IMPORTANT FACTS REGARDING SAIL MEDICLAIM 2017-18

Dear friends
During last few months i could notice that SAIL MEDICLAIM MEMBERS suffer due to ignorance of some important information . I am in this post going to inform you regarding such important which are important before you go for hospitalisation.


 Few important things to be

1.  Intimate/inform the Insurance Company/TPA atleast 48 Hours prior to any planned or elective hospitalization / admission.
2.  In case of Emergency Admission / Hospitalization - Inform within 24 hrs of such hospitalization to the Insurance Company / TPA,
3.  The Claim Intimation by the Mediclaim member is mandatory for both Cashless &Reimbursement claims. . 

1.  Claim Intimation can be sent via Letter/Email/Fax/Personally delivered at Insurance/TPA offices.                                                                                                 Details of TPA offices in Bokaro Steel City and other Important places                                                                                                              

Bokaro MDIndia Health Insurance TPA Pvt. Ltd., C1-19/A            City Centre, Sector - 4, Near Bachat Udyan, Bokaro steel city - 827004 Contact Number 06542-233099
Contact person in Bokaro Office Mr. Pawan Kumar   mob no 7391800063 Mr. Rahul Anand     mob no 7391800086 E-MAIL ADDRESS OF BOKARO MD INDIA OFFICE  sail_bokaro@mdindia.com Other few  office address  of MD INDIA insurance  in different cities
Durgapur:
MDIndia Health Insurance TPA Pvt. Ltd., 6, Kabi
Guru Sarani, (Ground floor), City Centre,
Durgapur, West Bengal – 713 216 Contact
Number - 0343- 2606811
Email Id  sail_durgapur@mdindia.com
Dhanbad:
MDIndia Health Insurance TPA Pvt. Ltd., Shop
no. 7, Block B, Ground floor, Krishna Apartment,
Jhoraphatak road, Dhanbad, Jharkhand – 826
001 Contact Number - 0326-2305550
Email Id : sail_dhanbad@mdindia.com
Ranchi:
MDIndia Health Insurance TPA Pvt. Ltd., Shop
No.1, Ground floor, Chagan Lal Market, Kanta
toli chowk, Purulia Road, Ranchi – 834 001
(Jharkhand)Contact Number - 0651-2532557
Email Id : sail_ranchi@mdindia.com
Rourkela
MDIndia Health Insurance TPA Pvt. Ltd., Sector
5 Public Health building, Rourkela, District
Sundergarh, Odisha - 769002 Contact Number -
0661-2643434
Email Id : sail_rourkela@mdindia.com
Bhilai:
MDIndia Health Insurance TPA Pvt. Ltd., SAIL
Plant, Sector 5, Bhilai Chattisgarh 490006
Contact Number - 0788-2227800  Email Id :
sail_bhilai@mdindia.com
Kolkata :
MDIndia Health Insurance TPA Pvt. Ltd., C- 483, Lake
Gardens, Ground Floor, Kolkata:-700045.Contact
Number - 033-24220521/0545
Email Id  sail_kolkata@mdindia.com
MDIndia Head Office:

S. No. 46/1, E-Space, A-2 Building, 3rd Floor, Pune

Nagar Road, Vadgaonsheri, Pune 411014, Maharashtra

020-25300000 Email Id : customercare@mdindia.com ,

authorisation@mdindia.com

1. The Mediclaim member is required to submit the prescription indicating diagnosis,purpose of Hospitalization etc. at the time of intimation. 
2.  Timelines for submission of Claims for reimbursement :   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. 
3.   The reimbursement claims pertaining to Post Hospitalization (IPD treatment), to be submitted to the Insurance Company/ TPA within 30 days after the completion of permissible post Hospitalization treatment period of 60 days.
4.  OPD Claims to be submitted by the Mediclaim member, to the Insurance company/ TPA at any time but necessarily 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.

    Submission of Claim Documents :

The Mediclaim member can submit the Claim documents in any MDIndia Health Insurance TPA branch irrespective of centre opted by the members. 

    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 for reimbursement of the claim.

    Availing Cashless Facility :

The Mediclaim member should always carry Photo-ID Cards like Aadhar Card, Driving License, PAN Card, Voter ID card, Passport etc. along with the Mediclaim Photo-ID card issued by the TPA, for availing Cashless facility. Member should refer to the updated list of hospitals for cashless treatment on www.mdindiaonline.com before admission