4 Things You Must Know about Stent Pricing

Stent-Blog-Image

Through some of our previous blogs, we have shared with you the announcement made by the National Pharmaceutical Pricing Authority (NPPA) on the reduction of stent prices by up to 85%, which is effective from 14th February 2017. This is a welcome move, which has helped in reducing the financial impact of hospitalization on the families of patients undergoing an angioplasty surgery.

If you know someone who is planning an angioplasty surgery, or are up for it yourself, here’s a quick recap on the announcement.

The price of coronary stents has been capped at INR 7,260 for bare metal stents and INR 29,600 for the drug eluting variety. This price is exclusive of local taxes applicable, if any. Heart patients in need of an angioplasty would now have to spend considerably lesser on their treatment, significantly reducing the financial impact of hospitalization on their family.

Here are 4 important points to note, if you are planning an angioplasty soon:
1. In case of cashless or reimbursement claim requests, pay-out towards the cost of stent would be made up to the ceiling price only. Do not pay beyond this ceiling price amount to the hospital.

2. With the new notification, hospitals will have to bill stents separately.

3. A trade margin of 8% is already included in the price of stents; therefore no additional charge, except local sales taxes and value added tax (VAT) can be demanded from the patients.

4. The ceiling price fixed shall be maintained for a period of one year from the 14th of February 2017, unless revised by another gazette notification.

As a Medi Assist member you can plan your angioplasty by opting for an eCashless hospitalization, via the MediBuddy app. You will get the estimated cost of treatment under the new notification and as per your policy terms and conditions, right at the comfort of your home, as well as the comfort of a green channel walk-in on the date of admission!

Related articles:
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  2. The heart of the matter
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Building trust, through multilingual communication!

For most of us, the language that people choose to communicate with us determines our behavior towards them. We seem to be psychologically wired to trust those who speak to us in a familiar tongue and automatically turn to them first in times of need.

Trust is of essence when it comes to our healthcare needs and health insurance. Health benefits of an insurance policy are often a complex matter to comprehend, but it is something that everyone in the family should be aware of. It therefore, becomes imperative that everyone, including the senior members of the family, the rural sector and those benefiting from government schemes be approached in their own preferred language and native tongue.

As stakeholders in the healthcare ecosystem of a diverse and multilingual country as India, we at Medi Assist understand the importance of communication and believe in reaching out to the masses. More often than not, communicating in one’s mother tongue is what proves to be the ice-breaker and helps one connect with people.

Medi Assist celebrates our nation’s diversity through its multilingual website, which ensures that every stakeholder in the healthcare ecosystem is able to derive maximum benefit from the website. Our website is the only one its kind, in 8 languages – English, Hindi, Bengali, Tamil, Malayalam, Kannada, Telugu and Marathi! This enables us to effectively reach any target market and build trust among our customers.

Visit the Medi Assist website and click the Languages tab today to get all the information you need, in the language of your choice!

Parenting isn’t easy, but staying healthy is, with MediBuddy Infiniti!

mothers-day-2

Parenthood is an exhilarating experience for any couple. You wait eagerly for 9 months and enter a whole new realm of joy when you hold your baby in your arms for the very first time! But parenting surely is altogether another ball-game.

While parents and even parents-to-be try to figure out the best way to bring up their child, they are flooded with advice from the elders in the family as well as doctors and counsellors, often getting bogged down in the process, as they struggle to become that ‘perfect parent’.

Given the pace of life today, parenting is becoming an even more difficult task. However, whether you are a business professional, an entrepreneur or a busy stay-at-home parent, in order to take care of your children you have to be in the best of your health physically as well as mentally.

This Mother’s Day give your child the gift of a healthy parent with MediBuddy Infiniti, which is your curated network for outpatient services! However busy you may be, you can take care of your health from wherever you are! Get yourself acquainted with MediBuddy Infiniti and access a world of wellness and outpatient services at your fingertips. Choose from a wide range of outpatient services such as doctor consults, medicines, health checks and more!

Here are the services currently available on MediBuddy Infiniti:

  1. HEALTH CHECK: Comprehensive packages, at attractive rates.
  2. MEDICINES: Prescription medicines at discounted rates, home delivered.
  3. CONSULTATIONS: A specialist for your every medical need, just a click away.
  4. HOME HEALTHCARE: Superior medical care, at the comfort of your home.
  5. TELE CONSULTATION: Get in touch with a specialist over a call, at your preferred date and time, from anywhere.
  6. SECOND OPINION: Specialist doctors, to help you in your times of doubt.
  7. GENOME STUDY: Understand your health, right from the DNA level.

As a token of love to all the mothers and women in the family, we have special discounts and offers on MediBuddy Infiniti! Go ahead and check out the Offers page on MediBuddy Infiniti to browse through the special discounts available.

Log in to MediBuddy Infiniti with your MediBuddy credentials and get started!

Related Articles:
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Introducing an Exclusive Portal for Brokers!

A health insurance broker is a crucial stakeholder in the healthcare ecosystem. At Medi Assist, brokers are our partners who ensure that the Medi Assist advantage reaches our corporate customers.

