Guidelines for Medical Card Holders

The Panel Department facilitates smooth processing of cashless/ credit facilities from Insurance Company / TPA’S and Empanelled organizations.

For availing the facility of Empanelled organization / TPA's / Insurance Company, following are to be provided at the time of admission or within 24 hours of admission:-

Medical card / Mediclaim card
Photo ID of patient for TPA / Insurance Company
Relation proof with employee of the empaneled organization

Mediclaim card holders (Insurance Company/TPA):

Prior approval for planned admissions.
In emergency admissions-minimal refundable security deposit is taken at the time admission. Panel department processes the documents to TPA /Insurance Company for cashless facility. Depending on the authorization received and clauses if any, cashless facility is extended.

Organizations Empaneled on cash basis:-

For both emergency and planned admissions, patient has to settle the bills in cash. In emergency admissions, emergency certificates are issued, if required.

Organizations Empaneled on credit basis:-

Planned admission :- Permission letter has to be brought from individual organization prior to admission.

Emergency admission :- Emergency certificate is issued on the basis of which credit letters are provided by the organization.

CGHS Beneficiaries:-

Retired Beneficiaries:-

a) Emergency admission -credit facility is extended.

b) Planned admission – prior permission has to bought from their respective dispensary.

Serving Beneficiaries:-

Emergency admission - Emergency certificate issued for credit facility.

Planned admissions – Prior permission to be taken from the Department / Dispensary. Patient will have to settle the bills in cash and go for reimbursement in their respective departments.