Professional Documents
Culture Documents
BENEFIT GUIDE
&
NETWORK HOSPITAL LIST
For latest GIPSA PPN update please visit our
website: www.emeditek.com
0124-4466666
E-Meditek (TPA) Services Ltd. (EMSL) takes pleasure in welcoming you as an enrolled member. Our
benefit administration services as Third Party Administrator comes to you on behalf of your insurer. We
assure you to offer our quality service under the referred health insurance cover.
This benefit Guide, EMSL member I.D. card and directory of Network Hospitals (NSPs) are part of our
welcome kit, please make sure that you carefully read the benefit guide and understand the procedure for
availing the policy benefits.
In case you intend to know more about us, please log on to our website:- www.emeditek.com. The
interactive website provides all the useful information including benefit, claims, past history and balance
status as registered with us. EMSL ID may be used as your initial user name and password to log in.
You may also call us at our toll free number: 1800-102-3242
IDENTITY CARD
EMSL ID card has been issued to you for identification purpose only. It should not be construed as an
authorization to the hospital to precede the treatment; however network hospitals may admit the person
as per their practice, pending authorization from us. The card should not be understood, considered,
accepted, presented or transacted as a credit card.
It is advised to check your previous policy details as registered with us and in case you have additional
information that you would like to register with us, please forward the copies to any of our branch office.
EMSL fax number for sending the cashless request form: 0124-4466677 (24-HR)
Cashless request form can be downloaded from our website: www.emeditek.com, you may also
collect it from any of our branches or by simply sending a mail to customercare@emeditek.com.
Incase cost of the proposed treatment exceeds the authorized amount, new PAL is required to be
obtained to validate the additional amount.
If diagnoses or proposed treatment path changes for any reasons, it is important that a fresh PAL
is obtained on the basis of new medical inputs.
5.
6.
Please ensure that the cashless request form is completed by treating doctors
Incomplete request form shall not be considered for the purpose.
10. Registration certificate of the hospital or an undertaking from the hospital on the prescribed
format stating that the said hospital fulfills the qualification of Hospitals as has been defined in
the policy.
GENERAL
It is important to know that:
All claims where cashless has not been requested to be informed to EMSL immediately as
described in the policy.
All claims that have not been intimated within the stipulated time limits under the policy may
not be considered for settlement and are subject to repudiation.
EMSL shall not be responsible for availability, quality and clinical outcomes of the treatment.
Insured is not bound to take the treatment only at the network hospitals, the network hospital list
is only for reference and extending the cashless facility.
Admission charges,
Extra bed charges for attendant,
Expenses on luxury items unless within the room package,
Telephone expenses,
Expenses on vitamins, tonics if not directly related with the treatment,
Food & beverages for attendant,
Xerox/ certifying charges if any,
Sanitary items,
Vaccination charges etc.
Expenses of external aid e.g. spectacles, hearing aids, crutches etc.
Pre & post hospitalization expenses in excess of defined period under the policy or,
Any other expenses as specified under the policy,
Cost of treatment that has been specifically or otherwise excluded under the policy.
The above list is not exhaustive. For details please refer to the policy document.
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: emslahmedabad@emeditek.com
3. Baroda
E-Meditek (TPA) Services Limited
101,La-citadel complex, 30 /Nutan bharat
society, Alkapuri, Baroda, Gujarat
Pin code: 390007
Ph: 0265-3084038
Email: emslbaroda@emeditek.com
5. 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- 44666666
Email- emslchennai@emeditek.com
7. 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: emslhyderabad@emeditek.com
2. Bangalore
E-Meditek (TPA) Services Limited
207, Level 2, Prestige Center Point
Cunningham Road, Bangalore, Karnataka
Pin code: 560042
Ph: 080- 44666666
Email: emslbangalore@emeditek.com
4. Chandigarh
E-Meditek (TPA) Services Limited
SCO 56, 1st Floor, Entry from front side,
Sector 30-C, Chandigarh
Pin code: 160030
Ph: 0172- 4466666
Email: emslchandigarh@emeditek.com
6. 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: emslguwahati@emeditek.com
8. 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- 4466666
Email: emslindore@emeditek.com
9. 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- 4466666
Email: emsljaipur@emeditek.com
11. Kolkatta
E-Meditek (TPA) Services Limited
Room no.6, 8th Floor, Shantiniketan
Building, 8 Camac street, Kolkata
West Bengal
Pin code: 700017
Ph: 033- 44666666
Email: emslkolkatta@emeditek.com
13. 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- 44666666
Fax: 022- 44666655
Email:emslmumbai@emeditek.com
15. 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- 44066666
Email: emslpune@emeditek.com
Corporate Office:
E-Meditek (TPA) Services Limited
Plot No.- 577, Udyog Vihar, Phase - V
Gurgaon, Haryana
Pin Code: 122016
Ph: +91-124-4466666
Fax: +91-124-4466677
Toll Free no: 1800-102-3242
Email: customercare@emeditek.com
10. 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- 44666666
Email: emslkochi@emeditek.com
12. Lucknow
E-Meditek (TPA) Services Limited
314, 3rd Floor, Saran Chambers - 2, 5 Park
Road, Luck now
Uttar Pradesh
Pin code: 226001
Ph: 0522- 4466666
Email: emsllucknow@emeditek.com
16. 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: emslsurat@emeditek.com
Note: For updated list of Branches, please refer our website www.emeditek.com
o
o
View E-card
Claim Intimation
Track your claims Status
View Communication letters
View Profile
View Policy Details
View Enrolled Profile/s
Search Network Hospital
Contact details
Android users can download application from Android Market (Google Play)
Iphone users can download application from App store
Blackberry users can download the app from Blackberry world
or SMS: emslmobile to 9212611110
You can also get the desired information from our website. Visit www.emeditek.co.in for the same or
email us at customercare@emeditek.com.