We are delighted to share that we now have a dedicated MediBuddy portal for our broker partners, with an aim to make their life simpler, empowering them with all the information they need at their fingertips!

The MediBuddy portal gives brokers the following advantages for the corporates managed by them:

  • Real time visibility of all types of claims in all stages of processing under “Claims Dashboard”
  • Real time visibility of TAT adherence for all claims which are “In Process” & “Settled” under “Claims Dashboard”
  • Ability for Admin users to create regional users with controlled policy mapping under “User Management”
  • Ability to provide employee wise e-card and search policy coverage’s for each policy respectively.
  • Real time insurer-wise hospital network search which also provides details of Room Rent and Package amount Speciality-wise for respective institutions.

If you are a broker partner and are interested to explore this exciting new portal, do get in touch with your Medi Assist representative for your login credentials for MediBuddy!

Disclaimer: Data is shared/made available to brokers/decision makers only upon receiving consent from the insurer.

 

 

 

 

Make her health a priority this Mother’s Day!

mothers-day-mailers

Mother’s Day is just round the corner!

It is celebrated on the 14th of May every year to honour the selfless dedication of a Mom towards her children and the entire family.

Remember when, as a child, even a small bruise would send you yelping for your Mom? Even now, the moment we are scared, the word that first comes out for most of us is “Mummy!” These little things just go to show the profound impact that Mothers have in our lives; a life which of course wouldn’t be there in the first place, if not for Mom!

Most Mothers are so busy caring for the family that they often put their own health after everyone else’s. This Mother’s Day, give back and encourage your Mother to take care of her health. If you are a Mom yourself, there is no better way to give more to your family than by taking care of your own health!

With MediBuddy Infiniti, we empower everyone to take care of their health, as per their convenience!  MediBuddy Infiniti is your curated network of outpatient services, where you can select, compare and book your preferred service from exhaustive listings of specialist doctors, trusted diagnostic centres and hospitals.

Get yourself and the women in your family introduced to MediBuddy Infiniti and choose from a wide range of outpatient services such as doctor consults, medicines, health checks and more!

Here are the services currently available on MediBuddy Infiniti:

  1. HEALTH CHECK: Comprehensive packages, at attractive rates.
  2. MEDICINES: Prescription medicines at discounted rates, home delivered.
  3. CONSULTATIONS: A specialist for your every medical need, just a click away.
  4. HOME HEALTHCARE: Superior medical care, at the comfort of your home.
  5. TELE CONSULTATION: Get in touch with a specialist over a call, at your preferred date and time, from anywhere.
  6. SECOND OPINION: Specialist doctors, to help you in your times of doubt.
  7. GENOME STUDY: Understand your health, right from the DNA level.

As a token of love to all the mothers and women in the family, we have special discounts and offers on MediBuddy Infiniti! Go ahead and check out the Offers page on MediBuddy Infiniti to browse through the special discounts available.

Log in to MediBuddy Infiniti with your MediBuddy credentials and get started!

Related articles:

https://www.mediassistindia.com/parenting-isnt-easy-but-staying-healthy-is-with-medibuddy-infiniti/

https://www.mediassistindia.com/save-on-your-maternity-costs-with-ecashless/

MediBuddy, your very own Health Buddy!

Are you still using the old, tedious methods to manage your health insurance benefits? Thousands of people across the country are enjoying the comfort and convenience of MediBuddy; it is time YOU switched too!

The MediBuddy app, is a powerful self-help tool that not only helps you manage your health insurance benefits, but also helps you reduce the overall cost of healthcare for yourself and your family. It gives you access to a host of benefits related to your health insurance and wellness.

With the MediBuddy app, you can access the following convenient features anytime, anywhere, on-the-go :

  • Explore details of your Policy
  • Enrol yourself and your beneficiaries under your policy
  • Plan your hospitalization and obtain a provisional preauthorization even before the date of hospitalization through eCashless
  • Raise and manage claims online in a hassle-free way
  • Track your claims in real time
  • Locate network hospitals through a GPS based search
  • View and download e-cards on-the-go

MediBuddy also allows you to access Infiniti – your Curated Network of Outpatient Services, where you can select, compare and book your preferred outpatient service from exhaustive listings of specialist doctors, trusted diagnostic centres and hospitals.

Here are the services that you can access through Infiniti:

  • HEALTH CHECK
    Comprehensive packages, at attractive rates!
  • MEDICINES
    Prescription medicines at discounted rates, home delivered!
  • CONSULTATIONS
    A specialist for your every medical need, just a click away!
  • HOME HEALTHCARE
    Superior medical care, at the comfort of your home!
  • TELE CONSULTATION
    Consult with a specialist over phone!
  • SECOND OPINION
    Specialist doctors, to help you in your times of doubt!
  • GENOME STUDY

Understand your health, right from the genome level!

Explore these features for yourself!

Download the MediBuddy app today by clicking these links.

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windo

andro

Or visit www.medibuddy.in. You can also give a missed call on 1800 3010 1696 and we’ll send the download link to your phone.

