TCS
TCS
on
ZippyTaco
ZippyTaco
14mo
by

Need suggestions on the process to claim medical insurance

I have got diagnosed with some medical issue which needs a surgery for correction! I am stranded not knowing how to apply/proceed for cashless claim from tcs Health insurance ! Do I have to seek advice from my lead/manager or some here with the knowledge in this matter can comment pls

14mo ago
FuzzyMarshmallow
FuzzyMarshmallow
14mo

Login to medibuddy in ultimatix.

Go to network hospitals tab. You can download the excel or give the area name of your hospital.

If your hospital is in this list , you are eligible for cashless. Your hospital will have an insurance agent who will do almost all the work for you. (You may need to pay some refundable deposit . I recently did a cashless surgery. 35k cost. 32k was approved. I paid the remaining 3k. 5k was the refundable deposit).

If your hospital is not in this list, you can refer to the checklist of documents in the same site (like diagnosis, prescription, test reports, all the bills of them). You have to pay for the surgery and then attach all these documents and submit it for claim.

ZippyTaco
ZippyTaco
14mo

Thankyou for the clear details .

SparklyHamster
SparklyHamster
14mo

If your hospital not in cashless list change your hospital. If you do surgery in non networked hospital insurance will pay only a portion of claimed amount

DerpyPotato
DerpyPotato
14mo

Ping me separately, I will guide you

DerpyPanda
DerpyPanda

Do we need to submit document physically anywhere? Or just online submissions are sufficient

DerpyPotato
DerpyPotato
14mo

Online Submission is enough

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