You may also call us at 24*7*365 Customer care support for any assistance:
o Date of Admission
o Date of Discharge
o Final Diagnosis
o Disease since when------with original first consultation paper
o Treatment provided
o Condition on discharge
Final Hospital Bill
The complete breakup of the final hospital bill (breakup of medicines given, laboratory tests)
The receipt of payment in lieu of the final hospital bill
All the investigation reports (e.g. blood test reports, X ray films and reports, MRI films and
report)---whichever applicable.
All the bills/receipts for which claimant is claiming.
All the prescriptions, medicine bills and the investigations report
All past policy copies if any
Documents should be submitted to E-Meditek, within 15 days of discharge from the hospital. All the
above documents have to be submitted in original and have to be couriered to the nearest E-Meditek
office.
16) What are our rights and duties as a policy holder to the hospitalization?
Answer:
Rights
You have a right to be treated in any duly registered hospital of your choice as per Policy terms &
conditions
You have a right to know the status of your claim and if your claim has been found admissible
you have a right to be paid
You have a right to represent to us or to the insurance company in case you disagree on any
matter
Duties
Inform E-Meditek in case of an admission (Intimate your claim) as per Policy terms & conditions
Provide complete and correct information as required by your treating doctor who would in turn
provide the same to E-Meditek
Send all relevant documents to EMSL. Please quote your policy number/card number.
17) On hospitalization, what is the time frame for intimation to the TPA or the Insurance Company?
Answer: You are required to intimate the TPA or your insurer within 24 hours of hospitalization.
18) What is the time frame for submitting your reimbursement claim after getting discharge from the
hospital?
Answer: You are required to submit your reimbursement claims within 15 days from the date of
discharge.
19) In case we get treated in a non-network hospital, where should we lodge our claims?
Answer: You can lodge your claims at our office at Plot No. 577 Udyog Vihar Phase V, 122016. Send
your intimation to intimation@emeditek.com or call us at 1800 102 3242 on a 24x7 basis. If your
claim is found admissible, it shall be paid within 15 days of receipt at our end.
20) Can medical costs be reimbursed from day one of the cover?
Answer: Typically there is a waiting period of 30 days, within which no claims by the insured are
entertained by the insurer. This waiting period may vary from one insurance company to insurance
company. We strongly recommend you to read your policy document carefully and clarify the
matter with your insurance agent.
21) If we have a health insurance policy in Mumbai, can we make a claim in case of Transfer to Delhi?
Answer: Yes you can, all health insurance policies are valid across the country.
22) Is there a minimum time limit for stay within the hospital under the health insurance plan?
Answer: Typically, the insured can make a claim if his/her hospitalization is more than 24 hours.
However, for certain treatments, such as dialysis, chemotherapy, eye surgery, etc, the stay could be
less than 24 hours.
23) How can I view my profile detail on E-Meditek Web site?
Answer: Login to E-Mediteks website (www.emeditek.com), click on the User login option at
right hand side corner of the website, to proceed enter your user name and password in the given
option.
24) How to download the E-Card from web site?
Answer:
Login to www.emeditek.com and click User login
Select card holder option
Put your User Name and Password in the given option
Click Proceed to enter in user domain
Click on membership card to download your TPA E-Card
25) Where and how to check network provider list?