Related articles:
  1. https://www.mediassistindia.com/fast-track-your-reimbursement-claim/
  2. https://www.mediassistindia.com/get-visibility-into-your-hospitalization-expenses-with-ecashless/ 

Plan your Healthcare Costs in Advance, with MediBuddy

You wouldn’t buy a car or a laptop without comparing prices and shopping around. So, why should it be any different for something as critical as health care?

Just like with any other commodity or service, the price for quality health care can vary and depend upon various factors; the medical centre and the services offered often being the most important ones. For instance, some hospitals may charge much more than what you would expect at other locations for the same treatment. This can affect your finances, even if you have planned in advance and are insured. It therefore makes good sense to compare your options before opting to undergo treatment at a particular hospital.

While it is beneficial to know what a procedure might cost you, you may also be interested in comparing one healthcare facility with another in terms of the service offering and facilities. But while you can zero-in on your car or laptop by comparing a range of parameters through various online portals, reliable information on healthcare services and medical treatments may not always be as easily available.

With MediBuddy, the technology platform from Medi Assist, you can conveniently get insights into the expected cost of treatment at a network hospital of your choice, that too with just a couple of taps on your smartphone! Through the GPS-based network search feature on MediBuddy, not only can you search for the network hospital nearest to you along with the required speciality, but you can also discover the hospital packages available at your chosen hospital and explore the costs for various treatments and procedures.

So go ahead and lay your worries to rest! Make informed decisions on  your medical expenditure, with MediBuddy!

Yet to explore MediBuddy?  Sign up now on me.mediBuddy.in to activate your account.

Download the MediBuddy app today and experience a world of convenience at your fingertips!

Related articles:

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https://www.mediassistindia.com/save-on-your-maternity-costs-with-ecashless/

 

Leveraging technology for planned hospitalization through eCashless

Today, anything from booking a flight, to ordering your favourite meal or a family vacation can be achieved with just a couple of taps on your smartphone. Technology has significantly redefined consumer experience, and the time is ripe to leverage technology to enable the same experience within the health benefits industry.

India’s healthcare insurance segment remains mostly an untapped market for new technologies. The current procedures for filing an insurance claim are still done manually, where patients get physical copies of reports, scan them and then upload them. This coupled with the agony of leaving your unwell relatives unattended while you wait at the hospital insurance desk make the claims procedure seem like a huge hassle. This apart, there is also a lot of anxiety about the estimated cost of treatment, availability of a preferred room type and the out-of-pocket expenses that the family would have to incur.

Third party administrators (TPAs) act as a channel between the insurer and the insured and attempt to make these crucial touch-points as customer-friendly as possible; and technology plays a significant role in realising this goal. The key to consumer satisfaction during hospitalisation lies in encouraging members to plan their hospitalisation with as much ease as possible.

With MediBuddy, the health benefits portal and app, Medi Assist is already at the forefront of a technological transformation within the health benefits industry. We are leveraging technology to help customers choose convenience over concern, with future forward offerings such as eCashless.

The eCashless feature, available on the MediBuddy app and portal, has several advantages over the regular cashless admission procedure:

  • It eliminates all wait-time associated with standing in queues at the hospital insurance desk on the day of admission to get approval for cashless admission
  • It helps you to obtain a provisional preauthorization with just a couple of clicks from the comfort of your home or office
  • eCashless gives visibility into the estimated cost of treatment ahead of the date of admission, which means that you can plan your out-of-pocket costs in advance
  • You can also choose your preferred type of room

eCashless, in essence, enables patient choice, better cost of care, green channel admission, visibility into costs and optimal use of health benefits. Explore the eCashless feature on MediBuddy today!

Stay Healthy and Safe, even at your Workplace

Have you been ignoring that backache for long?

That, unfortunately, is the story with most of us! We suffer day in and day out from seemingly common ailments that compound over-time and become full-blown diseases before we even begin to realize it. Studies have shown that, barring some cases, most diseases start out with mild yet determinable symptoms which we tend to ignore. This ignorance stems from the frantic pace of our lives, leaving us no time to spare to tend to our medical ailments, while also encouraging an unhealthy lifestyle and poor dietary choices.

Even when we do decide to consult with a specialist, there is the issue of time off from work, sometimes for multiple follow up visits with the doctor, which may not find favour with most corporate set ups.

Keeping the paucity of time in our lives into perspective, Medi Assist brings medical convenience and comfort right into your workplace – with the MediClinic, which is the Occupational Health Centre by Medi Assist.

The MediClinic provides professional medical help to employees on campus. It not only helps in administering medical services but significantly enhances employee productivity while optimizing costs on medical care.

The general services provided at the MediClinic include medical manpower in the form of doctors and nurses for the primary care of onsite injuries, ambulance and life support services for advanced care, medicines and equipment, bio-medical waste management and internal audits.

The MediClinic is also equipped with the MediClinic software, which allows our personnel to capture valuable data such as walk-in details and medicines prescribed to the patient. Employees can also access the information pertaining to these walk-ins on MediBuddy which can be accessed either from the portal or app.

