Insurance & TPA
Cashless treatment and insurance support — made simple, transparent, and stress-free.
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Insurance Partners
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Government Schemes
24/7
TPA Helpdesk
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Digital Claim Support
Your Insurance, Our Support
We provide cashless treatment through a wide network of insurance companies and Third-Party Administrators (TPA). Our dedicated insurance helpdesk handles all pre-authorisation requests, claim documentation, and coordination with your insurer.
Our Insurance & TPA Network
We are empanelled with all major private insurers, PSU companies, and government health schemes.
| # | Insurance Company | Provider / TPA | Coverage Type | Description |
|---|---|---|---|---|
| 01 | DSAdsaf | sdaf | sdfa | asdf |
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Coverage terms are subject to your individual policy conditions. Please verify with your insurer or TPA before admission.
Insurance Partners at a Glance
Quick reference for all empanelled insurance companies and government health schemes.
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How Cashless Admission Works
A simple six-step process — from arrival to discharge — with our team guiding you at every stage.
Arrive & Inform
Visit the hospital and proceed to the TPA helpdesk. Inform staff of your insurance coverage and nature of admission.
Submit Documents
Provide your insurance card, government-issued photo ID, and any referral or prescription from your doctor.
Pre-Auth Request
Our billing team sends a pre-authorisation request to your insurance company or TPA with admission and treatment details.
Approval Received
Your insurer or TPA reviews the request and issues an approval letter — typically within 30–60 minutes for emergencies.
Begin Treatment
Treatment begins immediately. No upfront payment is required for expenses covered under your policy.
Direct Settlement
On discharge, the hospital settles the approved amount directly with your insurer. You pay only for non-covered items.
Documents Required for Cashless Admission
Please carry the following when you arrive at the hospital for a planned or emergency cashless admission.
- Original health insurance card / e-card (digital copy accepted)
- Government-issued photo ID — Aadhaar, PAN, or Passport
- Doctor's referral letter or prescription (for planned admissions)
- Previous investigation reports or discharge summary (for chronic conditions)
- Completed pre-authorisation request form (available at our TPA helpdesk)
- Employee ID card (for corporate / group health insurance policies)
Insurance & TPA Helpdesk
For insurance-related queries, pre-authorisation assistance, or claim support, our dedicated TPA helpdesk team is here to help.
TPA Helpdesk
+91 44 2234 5678
24/7 for emergency admissions
+91 98765 43210
Quick queries via WhatsApp
tpa@sanjanahospital.in
Response within 4 business hours
Desk Hours
9:00 AM – 6:00 PM
Mon – Sat for routine queries
Insurance FAQ
Answers to the questions we hear most often from patients about cashless treatment and insurance claims.
A TPA is an IRDAI-licensed company that acts as an intermediary between your insurance provider and the hospital. They handle pre-authorisation, claim processing, and cashless settlement on behalf of your insurer — so you don't have to deal with insurance paperwork during hospitalisation.
Check the panel list above or contact our TPA helpdesk at +91 44 2234 5678. You can also refer to your policy document for the insurer's network hospital list, or call your TPA helpline directly. We are empanelled with all major private, PSU, and government insurers.
Coverage depends entirely on your individual policy. Pre-existing conditions with waiting periods, cosmetic procedures, certain elective surgeries, and specific exclusions listed in your policy may not be covered. We strongly recommend verifying your coverage with your insurer before scheduled admission.
You can opt for the reimbursement route — pay the hospital bills at the time of discharge and submit the original bills, discharge summary, and required documents to your insurer after discharge. Our billing team will prepare and provide all necessary documentation to support your claim.
For emergency admissions, approval is typically issued within 30 to 60 minutes. For planned or elective admissions, the process may take 2 to 4 hours or up to one full business day, depending on your insurer and the complexity of the treatment.
Most standard health insurance policies cover only inpatient hospitalisation requiring a minimum 24-hour admission. However, some premium policies with OPD riders do cover outpatient consultations, diagnostics, and pharmacy expenses. Please check your policy terms or speak with your TPA to understand your specific benefits.