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 1Walk 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 2Submit 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 3Hospital will send cashless request form with required documents to empanelled insurance co.
STEP 4Empanelled Insurance co. will provide initial approval letter as per your policy terms and condition within 3 to 4 hours.
STEP 5At 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 6Amount 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 7In 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 1Beneficiary should inform insurance company at the time of admission/within 24 hours of admission.
STEP 2Beneficiary should get the claim form from their insurance advisor.
STEP 3Claim form will be filled by the hospital mediclaim department at the time of discharge.
STEP 4All reports in original and other claim related documents will be provided from the hospital at the time of discharge.
STEP 5Beneficiary shall pay full bill amount in case of reimbursement.
STEP 6Beneficiary 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 1Empanelled corporate beneficiary can get admited with valid credit reference letter and ID (if required) from empanelled corporate.
STEP 2Beneficiary should submit valid credit reference letter and ID (if required) to hospital reception counter at the time of OPD/IPD visit.
STEP 3Hospital bill will be settled as per corporate norms.
STEP 4Patient 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 1Empanelled corporate beneficiary can admit at hospital any time with their valid ID.
STEP 2Beneficiary shall pay full bill amount as per empanelled corporate norms.
STEP 3All 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