So go ahead, get your workplace equipped with the MediClinic, and experience professional medical care right in your campus!

MediBuddy and Uber get you to your closest Network Hospital in a jiffy!

The powerful GPS based network hospital search feature has proven to be of great convenience to the users of MediBuddy! It is aptly addressing the need for searching for the closest hospital that falls within the insurer network.

With an enhancement of the network search feature, we have made it even more convenient for you to reach your network hospital destination quickly and easily – along with searching for your nearest hospital, you can now also book an Uber cab from within the app!

And that’s not all! Through the network search feature, you can also discover the hospital packages available at your chosen hospital and explore the cost for various treatments and procedures to get an idea of the estimated cost of treatment. What’s more, here you can also intimate eCashless and check the availability of doctors.

Here is how you can use the network search feature:

  • Login to MediBuddy with your credentials
  • Go to ‘Network hospitals’
  • Look for network hospitals in the vicinity by using a GPS based search
  • Choose your preferred hospital
  • Click ‘View Hospital Profile’ to view the hospital packages and cost of various treatments and procedures
  • Look for the button at the bottom of the screen showing details of your closest Uber cab with estimated time of arrival and price.
  • Click this button to automatically navigate to the Uber app. The pickup and drop locations are picked up automatically by the system.
  • Confirm the booking.

Once you click the ‘Confirm’ button, your Uber cab will arrive at your pick-up location at the estimated time of arrival and take you to your chosen network hospital.

So, the next time you have an emergency, you can act quickly and with confidence! Find a network hospital closest to you and get your loved ones immediate medical attention.

Yet to explore MediBuddy?  Sign up now on me.mediBuddy.in to activate your account.

Download the MediBuddy app today and experience a world of convenience at your fingertips!

 

Electronic Health Records – The Smart Choice

The human body functions in mysterious ways, and often chooses to malfunction when you are least prepared! Picture a time when you were at work and felt the need to see a doctor immediately; you wouldn’t have the time or energy to go all the way back home to pick up any test reports or previous medical records. In such a situation, wouldn’t it be great if you could maintain a repository of all your important documents at one place, online, which you could access from anytime, anywhere, on the move?

With the Online Repository on MediBuddy, you are able to do just that, and much more! You can upload your prescriptions, test reports and other related medical records onto the repository and get 24×7 access to your Electronic Health Records from wherever you are! You also have the added advantage of never misplacing another important document again!

How does it work on MediBuddy?

  • Visit portal.medibuddy.in and sign into your account.
  • Click the ‘Records’ tile
  • Take individual pictures of each of your medical records and upload them onto the secured digital repository.
  • Access your records anytime, anywhere from the MediBuddy portal or app

Switch to a smart way of maintaining your health records.
Sign up now if you still haven’t activated your account on MediBuddy and download the MediBuddy app today!

A fresh new feel to MediBuddy, now on the App Store!

Just a few months ago, we had informed you about the new and improved version of MediBuddy, which had been made available for the Android platform.

This new version of MediBuddy is now also available for the iOS platform!

Apart from an enhanced look and feel, you will now enjoy a host of additional features such as:

  • Notifications on your phone – to keep you informed of the status of your claims and other important information, even when you are not using the app or your device.
  • Dynamic search for network hospitals on the map – to allow you to click anywhere on the map to locate a hospital. Learn more
  • Offline mode – which lets you download and access your e-card.
  • Electronic Health Records (EHR) – which can be viewed in the offline mode.
  • In-app capability to take pictures – which lets you upload your prescriptions and other documents to the Online Repository in an instant.
  • Ability to change your password – to ensure safety of your account.

If you are an existing MediBuddy user, your app will be automatically upgraded!

Navigate through the new and improved MediBuddy app today, and revel in the experience of an upgrade!

Don’t have the MediBuddy app yet? Download it today from the App Store!

MediBuddy Launch and ChampCamp @ Unisys

You can learn about your health benefits at a health camp, and also have fun!

ChampCamp is an interactive format that combines health benefits and wellness with fun, games and social engagement. It aims to increase utilization of the services of Medi Assist and also participation in onsite health benefits and wellness events.

ChampCamp @ Tata Chemicals

You can learn about your health benefits at a health camp, and also have fun!

ChampCamp is an interactive format that combines health benefits and wellness with fun, games and social engagement. It aims to increase utilization of the services of Medi Assist and also participation in onsite health benefits and wellness events.

ChampCamp @ Persistent

You can learn about your health benefits at a health camp, and also have fun!

ChampCamp is an interactive format that combines health benefits and wellness with fun, games and social engagement. It aims to increase utilization of the services of Medi Assist and also participation in onsite health benefits and wellness events.

ChampCamp @ ION Trading India

You can learn about your health benefits at a health camp, and also have fun!

ChampCamp is an interactive format that combines health benefits and wellness with fun, games and social engagement. It aims to increase utilization of the services of Medi Assist and also participation in onsite health benefits and wellness events.

ChampCamp @ IDFC

You can learn about your health benefits at a health camp, and also have fun!