Answer: Please visit www.emeditek.com, click on network provider if you are a corporate policy
holder. For individual policy holders you have to click on PPN List (GIPSA)
Select the hospital name
Select the state name
Select the city name and search to get the status of desired hospital
26) How to enroll dependents name under Mediclaim insurance policy?
Answer: To enroll the dependent's name under the Mediclaim policy
You must directly contact the insurance company
The insurance company will forward the endorsement letter (for adding dependents) to EMeditek
Then E-Meditek will add their dependents name(s) under his policy.
27) How to correct mistake in TPA Card?
Answer: If there is any mistake in TPA card like: Name, Gender, Age, Photo etc, you can send an email to customercare@emeditek.com for correction and also you can call us on 18001023242,
informing the customer care department to make the requisite changes.
28) How to correct mistake in policy?
Answer: If there is any mistake in policy like name/age/gender/address etc, you need to contact the
insurance company; they will forward us the endorsement letter for the necessary correction. After
receiving the endorsement letter from the insurance company, E-Meditek will make corrections in the
requisite field.
29) Can we claim medical expenses incurred before and after the hospitalization?
Answer: Yes, under the Mediclaim policy, medical expenses from the date of admission before 30
days will be incurred as a pre-hospitalization and from the date of discharge after 60 days will be
incurred as a post-hospitalization.
30) What are pre-existing diseases?
Answer: Before taking Mediclaim policy if there are any existing diseases before taking the policy,
these diseases are classified as pre-existing diseases.
31) What are the Non-Mediclaim expenses?
Answer: The non-Mediclaim expenses are mentioned as below:
Admission charges
Extra bed charges for attendant
Telephone expenses
Food and beverage charges for attendant
Vaccination & Dietician charges etc.
Cotton & some internal injection and bandage charges etc.
Some other charges not payable under the Mediclaim policy terms & conditions
32) In case a person has a corporate policy but he has resigned from the corporate last week, can he take
the treatment benefit from this policy?
Answer: After tendering his/her resignation, client cannot continue this policy - it will lapse once we
receive the e-mail from his/her HR dept regarding the employee's resignation from the company.
Sr #
NSPName
NSPCity
NSPTel
195
Udaipur
0294-2464050
Tamil Nadu
Sr #
NSPName
NSPCity
NSPTel
Aruppukottai
04566-222273
ARUN HOSPITAL,Bodinayakanur
Bodinayakanur
04546-280501
J. S. P. HOSPITAL
Chengal Pattu
044-27426829
Chengal Pattu
04114-431550
Chengal Pattu
044-27432240
Chennai
044-24990880
Chennai
044-24336240
Indian Hospital
Chennai
044-24756092
Chennai
044-26743052
10
Chennai
044-22264062
11
Chennai
044-43595999
12
Chennai
044-23717373
13
Chennai
044-22282477
14
Chennai
044-24992400
15
Chennai
044-42034567
16
Chennai
044-49001800
17
Chennai
044-23632490
18
Chennai
044-22484799
19
Chennai
044-24882277
20
Care Hospital
Chennai
044-42354313
21
Chennai
044-43599416/7
22
Chennai
044-22240777
23
Chennai
044-28363234
24
K M Speciality Hospital
Chennai
044-43530444
25
Chennai
044-42001000
26
Karthik Hospital
Chennai
044-22580152
27
Chennai
044-22262244
28
Chennai
044-25659911
29
Chennai
044-42277777
30
Chennai
044-22247791
31
Velachery K. S. Hospital
Chennai
044-22532956
32
Chennai
044-42318204
Sr #
NSPName
NSPCity
NSPTel
33
Chennai
044-43968888
34
Chennai
044-25566888
35
