Hospital

Pune Hadapsar Noble Hospital

ORISSA

City Area Hospital Name

Balasore Suelpur SRIRAM HOSPITAL

Bhubaneshwar Near Muncipal Kalyan Mandap Aditya Care Hospital

51

City Area Hospital Name

Bhubaneshwar Unit-15 Apollo Hospital Enterprise Ltd

Bhubaneshwar Acharya Vihar Square Ayush Hospital,Bhubaneswar

Bhubaneshwar Kiit University Kalinga Hospital

Bhubaneshwar Kharelnagar Near Bbsr Rly Station Neelachal Hospital (P) Ltd

Bhubaneshwar Sahid Nagar Sparsh Hospital & Critical Care Pvt Ltd

Bhubaneshwar (Blank) Swarna Hospital Pvt Ltd

Cuttack Chauliagunj Jeevandhara Nursing Home

Cuttack Plot No. 1140, Mahanadi Vihar Moon Hospital Pvt Ltd

Cuttack Telengapenth N H - 5 Panda Curie Cancer Hospital

Cuttack 4/697, Sector - 8, Cda Riverine Hospital

Cuttack Mahanadi Vihar Sabarmati General Hospital Pvt. Ltd.

Cuttack Plot No. 444, Mahanadi Vihar Shakti Hospital

Rourkela Uditnagar Shanti Memorial Hospital

Rourkela Basanti Colony Rajasthan Seva Sadan

Rourkela D-10 Civil Town Ship Rourkela Lifeline Pvt. Ltd.

Sambalpur Bhuda Raja Trilochan Netralaya

PUNJAB

City Area Hospital Name

Ludhiana 120,The Mall Arora Neuro Centre

Ludhiana Near Ansal Plaza Centre For Sight

Ludhiana Field Ganj Market Christian Medical College & Hospital

Ludhiana Model Town Deep Nursing Home And Children Hospital

Mohali SAS Nagar Centre For Sight

Patiala Jagdish Ashram Road Centre For Sight

RAJASTHAN

City Area Hospital Name

Ajmer Beawar Road Dr. Khunger Eye Care(Centre For Sight)

Jaipur Malviya Nagar Apex Hospital (P) Ltd.

Jaipur Jawaharlal Nehru Marg Bhagwan Mahaveer Cancer Hospital & Research Centre

Jaipur Mansarovar Dhanwantri Hospital & R Centre

Jaipur Malviya Nagar Fortis Escorts Hospital

Jaipur Vidhyadhar Nagar S K Soni Hospital

Jaipur Bhabha Marg Sahai Hospital &Research Centre

Jaipur Mansarovar Saket Medicare And Research Centre Pvt Ltd

Jaipur Bhawani Singh Marg Santokba Durlabhji Memorial Hospital

Jodhpur Sardarpur Centre For Sight

52

TAMIL NADU

City Area Hospital Name

Chennai Peravallur (Perambur) Abhijay Hospital (P) Ltd

Chennai 58 Lb Road Adyar P M Hospital & Research Ctr P Ltd.

Chennai Kilpauk Apollo First Med Hospital

Chennai 21, Greams Lane Apollo Hospital Enterprises Ltd.

Chennai 320, Anna Salai Apollo Speciality Hospital

Chennai Nandanam Apollo Speciality Hospital

Chennai Jaganathan Street Balaji Hospital (P) Ltd.

Chennai Raja Annamalaipuram Billroth Hospital R A Puram

Chennai Shenoy Nagar Billroth Hospital Ltd

Chennai Mylapore Chennai Meenakshi Multispeciality Hospital Ltd

Chennai Kelamrakkam Chettinad Hospital & Research Institute

Chennai Kilpauk Deepam Eye Hospital

Chennai Pallikaranai Dr Kamakshi Memorial Hospital

Chennai 19,Cathedral Road Dr. Agarwals Eye Hospital Ltd. (Cathedral)

Chennai Adyar Fortis Malar Hospital Ltd.

Chennai Kanchipuram Global Hospital & Health City

Chennai Anna Nagar Khm Hospital

Chennai Naid Colony Aminjika M R Hospital

Chennai 18 College Road Medical Research Foundation

Chennai Mount Poonamallee Road Miot Hospital Ltd

Chennai Poonamallee High Road New Hope Indian Speciality Hospital

Chennai Purasawalkam Noble Hospital

Chennai Near Vallonarkottam Rajan Eye Care Hospital Pvt. Ltd.