ChampCamp is an interactive format that combines health benefits and wellness with fun, games and social engagement. It aims to increase utilization of the services of Medi Assist and also participation in onsite health benefits and wellness events.

ChampCamp @ SBIG

You can learn about your health benefits at a health camp, and also have fun!

ChampCamp is an interactive format that combines health benefits and wellness with fun, games and social engagement. It aims to increase utilization of the services of Medi Assist and also participation in onsite health benefits and wellness events.

ChampCamp @ Brillio

You can learn about your health benefits at a health camp, and also have fun!

ChampCamp is an interactive format that combines health benefits and wellness with fun, games and social engagement. It aims to increase utilization of the services of Medi Assist and also participation in onsite health benefits and wellness events.

ChampCamp @ Cibersites

You can learn about your health benefits at a health camp, and also have fun!

ChampCamp is an interactive format that combines health benefits and wellness with fun, games and social engagement. It aims to increase utilization of the services of Medi Assist and also participation in onsite health benefits and wellness events.

ChampCamp @ Cholamandalam

You can learn about your health benefits at a health camp, and also have fun!

ChampCamp is an interactive format that combines health benefits and wellness with fun, games and social engagement. It aims to increase utilization of the services of Medi Assist and also participation in onsite health benefits and wellness events.

ChampCamp @ HCL

You can learn about your health benefits at a health camp, and also have fun!

ChampCamp is an interactive format that combines health benefits and wellness with fun, games and social engagement. It aims to increase utilization of the services of Medi Assist and also participation in onsite health benefits and wellness events.

ChampCamp @ Snapdeal

You can learn about your health benefits at a health camp, and also have fun!

ChampCamp is an interactive format that combines health benefits and wellness with fun, games and social engagement. It aims to increase utilization of the services of Medi Assist and also participation in onsite health benefits and wellness events.

Delighting our Customers, Always!

It surely is the best feeling when you get that little extra that adds value to you, especially when it comes to you at no extra cost! We understand our customers and stakeholders, and are constantly on the look-out for ways and means to delight them every step of the way. This is why we have a slew of services that are aimed at maximizing convenience for you! With a ‘tech and touch’ approach, we mould every offering to empower you with self-help to help you make informed healthcare decisions.

Below are some of our services that have been especially crafted for you, and, with a commitment to continue delighting our customers, we keep adding to the list whenever we come up with something even better for you!

007_MediBuddy

 

011_MediBuddy App

 

016_Online Enrolment

 

015_eCard

 

001_eCashless

 

020_Network Hospital Search

 

018_Claims Process

 

017_Claims Tracking

 

019_Claims Reimbursement

 

021_Repository

 

010_MediBuddy Infiniti

 

012_MediBuddy Infiniti 2

 

013_MediBuddy Infiniti 3

 

014_MediBuddy Infiniti 4

 

008_MediBuddy_Pi

 

002_ChampCamp

 

003_Care Rangers

 

009_MediBuddy+

 

022_Occupational Health Centre

 

005_Mobiefit

 

006_8 Languages

10 Early Signs of Diabetes that you shouldn’t Ignore

Each one of us, who is reading this, has or knows someone who has diabetes.

That is just about how common this disease has become. Diabetes was, up until recently, associated with elders, and the number of cases were not as many. At present, diabetes affects more that 7% of the adult Indian population and is reported in ages as young as 35. Diabetes is manageable, but if not detected in time, and without proper treatment, the ailment can prove to be fatal. Awareness is the key to helping people understand the disease and recognize its symptoms.

What is Diabetes?

Diabetes mellitus, or more commonly, diabetes, is a condition where the body cannot maintain normal blood sugar levels. It occurs when the body does not produce enough insulin or when the body does not respond normally to insulin, which is a hormone that helps to control blood sugar levels.

How does it impact our health?

When blood sugar levels rise, they can lead to serious health problems like heart disease, stroke, peripheral vascular disease, kidney failure, blindness, nerve damage (peripheral neuropathy), infections/poor healing of wounds, and a lower sex drive.

What are the symptoms of Diabetes?

Most symptoms of diabetes are very generic and are therefore unrecognizable at first glance. Here is a list of the most common symptoms that should make you head straight for a Diabetes health check:

  1. Frequent urination
  2. Increased thirst
  3. Weight loss
  4. Increased hunger
  5. Unexplained weakness or fatigue
  6. Blurry vision
  7. Nausea and vomiting
  8. Numbness or tingling of the feet
  9. Frequent infections
  10. Vaginal discharge or itching in young girls

Having mentioned the above, there have also been instances where diabetes has been detected without having shown any symptoms. Diabetes is a genetic disease, and it therefore becomes very important for a person with a family history of diabetes to regularly get checked for the ailment, even if no symptoms show up.

MediBuddy Infiniti gives you the power to explore and book various diabetes health check packages at your preferred medical center and at your preferred day and time. Here are simple steps to book a diabetes health check package:

  1. Log into infiniti.medibuddy.in
  2. Click the ‘Health Check’ tile
  3. Enter your location and category as ‘Diabetes’. You will get a list of diabetes health check packages at various trusted hospitals and centers.
  4. Book your appointment at your preferred day and time.
  5. Make a payment via a range of convenient payment options

What’s more? MediBuddy Infiniti provides all of these packages at discounted rates!
The more we know about our health, the more power we have to change our lives.