Chennai
044-25912626
36
K. V. T. Health Centre
Chennai
044-25376354
37
Chennai
044-65173116
38
Chennai
044-24724232
39
Rakshith Hospital
Chennai
044-42729999
40
Ezhil Hospital
Chennai
044-25916556
41
Chennai
044-24422001
42
Chennai
044-24420091
43
S. P. Hospital
Chennai
044-22454595
44
Chennai
044-24721064
45
Chennai
044-22368614
46
Chennai
044-28298282
47
Chennai
044-25296786
48
Chennai
044-22325275
49
Chennai
044-42271001
50
Chennai
044-43400000
51
Chennai
044-22482045
52
B. S. S. HOSPITAL
Chennai
044-24939323
53
Chennai
044-64534400/1
54
Chennai
044-24814261-3
55
Chennai
044-24742290
56
Chennai
044-66300300
57
Chennai
044-22640883
58
SELVARANGAM HOSPITAL
Chennai
044-30571212
59
Chennai
044-43550111
60
JE NESAM HOSPITAL
Chennai
044-23719624
61
Chennai
044-24936390
62
SUGAM HOSPITAL
Chennai
044-25733830
63
Chennai
044-24990525
64
Chennai
044-22342402
65
Chennai
044-23813311
66
Chennai
044-4713061
67
Chennai
044-7114429
68
Chennai
044-42892222
69
Chennai
044-42601021
70
Chennai
044-28366099
71
Chennai
044-28293333
Sr #
NSPName
NSPCity
NSPTel
72
Chennai
044-24991081
73
J. V. Hospitals
Chennai
044-24725582
74
Chennai
044-22492288
75
Chennai
044-22314133
76
Chennai
044-26161959
77
Sooriya Hospital
Chennai
044-23761751-2
78
Chennai
044-42066667
79
Chennai
044-24991488
80
Chennai
044-24311721
81
Chennai
044-24768403
82
KHM Hospital
Chennai
044-26212218
83
BRS Hospital
Chennai
044-28255505
84
Hande Hospital
Chennai
044-30584002-3
85
B. M. Hospital
Chennai
044-22341182
86
Chennai
044-24341901
87
Chennai
044-24311411-5
88
Chennai
044-55175418
89
Chennai
044-24359514
90
VENKATAESWARA HOSPITALS
Chennai
044-45111111
91
AMMA HOSPITAL
Chennai
044-23724243
92
ANAND HOSPITAL,Chennai
Chennai
044-25942702
93
Chennai
044-26604373
94
Chennai
044-55389627
95
Chennai
044-22336877
96
Chennai
044-28271010
97
Billroth hospital
Chennai
044-24641111
98
Chennai
044-25913351
99
KEDAR HOSPITAL
Chennai
044-22523407
100
Chennai
044-42188842-8
101
AAKASH HOSPITAL,Chennai
Chennai
044-25730099
102
Chennai
044-42454664
103
KURINCHI HOSPITAL
Chennai
044-25993150
104
Chennai
044-25240130
105
KASTHURI HOSPITAL
Chennai
044-22263752
106
Chennai
044-26212458
107
Chennai
044-22432464
108
Chennai
044-22641573
109
Chennai
044-26204448
110
Chennai
044-55908699
111
Chennai
044-28116807
Sr #
NSPName
NSPCity
NSPTel
112
M. N. EYE HOSPITAL
Chennai
044-25956403
113
Chennai
044-22382748
114
Chennai
044-43933110
115
Chennai
044-24981630
116
Chennai
044-25323128
117
Chennai
044-24356450
118
BHARATH HOSPITAL
Chennai
044-22246789
119
Chennai
044-25585322
120
BHARANI HOSPITAL
Chennai
044-23652488
121
K J HOSPITAL
Chennai
044-26411513
122
Chennai
044-43970220
123
Chennai
044-25951878
124
Chennai
044-25515502
125
Chennai
044-24919216
126
Chennai
044-22262423
127
Chennai
044-23633203
128
Chennai
044-30113011
129
Chennai
044-22317102
130
Chennai
044-26412584
131
Chennai
044-24891817
132
Chennai
044-24937060
133
Chennai
044-24896175
134
M. R. HOSPITAL
Chennai
044-23633317
135
Chennai
044-22482045
136
Chennai
044-32986492
137
Chennai
044-28150651
138
I. K Hospital
Chennai
044-26162255
139
Chennai
044-26434396
140
Chennai
044-24917646
141
Sayee Hospital
Chennai
040-27175029
142
G. R. Hospital
Chennai
044-22440474
143
Chennai
044-25265958
144
Lakshmi Hospital
Chennai
044-24851373
145
Chennai
044-22243026
146
Chennai
044-25514625
147
CHENNAI
044-42938938
148
Chennai
044-24839557
149
Chennai
044-22266517
Sr #
NSPName
NSPCity
NSPTel
150
A. N. N. Hospital
Chennai
044-24869300
151
Chennai
044-42132054
152
Chennai
044-22436080
153
Narayanaa Hospital
Chennai
044-26650899
154
Chennai
044-26690786
155