Chennai Valasaravakkam Rakshit Hospital

Chennai Kaladipet Rohit Hospital

Chennai Chromepet Royal Balaaji Hospital

Chennai Mylapore Rsr Trinity Acute Care Hospital (A Unit Of Trinity Nursing

Home Pvt. Ltd.)

Chennai Kattankulathur S. R. M. Medical College Hospital & Research Centre

Chennai Mylapore Sampat Nursing Home

Chennai Tambaram (W) Saravana Ortho & Multispeciality Hospital

Chennai Porur Sri Ramachandra Medical Centre

Chennai Mylapore St. Isabel Hospital

Chennai Stthomas Mount St. Thomas Hospital, Chennai

Chennai Thiruvotriyur Sugam Hospital

Chennai Saidapet Vasan Eye Care Hospital*, Saidapet

Chennai Nandanam Venkataeswara Hospital

Chennai Vadapalani Vijaya Heart Foundation - Vijaya Hospital

Coimbatore Alam Nagar Road Ashwin Hospital

Coimbatore 284, Sathy Road,Gandhi Puram,Coimbatore Ellen Hospital

53

City Area Hospital Name

Coimbatore 30, Ram Gardens, Sowripalayam Road G. R. Hospital

Coimbatore 45 - A, Pankaja Mill Road,

Ramanathapuram Gem Hospital & Research Centre Pvt Ltd.

Coimbatore Chinniampalyam K. G. M. Hospital Pvt. Ltd.

Coimbatore Tatabad Kongunad Hospital (P) Ltd

Coimbatore P B # 3209, Avinashi Road, Kovai Medical Center And Hospital Ltd

Coimbatore S.F.No.522/3,Udayampalayam

Road,Sowripipalayam Post,Nava India, Kurinji Hospital

Coimbatore Avinashi Road Lotus Eye Care Hospital Ltd., Coimbatore

Coimbatore Trichy Road Richmond Hospital (P) Ltd

Coimbatore 1287, Trichy Road, Coimbatore Richmond Hospital Pvt. Ltd.

Coimbatore Sundarapurah Sree Abirami Hospital (P) Ltd

Coimbatore Mettupalayam Road V. G. Hospital

Coimbatore Nanjammas Building, 1/80-1, Metupallayam

Road, Thudiyalur Vasan Eye Care Hospital* (Thudiyalur )

Coimbatore No.777, Puliyakulam Road, Laxmi Mills Jn,

P.N.Palayam Vasan Eye Care Hospital*, Laxmi Mills-Coimbator

Coimbatore 81, T V Samy Road (West), R S Puram, Vasan Eye Care Hospital*-Coimbatore

Madurai Kknagar Apollo Speciality Hospital,Madurai

Madurai 1 ,Anna Nagar Aravind Eye Hospital

Madurai Narimedu Saravana Hospital (A Unit Of Surya Trust)

Madurai Chokkikulam Vadamalayan Hospital

Manaparai Baracks Road GKM Surgical Hospital

Salem Main Road Arokya Hospital

Salem Meyyanur Road Gokulam Hospital

Salem Rajaji Road Kiruba Hospital

Salem Five Roads Kurinji Hospital

Salem Second Agraharam Mohan Raj Childrens Hospital

Salem Ashram Road Nathan Super Specialty Hospital

Salem S.K.Nagar R P S Hospital

Salem Alagapuram S K S Hospital India Pvt. Ltd.

Salem Ammapet S. Palaniandi Mudaliar Memorial Hospital

Salem Ramakrishna Road Salem Gopi Hospital (P) Ltd

Salem Saradha College Rd Shanmuga Hospital & Salem Cancer Institute

Salem Near Gandhi Stadium Shri Shellapha Hospital

Salem Behind Sarada College Hasthamnatt Thambi Medical Surgical Eye Hospital

Salem F 22 Raman Road Vasan Eye Care Hospital*-Salem

Salem Shankar Nagar Vidya Hospital, Salem

Salem Veerapandi Vinayaka Mission Hospital

Vellore Ida Scudder Road Christian Medical College

Vellore No.30 /1, Officers Lane Vasan Eye Care Hospital*

54

UTTAR PRADESH

City Area Hospital Name

Agra 116, Delhi Gate Centre For Sight

Lucknow 37 Cantt Road F. I. Hospital

Lucknow River Bank Colony K K Hospital

Lucknow Aliganj Crossing Neera Hospital

Lucknow Sitapur Road Sewa Hospital & Research Centre

Lucknow Indiranagar Shekhar Hospital, Lucknow

Lucknow 29, Shahmeena Road Chowk

SUSHRUT INSTITUTE OF PLASTIC SURGERY, BURNS &

TRAUMA

Meerut E. K. Road CFS Netralaya Pvt Ltd (Centre For Sight)