So go ahead, visit infiniti.medibuddy.in today and book your diabetic health check package.

Your Doctor is Just a Call Away!

Online Cons

When you are pressed for time, visiting a doctor can seem impossible. But with Online Consultation, you can get in touch with a specialist over a call, at your preferred date and time, from anywhere!

Don’t ignore your ailment anymore! Just follow these simple steps:

  • Log onto infiniti.medibuddy.in with your credentials.
  • Click the ‘Online Consultation’ tile.
  • In the text box, type in your preferred service or pick from a wide range of specialities from the drop-down.
  • Select your preferred appointment date and time.
  • Click ‘Schedule Now’.
  • Make a payment via a range of convenient payment options.
  • You will receive a confirmation call from our vendor within 10 minutes.
  • A call will be made by the doctor on the selected date and time.

Note: A minimum of 30 minutes is required to process a request. So do book your appointment in advance!

Go ahead and enjoy the convenience of an Online Consultation on MediBuddy Infiniti!

Raman’s eCashless enlightenment!

eCashless_logo

“These laddus are the best that I have had in a long time!” remarked Dhiren, through a mouthful of the delicious sweet treat. Raman had been blessed with a baby girl, and had brought a truckload of sweets to distribute at his office. After all the buzz of congratulatory messages dimmed down, Raman headed to the cafeteria for a break, along with Dhiren, where they got chatting on the health of his wife and his baby girl.

After a few days, as Dhiren peeked into Raman’s laptop, he saw him do a Google search on – How to submit an insurance reimbursement claim- which exasperated him. “Didn’t you opt for eCashless?” a very puzzled Dhiren asked. Raman stared blankly, and showed him a pile of bills, “Well, I am going to get all my money reimbursed, just going to apply for a reimbursement claim.” This was Dhiren’s face-palm moment. The ever-efficient Raman had not considered eCashless at all! It was time to sit him down and help him understand the difference between eCashless and reimbursement. “Sure Raman, either way you will logically not be spending any money, but what about the time you invest to get your bills cleared? In this day and age, time IS money!” A baffled Raman looked on, “Dhiren, you mean you know of a better and faster way to get my money reimbursed?” “No Raman, I know of a way that can save you money AND time, along with a host of other benefits thrown in!”

Dhiren put an arm around Raman’s shoulder as he escorted him out to the cafeteria. He found a silent nook, ordered for hot cups of delicious tea and began. “Raman, claiming reimbursement for hospitalization may not be a straightforward task as there may be several challenges involved in processing your claim. At times you may be required to submit additional details or documents, and additional information on the procedure in question. And to top it all, the actual processing of the claim begins only after all the documents have been received in full. The time taken during the entire process can be stressful.” Dhiren could locate a spark of curiosity in Raman’s eyes, who had furrowed his brow and tilted his head as he listened. Dhiren recognized Raman’s signature ‘keen-to-know-more’ cue and went on.

“Raman my friend, the key to the most hassle-free cashless hospitalization experience is eCashless! It reduces wait-time for pre-authorization at the hospital by as much as 90%. You can request a provisional pre-authorization from a laptop or a mobile app, choose your preferred room type and get green channelled into your room on the date of admission. These go a long way in improving your experience at the time of hospitalization.”

“And Dhiren, how does this work?” Raman interrupted.  “Coming to that Raman, hold on!” said Dhiren, “All you need to do is log onto the MediBuddy portal or app and raise an eCashless request. Once Medi Assist receives this request, it is forwarded to the chosen hospital. Based on the recommended procedure, the hospital sends the details of the estimated cost of treatment. Once this is received, Medi Assist applies your policy terms and conditions in order to calculate the provisionally approved amount for your cashless treatment. “

“The best part is, you can view this information regarding cost of treatment in advance on MediBuddy. This gives you an idea about the amount you should arrange for the hospitalization and plan your resources accordingly.”

“Wow!” quipped Raman, “and what happens next Dhiren?” Dhiren was happy to see that his friend was impressed, and he went on, “On the day of admission, all you need to do is take the person to the hospital along with an E-card and photo ID and within a few minutes, you get green-channelled into your allotted room.”

Raman, who just a moment ago had excitement written all over his face, suddenly looked sullen. “Oh Dhiren, I think I missed the bus!” “Never mind”, Dhiren said mischievously and winked, “You can use your new-found knowledge when you come to distribute sweets the next time around!” And they guffawed with laughter as the tea spilled from their cups.

Fast-track your Reimbursement Claim

When it comes to reimbursement claims, an endless wait-time for settlement almost comes as a given!  Several challenges may be involved in the processing of claims, which often require additional details and documents on the treatment in question. Multiple back and forth with couriers can add to the hassle and to top it all, the actual processing of the claim can initiate only once all the documents related to the claim have been received in full. Hence, the time taken during the entire process can sometimes disgruntle patients and their families.

