Corporate & TPA Empanelment at Medigram Super Speciality Hospital
At Medigram Super Speciality Hospital, Saharanpur, we understand that access to quality healthcare involves not only medical treatment but also clear information about insurance coverage, cashless treatment facilities, and corporate healthcare arrangements. To help patients and their families navigate the financial and administrative aspects of hospital care, Medigram Hospital works with a range of insurance providers, Third-Party Administrators (TPAs), government healthcare schemes, and corporate organisations.
Our Corporate and TPA services are intended to help eligible patients understand the procedures involved in availing insurance or scheme-based healthcare benefits. Whether you are planning a consultation, a hospital admission, or a specialised medical procedure, we recommend contacting the hospital’s relevant team in advance to confirm the applicable requirements.
List of TPA and Corporate Organisations Empanelled with Medigram Hospital
Medigram Super Speciality Hospital has listed the following insurance providers, TPAs, government schemes, and corporate organisations among its empanelments:
- ECHS
- Ayushman Bharat
- Northern Railway
- Reliance General Insurance
- Star Health Insurance
- Niva Bupa Health Insurance
- Bajaj Allianz Health Insurance
- Medi Assist
- Raksha TPA
- Care Health Insurance
- TATA AIG Insurance
- Aditya Birla Health Insurance
- ALSTOM
- Ericson Healthcare
- Power Grid Corporation of India
Patients covered by these organisations may contact the hospital to enquire about the applicable admission process, insurance documentation, authorisation requirements, and treatment eligibility.
Important: Empanelment alone does not guarantee cashless approval for every treatment. Coverage depends on the individual policy or scheme, the treatment required, the terms and conditions, and the approval issued by the relevant insurer, TPA, or scheme authority.
Understanding TPA and Cashless Hospitalisation
A Third-Party Administrator (TPA) assists in the administration of health insurance claims between the insured patient, the insurance company, and the hospital. Depending on the patient’s policy and the insurer’s procedures, a TPA may help coordinate pre-authorisation, documentation, claim processing, and settlement.
Under an eligible cashless arrangement, the hospital coordinates with the insurer or TPA for approval of covered medical expenses. The patient may still be responsible for expenses that are excluded from the policy, exceed the approved amount, or are otherwise not payable under the applicable terms.
Patients should confirm the details of their coverage before planned hospitalisation. This helps them understand the documents required, the approval process, and any potential expenses that may need to be paid directly.
Documents Required for Insurance or TPA Assistance
Patients planning to use an insurance or corporate healthcare facility should keep their documents ready. The exact requirements may vary by insurer, TPA, employer, or government scheme.
Commonly required documents may include:
- Valid photo identification, such as an Aadhaar card or driving licence
- Health insurance card or policy details
- PAN card, where required
- Employee identification card for eligible corporate or employee healthcare arrangements
- Referral letter or authorisation letter, where applicable
- Doctor’s prescription and admission advice
- Previous medical records, investigation reports, and relevant prescriptions
- Any pre-authorisation forms or documents requested by the insurer or TPA
Patients are encouraged to provide accurate information and submit the required documents promptly. Incomplete documentation may delay the approval process. For planned admissions, contact the hospital in advance so that the relevant requirements can be clarified.
Pradhan Mantri Jan Arogya Yojana (PM-JAY) and Ayushman Bharat
Medigram Super Speciality Hospital is listed as empanelled under Pradhan Mantri Jan Arogya Yojana (PM-JAY) and the Ayushman Bharat facility for specified specialties.
As per the information provided by the hospital, the facility is available for the following departments:
- Cardiology
- Urology
- Laparoscopic and General Surgery
- Orthopaedics
- Neurosurgery
Eligible patients may enquire about treatment under the scheme by contacting the hospital before admission. The availability of benefits depends on the patient’s eligibility, the applicable package, the treatment required, and the relevant scheme approvals.
Patients should carry their Ayushman card or other scheme-related identification and any supporting documents requested by the hospital. The hospital team can guide patients on the next steps for verifying eligibility and understanding the process for the relevant treatment.
Please note that inclusion of a specialty in this list does not mean that every procedure within that specialty is automatically covered. Patients should confirm current package availability and approval requirements before proceeding.
Corporate Healthcare and Employee Medical Benefits
Corporate healthcare arrangements can help eligible employees and their dependants access medical services according to the terms of their employer’s healthcare programme. Medigram Hospital’s listed corporate empanelments include organisations such as ALSTOM, Northern Railway, and Power Grid Corporation of India.
Employees seeking treatment under a corporate arrangement should contact their employer’s HR or medical benefits team, where applicable, to confirm eligibility, referral requirements, and any authorisation letter needed for hospital admission.
The applicable process may differ between organisations. Patients should confirm whether the arrangement supports cashless treatment, reimbursement, or another payment process, and should clarify which expenses are covered before admission.
Planned Admission and Pre-Authorisation
For a planned admission or procedure, patients should contact the hospital well in advance. The hospital and the relevant insurer, TPA, corporate authority, or scheme administrator may need to review the proposed treatment and issue the required authorisation.
Pre-authorisation is not the same as final claim approval. The final amount payable depends on the policy or scheme conditions, approved treatment, submitted records, and the final assessment by the relevant authority.
Patients should ask about any advance payment requirements, non-payable items, exclusions, and expenses that may remain their responsibility. If additional treatment becomes necessary during the hospital stay, further approval or documentation may be required.
For emergency admissions, the insurance or scheme process may need to be initiated as soon as reasonably possible. Patients or their representatives should coordinate with the hospital team regarding the required documents and approval steps.
How to Enquire About Corporate or TPA Facilities
If you or a family member is planning treatment at Medigram Super Speciality Hospital and wishes to use insurance, TPA, corporate, or Ayushman Bharat benefits, we recommend taking the following steps:
- Contact the hospital before a planned admission.
- Inform the hospital team about your insurer, TPA, employer, or healthcare scheme.
- Keep your identification, insurance card, medical records, and relevant authorisation documents ready.
- Confirm whether the proposed treatment is eligible for coverage.
- Ask about pre-authorisation, advance deposits, exclusions, and expenses not covered by the insurer or scheme.
- Follow the instructions provided by the hospital and the relevant insurance or scheme authority.
These steps can help patients prepare for admission and reduce avoidable delays in the administrative process.
Our Commitment to Clear Healthcare Guidance
Medigram Super Speciality Hospital aims to help patients and their families understand the administrative procedures associated with insurance and scheme-based treatment. Our team encourages patients to ask questions, provide the required documentation, and verify their coverage before planned hospitalisation.
For the latest information about empanelment, cashless treatment eligibility, PM-JAY benefits, and admission requirements, please contact the hospital directly. Insurance and government scheme rules may change, so confirmation before treatment is essential.
Medigram Super Speciality Hospital, Saharanpur remains committed to supporting patients with clear information as they navigate their healthcare journey, from admission planning to understanding the financial and administrative requirements of treatment.