Cashless Insurance
Vijayakrishna Multi Speciality Hospital provides cashless insurance support for eligible patients, subject to the patient's insurance policy, applicable terms and approval from the concerned insurance company or TPA.
Our hospital team assists patients with the required documentation and coordination involved in the cashless treatment process.
Cashless treatment is a facility through which eligible hospitalisation expenses may be settled directly between the hospital and the patient's insurance company or TPA, subject to the applicable policy terms and approval.
This can reduce the need for the patient or family to arrange the full eligible treatment amount directly with the hospital at the time of treatment.
However, cashless treatment does not mean that every hospital expense will automatically be covered by insurance.
Coverage depends on the patient's policy, eligibility, approved treatment and applicable terms.
Cashless treatment may be available to patients whose insurance coverage and treatment meet the applicable requirements.
Eligibility can depend on:
Insurance policy coveragePolicy validityHospitalisation requirementsTreatment or procedurePolicy limitsExclusionsPre-authorisation requirementsApproval from the insurance company or TPAPatients should confirm the applicable terms before planned treatment whenever possible.
The cashless process may generally follow these steps:
The patient or attendant provides the relevant insurance card, policy information and identification documents.
The patient is registered at the hospital and the required medical information is collected.
The hospital team coordinates with the concerned insurance company or TPA to verify the applicable process.
Where required, the hospital submits a pre-authorisation request along with the relevant medical information.
The request is reviewed according to the patient's policy and applicable conditions.
The insurer or TPA communicates the applicable decision, which may include approval, partial approval, a request for additional information or other communication.
Treatment proceeds according to the applicable medical and insurance process, with eligible expenses handled according to the approved terms.
For many planned cashless hospitalisations, the insurance company or TPA may require pre-authorisation before treatment or hospitalisation.
The hospital may submit information such as:
Patient detailsInsurance informationDoctor's assessmentProposed treatment detailsRelevant medical reportsOther documents requested by the insurer or TPAThe insurer or TPA reviews the information and communicates its decision.
Important: Pre-authorisation does not necessarily mean that every hospital expense will be covered.
Patients may be asked to provide:
Health insurance cardInsurance policy detailsGovernment-issued identificationPatient detailsRelevant medical reportsPrevious prescriptions or treatment recordsDoctor's consultation documentsOther documents requested by the insurance company or TPAThe exact documentation may vary depending on the insurer, TPA, treatment and policy.
For planned hospitalisation, patients should inform the hospital about their insurance coverage as early as possible.
This allows the hospital team to understand the applicable requirements and initiate the required documentation or pre-authorisation process where applicable.
Patients should carry their insurance documents and identification when visiting the hospital.
In an emergency, the patient's immediate medical needs should take priority.
Patients or attendants should inform the hospital about available insurance coverage as soon as reasonably possible so that the applicable insurance process can be initiated.
The timing and availability of cashless approval depend on the insurance company/TPA and the patient's policy requirements.
The expenses covered under cashless treatment depend on the patient's individual insurance policy and the approval provided by the insurer or TPA.
Coverage may be affected by:
Policy termsSum insuredSub-limitsExclusionsDeductiblesCo-paymentNon-covered itemsApproved treatmentOther applicable conditionsPatients should review their policy or contact their insurer for specific coverage information.
Even when cashless treatment is approved, patients may need to pay amounts that are not covered under the insurance policy.
These may include applicable:
DeductiblesCo-paymentsNon-covered expensesPolicy exclusionsExpenses exceeding applicable limitsOther patient-responsibility amountsThe exact amount depends on the patient's policy and the final claim settlement.
Cashless approval is provided by the concerned insurance company or TPA based on the applicable policy and submitted medical information.
The amount initially approved may not necessarily represent the final claim settlement.
The final settlement can depend on the actual treatment, eligible expenses, policy terms and applicable claim assessment.
Cashless treatment may involve coordination between:
Provides insurance details, identification and required information.
Provides relevant medical and treatment documentation.
Reviews the request and communicates approval or other requirements.
The hospital assists with the applicable coordination process, while insurance coverage and claim decisions remain subject to the insurer/TPA and policy terms.
Vijayakrishna Multi Speciality Hospital provides insurance facilities and also supports Aarogyasri and EHS.
For patients using private health insurance, the hospital team can assist with the applicable cashless and insurance documentation process, subject to the patient's eligibility and insurer/TPA requirements.
Insurance & TPA servicesBefore planned hospitalisation, patients should:
Inform the hospital about their insurance coverage.Carry the insurance card or policy details.Carry valid identification.Keep previous medical reports available.Ask about the cashless/pre-authorisation process.Check policy coverage, limits and exclusions with the insurer.Provide requested documents promptly.Vijayakrishna Multi Speciality Hospital is located at:
1-2-270/43/A/1, M.G. Road,
Suryapet - 508213, Telangana
Telephone:
08684-222288
WhatsApp:
+91 86887 49461
Patients can contact the hospital to enquire about the cashless insurance process and applicable requirements.
Let Our Team Guide You Through the Process
If you have health insurance and are planning treatment at Vijayakrishna Multi Speciality Hospital, contact the hospital team to understand the applicable cashless process, documentation and pre-authorisation requirements.