But with Medi Assist, all such hassles can instantly be laid to rest!

All you need to do is intimate us of your upcoming claim online before the hospital discharge and upload your documents online on discharge. An advance notification of a reimbursement claim helps us to be ready, and uploading your documents online helps us start working towards your claim processing immediately.

Just follow the steps below:

  • Notify us in advance of your upcoming claim. Go to your MediBuddy portal or app and click the ‘Reimbursement’ tile. Fill in the details and click ‘Intimate’.
  • Fill up the necessary details.
  • For uploading your documents, simply take a picture of them and upload onto the portal.
  • Once you have uploaded your documents online, we will check if we have received all that we need in order to initiate processing of your claim. We will intimate you in case of any missing/additional documents are required, so that you can upload them before you courier us all the documents. This will help you eliminate sending couriers multiple times and stop worrying about unnecessary delays.
  • Medi Assist begins the process of settling your claims once you upload the scanned copies of documents on MediBuddy. However, do not forget to send us the hard copy of all your bills and documents you have uploaded within 15 days from the date of discharge, as claims can be settled only upon receipt and validation of the hard copies.

So, get set to experience super-fast claim reimbursement processing!

Buraa na Maano, Holi Hai!

Holi pic

Holi, the festival of colours, brings back so many fond memories of our childhood. Remember how our mothers would warn us about safeguarding our eyes? And staying away from those troublesome boys who would smear everyone with those oh-so-difficult-to-remove silver and gold colours?

The kids would have heated debates on which colour should be added into the bucket first, which one for friends, and which ones for the rivals… Teenagers who would stay holed up inside their rooms lest the colours play havoc with their already troubled skin and hair.

And dads couldn’t wait for the kids to first have their share of fun in the early hours before the free flow of special sweets and savouries would begin followed by a hearty family lunch.

In all, every fond memory of holi revolves around two elements – choice and health care. Buraa na maano, but we’d like to tell you how you can make your holi even more enjoyable with your health buddy, MediBuddy. Short of helping you get organic colours, which we strongly recommend that you use, and your mom’s magical recipes, you will find everything else you need on MediBuddy.

Care for your eyes, skin and hair? You will find a specialist doctor who can help you with specific answers that you may seek.

Have a question on managing your medication while you give in to the temptation of the food and sweets around you? Opt for an online consultation with a doctor for some quick tips.

Want a more comprehensive assessment of your health? Choose from a range of health screening packages offered by some of the leading hospitals and medical centres in your city.

And, why lose a minute during your family get together? Opt for doorstep delivery of medicines for the entire family.

Do remember to check out the Offers page on MediBuddy Infiniti to browse through the special discounts available to you.

Happy Holi, all! May you always be in the Pink of health!

2016 – A Rewarding Year!

MediBuddy_corporate-logo2016 has been a great year for MediBuddy, our technology platform that binds the entire health benefits ecosystem together. We received encouraging reviews from our members and recognition from various quarters of the industry, including the following:

  • CIO 100 Information Mastermind award
  • SKOCH Silver Award for Cloud, Mobility and Apps
  • SKOCH Order of Merit Award for Innovation
  • CIO Review India Top 20 most promising medical technology solution providers

2016 was also an important year in the evolution of MediBuddy. From being the most reliable claim management self-help tool, MediBuddy has morphed into a comprehensive one-stop health benefits management platform that gives our members access to inpatient, outpatient, wellness, fitness and preventive care services offered by our curated network of healthcare providers.

We cannot thank you enough for your support and encouragement at every step of the way. As a small token of goodwill, here is an exclusive offer for you.

Sign up on infiniti.medibuddy.in, choose from our wide range of outpatient services such as doctor consults, medicines, health checks, etc.,
Use offer code WELCOME10 to avail additional discounts on select services.

And do let us know how your experience was. Your feedback will go a long way in helping us give our members the best that they deserve.

 

Benefit from Cost Reduction in Stents: Move away from Open Billing towards Package Pricing

CIO PR

In the light of recent notification by National Pharmaceutical Pricing Authority (NPPA) on the reduction of cost of cardiac stents,here is an article on how Medi Assist members can benefit from this notification. The article also touches upon how Medi Assist members can insulate themselves from potential variation in cost of procedure by opting for our exclusive re-priced packages.

Scroll down to read the complete article, or click here.

This Valentine’s Day brought unexpected happiness to millions of Indian hearts. The National Pharmaceutical Pricing Authority (NPPA) announced their far-reaching notification that capped the prices of drug eluting stents at INR 29,600/- and that of bare metal stents at INR 7,260/-, resulting in a reduction of cost of stents by as much as 85 percent. This heralds an important step towards making healthcare truly affordable for the millions of angioplasty patients, who have borne witness to as much as 1,000 percent increase in the cost of stents from production till it reaches them.