Moradabad Kanth Road Centre For Sight

WEST BENGAL

City Area Hospital Name

Asansol Raniganj Anandalok Hospital

Asansol G T Road (W) Asansol Medical Centre Pvt Ltd

Asansol Sen Raleigh Road H L G Memorial Charitable Hospital & Research Institute (P)

Ltd

Durgapur Near City Centre Disha Eye Hospital & Research Centre Pvt Ltd

Durgapur Central Park Durgapur City Clinic & Nursing Home Pvt Ltd

Durgapur A Zone Lions Care Centre

Durgapur Bidhan Nagar The Mission Hospital

Durgapur Bidhan Nagar Vivekananda Hospital Private Ltd

Howrah AC Market Alpha Medical Services Pvt Ltd

Kolkata Salt Lake Amri Hospital

Kolkata Salt Lake City Anandalok Hospital

Kolkata Canal Circular Road Apollo Gleneagles Hospital

Kolkata National Library Avenue B. M. BIRLA HEART RESEARCH CENTRE

Kolkata Block G, New Alipur B.P Poddar Hospital & Medical Research Ltd

Kolkata Sinthee More (Binayak Enclave) Binayak Multispeciality Hospital

Kolkata (Blank) Cancer Centre Welfare Home & Research Institute

Kolkata Barsat Care & Cure Nursing Home, Uluberia

Kolkata Teghoria Charnock Hospital Pvt Ltd

Kolkata Salt Lake Columbia Asia Hospital, Kolkata

Kolkata Kasba Golpark Desun Hospital & Heart Institute

Kolkata Sheoraphuly Disha Eye Hospital(Hooghly)Pvt Ltd

Kolkata Barrackpore Disha Eye Hospital & Research Centre Pvt Ltd

Kolkata 1 /3 Dover Place DR. NIHAR MUNSI EYE FOUNDATION

Kolkata Ibrahim Road Ekbalpur Nursing Home Pvt. Ltd.

Kolkata Sodepur Eye Care Nursing Home

Kolkata 730, Anandpur Fortis Hospital Limited

Kolkata 111, A, Rashbehari Avenue Fortis Medical Centre & Fortis Hospital & Kidney Institute

55

City Area Hospital Name

Kolkata Lenin Sarani G D DIABETES (Only Kolkata Police)

Kolkata Prannath Pandit Street Health Point

Kolkata Jessore Road(South)Barasat Jubilant Kalpataru Hospital

Kolkata S C Mullick Rd K. P. C. MEDICAL COLLEGE & HOSPITAL

Kolkata Alipore Road Kothari Medical Centre

Kolkata Mukundpur Medica Super Speciality Hospital

Kolkata Bepin Paul Road Microlap Hospital

Kolkata Park Street Mission Of Mercy Hospital & Reasearch Centre

Kolkata Theatre Rd, Elgin Nightingale Diagnostic & Medicare Centre Pvt Ltd

Kolkata Baghajatin On E M By Pass Peerless Hospitex Hospital And Research Centre Ltd.

Kolkata Mukandapur Rabindranath Tagore International Institute Of Cardiac Science

Kolkata Tegharia Renaissance Hospital Pvt Ltd

Kolkata Kasba Revival Nursing Home(Burn Unit)

Kolkata Salt Lake Rotary Narayana Nethralaya

Kolkata EM Bypass Ruby General Hospital

Kolkata Belgharia Sahid Khudiram Bose Hospital

Kolkata 147,Mukundapur Sankara Netralaya

Kolkata New Alipore Shardha Healthcare Pvt Ltd

Kolkata P A Shah Road Silverline Eye Hospital(A Unit Of Biswas Medical Centre)

Kolkata Madhyamgram Spectra Eye Foundation Pvt. Ltd.