Chennai
044-64537727
156
Chennai
044-28475101
157
Laksha Hospital
Chennai
044-24997955
158
Chennai
044-25321532
159
Chennai
044-42945454
160
Chennai
044-28112811
161
Mysaan Hospital
Chennai
044-45566273
162
Aditya Hospital
Chennai
044-26411447
163
Malligai Hospital
Chennai
044-25955152
164
Annamalai Hospital
Chennai
044-23711061
165
Sudha Hospital
Chennai
044-25983838
166
Chennai
044-23455290
167
Chennai
044-24756092
168
Chennai
044-22486460
169
Chennai
044-22264844
170
Chennai
044-22430444
171
Chennai
044-26215977
172
VHM Hospital
Chennai
044-23643030
173
Chennai
044-27475123
174
Chennai
044-22266550
175
Chennai
044-26182803
176
Chennai
044-28202020
177
A. V Hospitals
Chennai
044-25954786
178
Anjakha Hospital
CHENNAI
044-22470405
179
Chennai
044-24331740
180
MOHAN HOSPITAL
Chennai
044-23632990
181
Nanthini Hospitals
Chennai
044-24580400
182
Chennai
044-26173742
183
CHENNAI
044-43400750
184
Chennai
044-22790340
185
Sen Hospital
Chennai
044-42769724
186
Chennai
044-26507711
187
Chennai
044-25321515
188
Rohit Hospital
Chennai
044-25995858
189
Chennai
044-43498000
Sr #
NSPName
NSPCity
NSPTel
190
Chennai
044-22310666
191
Chennai
044-28487555
192
CHENNAI
044-43400712
193
CHENNAI
044-43400510
194
CHENNAI
044-43400610
195
Chennai
044-43400810
196
Chennai
044-43400660
197
Chennai
044-43400910
198
Jawahar Hospital
Chennai
044-22418060
199
D R J HOSPITAL P. LTD.
Chennai
044-26510011
200
Chennai
044-39890300
201
Chennai
044-39923000
202
Chennai
044-43500003
203
Chennai
044-26205020
204
Chennai
044-26710351
205
Chennai
044-42956777
206
Chennai
044-25900353
207
Chennai
044-28340500
208
NICHANI HOSPITAL
Chennai
044-25954851
209
Chennai
044-25966540
210
Chennai
044-39890700
211
Chennai
044-25507755
212
Chennai
044-24332229
213
Chennai
044-27454603
214
Chennai
044-25565504
215
Chennai
044-24341780
216
Chennai
044-28215556
217
Chennai
044-24717721
218
Chennai
044-26551166
219
Chennai
044-24767787
220
Noble Hospital
Chennai
044-40042222
221
Chennai
040-24898100
222
Chennai
044-22646000
223
Gunasekaran Hospitals
Chennai
044-24341055
224
Chennai
044-22777000
Sr #
NSPName
NSPCity
NSPTel
225
Chennai
044-22412009
226
Chennai
044-26421255
227
Apollo Hospitals,Chennai
Chennai
044-25913333
228
Chennai
044-25296080
229
Karthic Hospital
Chennai
044-25730335
230
Chennai
044-40000006
231
Chennai
044-26581566
232
Ganga Hospital
Chennai
044-25950705
233
Sakthi Hospital
Chennai
044-28442626
234
S.S.S. Hospital
Chennai
044-25995234
235
Chennai
044-22533119
236
Chennai
044-24640902
237
Chennai
044-22478713
238
Right Hospitals
Chennai
044-26403939
239
Chennai
044-33701300
240
Chennai
044-27934370
241
Chennai
044-49034903
242
Chennai
044-45925474
243
Chennai
044-26622111
244
Vasantha Hospital
Chennai
044-25955881
245
Chennai
044-26581010
246
Chennai
044-42020500
247
Apollo Hospitals
Chennai
044-26537005
248
Chennai
044-33724000
249
Coimbatore
0422-2595963
250
COIMBATORE
0422-2403030
251
COIMBATORE
0422-2642933
252
COIMBATORE
0422-2550633
253
COIMBATORE
04259-226040
254
K. G. HOSPITAL coimbatore
Coimbatore
0422-2212121-29
255
Coimbatore
0422-2396895
256
Coimbatore
0422-2234311
257
D. J. HOSPITAL
Coimbatore
0422-26576141
258
Coimbatore
0422-2571297
259
Coimbatore
0422-2574234
260
Coimbatore
0422-2573320
261
G. R. HOSPITAL
Coimbatore
0422-2317012
262
Coimbatore
0422-2445451
263
Coimbatore
0422-2494363
264
LALITHA HOSPITAL
Coimbatore
0422-2499533
265
Sheela Clinic
Coimbatore
0422-2498381
266
SENTHIL HOSPITAL
Coimbatore
0422-2549222
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Where You Need,
Whenever You Need.
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