Insurance & Mediclaim at Apex Heart Institute

At Apex Heart Institute we have tie-ups with many prominent health insurance providers
and corporates that help you financially towards your medical journey
Review the process below relevant to your coverage.
We will support you for providing documentations for reimbursement of claim in case of hospitalization.

Insurance (mediclaim) Process

Insurance (Mediclaim) cashless:

STEP 1 Walk into a hospital with the Latest policy/insurance card, Patient Photo ID, First consulting paper, Investigation reports and Discharge summary in case of recent previous hospitalization.
STEP 2 Submit the documents for availing cashless facility to hospital mediclaim department once patient is admitted. (Beneficiary can also submit required documents for plan procedure before 1-2 days of admission).
STEP 3 Hospital will send cashless request form with required documents to empanelled insurance co.
STEP 4 Empanelled Insurance co. will provide initial approval letter as per your policy terms and condition within 3 to 4 hours.
STEP 5 At the time of discharge hospital will send final bill along with other required documents to empanelled insurance co. for final bill approval.  Empanelled Insurance co. will provide final bill approval letter as per your policy terms and condition after 3-4 hours.
STEP 6 Amount exceeding the approval letter given by empanelled insurance company shall be paid by beneficiary.
Note: cashless processing charge and indoor registration charge will be extra in all cashless claims.
STEP 7 In case of availing cashless facility patient will get original bill with photocopy of all reports at the time of discharge. (original documents will be sent to insurance co. by hospital for bill payment)

Insurance (mediclaim) reimbursement

STEP 1 Beneficiary should inform insurance company at the time of admission/within 24 hours of admission.
STEP 2 Beneficiary should get the claim form from their insurance advisor.
STEP 3 Claim form will be filled by the hospital mediclaim department at the time of discharge.
STEP 4 All reports in original and other claim related documents will be provided from the hospital at the time of discharge.
STEP 5 Beneficiary shall pay full bill amount in case of reimbursement.
STEP 6 Beneficiary can contact hospital mediclaim department for any related query after claim submission.

In case of emergency beneficiary can get admitted any time with a valid ID.

Corporate Process

Corporate Cashless facility:

STEP 1 Empanelled corporate beneficiary can get admited with valid credit reference letter and ID (if required) from empanelled corporate.
STEP 2 Beneficiary should submit valid credit reference letter and ID (if required) to hospital reception counter at the time of OPD/IPD visit.
STEP 3 Hospital bill will be settled as per corporate norms.
STEP 4 Patient will get original bill with photocopy of all reports at the time of discharge.
(original documents will be sent to empanelled corporate by hospital for bill payment)

Corporate reimbursement:

STEP 1 Empanelled corporate beneficiary can admit at hospital any time with their valid ID.
STEP 2 Beneficiary shall pay full bill amount as per empanelled corporate norms.
STEP 3 All reports in original and other claim related documents will be provided from the hospital at the time of discharge.

In case of emergency empanelled corporate beneficiary can get admitted any time with a valid ID.

Corporate Help Line

Mr. Bhavin Choksi
Corporate@apexheart.in
(+91) 9904407749
(+91) 079-26842220-22