Kolkata Kolkata Sri Aurobindo Seva Kendra

Kolkata Salt Lake Subodh Mitra Cancer Hospital & Research Centre

Kolkata Salt Lake Susrut Eye Foundation & Research Centre

Kolkata Rajarhat Road Swasti Eye & Super Speciality Nursing Home

Kolkata Dimond Harbour Road The Calcutta Medical Research Institute

Kolkata Andul Road West Bank Hospital (Meridian Medical Research & Hospital

Ltd.)

Kolkata Alipore Road Woodland Multispecility Hospital Ltd

Kolkata Feeder Road Zenith Super Speciality Hospital

Note: 1.Above list is subject to change without prior notice, for updated list of Hospitals please

refer our website http://emeditek.in/sailweb/

2. *Vasan Eye Care Hospital is empaneled for Cashless Services at PAN India level, Insured can

avail cashless services at any of the Vasan Eye Care Hospital. For Complete list, please refer

our website http://emeditek.in/sailweb/

56

SAIL PLANT REPRESENTATIVES

Plant/

Unit Name Designation Phone Email ID

B. Hemalatha DGM (P-ES) 0788-2857074 hemlatab@sail-bhilaisteel.com

BSP K. Bhanu Murthy DGM (P-ES) 0788-2852043 bhanu@sail-bhilaisteel.com

Bhuwan Lal Sahu JM (P-FSS/SEWA) 0788-2854702 blsahu@sail-bhilaisteel.com

DSP Ramesh Ch. Mishra Manager(Pers) 0343-2745092 rcmishra@saildsp.co.in

RSP Gouri Prasad Misra AGM (P-M & HRS) 0661-2642343 gouriprasad.mishra@sailrsp.co.in

BSL Dr. Nanda Priyadarshini Jr. Manager (Pers- MPC

& FSC) 06542-240273 nandapriyadarshini@gmail.com

ISP &

KULTI Biswajit Thakur

AM (P-MPP&CPD

Admn.) 0341-2240313 bthakur875@gmail.com

Naresh Kumar

DGM (P-HRD , CSR &

Admn) 0343-2546634 nk_umar@yahoo.com

ASP Sarmistha Datta Jr. Mgr. (CSR & Admn) 0343-2546224 dattasarmistha931@gmail.com

Dipankar Maji Jr. Mgr. (CSR & Admn) 0343-2546224 dipankarmaji57@gmail.com

SSP Debariki Suresh Jr. Manager (Pers) 0427-2382281 debariki.suresh@gmail.com

VISL Surender Kumar Dubey SM (ES & Rajbhasha) 08282-271621 vislpersworks@yahoo.co.in

RMD Sanjit K. Das AGM (Pers.) 033-22820900 rmdcal.pers@gmail.com

CMO Hemlata Nath AGM (Pers.) 033-22888825 hemlata@sail-steel.com

Indrajit Mukhopadhyay Mgr-P 033-22888825 indrajitm@sail-steel.com

RDCIS Manas Rath Asstt. General Manager 0651-2411596 manas@sail-rdcis.com

CET Tapan Kr. Ghosh Dy. Manager (Pers) 0651-2411209 tk.ghosh@sailcet.co.in

MTI Saurabh Kr Singh AGM (Personnel) 0651-2411037 singhsaurabh_2001@rediffmail.com

GD Dr. Rituparna Mukherjee Sr Medical Officer 033-22263399 ritup_m@rediffmail.com

Vaani Kapoor Sr. Manager (P-

ITB&Med.) 011-24300330 vaani.kapoor@gmail.com

CO Neeraj Seth Jr. Manager (P-

ITB&Med.) 011-24300327 sail.neerajseth@gmail.com

Prabal Sadhu Jr. Officer (P-ITB&Med.) 011-24300329 prabal32@gmail.com

CFP P.P.Chakrabarty DGM (P&A) 07172-278222 personnel_mel@hotmail.com

SRU Sebastian Lakra Sr.Manager (Personnel) 06542-233233 sbstnlkr12@gmail.com

Note: For any queries/observations, the members are required to be in touch with Mediclaim Officer of

their respective Plant/Unit only. No communication with dealing officers of Mediclaim of other

Plants/Units including Corporate office will be entertained