But just as patients in need of an angioplasty were beginning to cheer the welcome move, there were news of how some hospitals were trying to balance the drastic reduction in pricing of thePTCA (Percutaneous Transluminal Coronary Angioplasty) procedure by increasing other charges involved in the surgery. This would effectively mean that the benefit of cost reduction in stents would be cancelled out by the increase in other components of the open bill for the procedure, and that the cost benefit of the notification would not reach the patient.

This underlines the power of the packaged pricing structure contracted by third party administrators (TPAs) on behalf of their insurer partners. Unlike an open bill, a package price for PTCA defines a fixed price encompassing all medical expenses related to the procedure, except the cost of stents. So unlike in the case of open billing, where the cost of certain line items in the bill can potentially be changed on case to case basis, package pricing insulates the patient from any such circumstantial vagaries. The benefit of reduction in cost of stents would be passed on to the patient in full and translate into significant reduction in the overall cost of treatment. This would go a long way in reducing the financial impact of hospitalization on the family and also helps safeguard their sum insured for future medical requirements.

Medi Assist, for example, currently has negotiated packages for 120 common procedures contracted with over 3400network hospitals. Among these, 62 percent of the network hospitals that offer PTCA are covered by packages. Members planning a PTCA at any of these network hospitals, can further benefit by opting for an eCashless hospitalization using their MediBuddy app. This allows them to get a clear estimate of the cost of treatment and also obtain a provisional preauthorization for cashless hospitalization, from the comfort of their home. On the date of admission, the member is assured of green channel walk-in and the reassurance of benefitting from optimal pricing on account of choosing a package pricing contracted exclusively to safeguard their interests.

How MediBuddy turned Rajni into a Celebrity!

MediBuddy_corporate-logo

Rajni had been noticing that her boss, Jagdish, had seemed preoccupied the past couple of weeks. He was missing important deadlines, and was generally keeping aloof. Not one to meddle in others’ business, Rajni kept out of his way but the sudden change in her boss’s demeanor concerned her.

As Jagdish approached her cubicle that day to enquire on a pending task, she mustered courage and asked him if everything was alright.  He laughed off her concern, and then eventually opened up.

Jagdish’s father was an artist, whose rapidly failing eyesight had ultimately led to the diagnosis of a cataract. It pained Jagdish to watch his father struggle with his canvas and easel every day, and he wished he could convince him somehow for the surgery. But his father, keeping into perspective Jagdish’s busy life, didn’t want to burden him with the complexities around his surgery. Helplessness was slowly beginning to set in, and Jagdish didn’t know whom to turn to.

Rajni was fast to react, and let loose a flurry of common knowledge, which, as it turned out, was not so common after all. “Sir, with all due respect, are you aware of MediBuddy?” She saw the hesitation on Jagdish’s face, and didn’t want to put him in a spot. So she went on.

MediBuddy is a self-help online platform that lets you be totally in control of all your healthcare needs. We can use MediBuddy to manage our health insurance and wellness benefits from wherever we are, on-the-go! In your father’s case Sir, you can opt for eCashless, where you can make his cataract surgery completely cashless and get a provisional preauthorization even before you step into the hospital! You can locate network hospitals, track claims in real-time, apply for reimbursements online, view your e-card, access electronic medical records 24×7, order medicines and….whew! That’s just the tip of the iceberg!  So, you can easily assure your father, that all you need to do is make a couple of clicks, and his hospitalization will be taken care of! Sir, I’d suggest you download the MediBuddy app and try out these awesome features right away!” She finally breathed.

There was pin-drop silence. She looked around. All eyes were on her. She began to say something, but her words drowned in applause! Jagdish looked like he had received the highest form of enlightenment, and clearly, Rajni, in his eyes, was the hero who had saved the day.

An eager colleague pointed his pen and mock-interviewed her, “Anything you’d like to say on your new-found celeb-status?”– “Well”, said Rajni, “MediBuddy is the real star, not I!”

If you can relate to the story, or know someone who can identify with it, share now!

The Heart of the Matter

stent-mailer-for-stakeholders

In our previous blog, we shared the announcement made by the National Pharmaceutical Pricing Authority (NPPA) on the reduction of stent prices by up to 85%, reducing the financial impact of hospitalization on the families of patients undergoing an angioplasty surgery. Here is a follow up

Recent news articles seem to suggest that hospitals and medical centres are balancing the financial impact of the cost reduction in stents by increasing other charges that are usually involved in an angioplasty surgery. This practice could potentially render the new ruling ineffective, and would not allow the overall benefit of the price reduction to reach the patients.

Medi Assist members, however, would remain insulated from such situations on account of the exclusive package tariffs contracted by us with our network hospitals. These ailment-specific packages are available at negotiated rates, and when a member chooses a package, the hospitals cannot charge more than the agreed package pricing. Not only does this ensure a hassle-free cashless hospitalization for our member, but also helps them safeguard their sum insured. Corporate decision makers and insurers also benefit from the overall reduction in cost of hospitalization.

Medi Assist currently has negotiated packages for 120 common procedures, which can be availed at 3400+ network hospitals. Importantly, 62% of our network hospitals that offer PTCA (Percutaneous Transluminal Coronary Angioplasty), are covered by our exclusive packages.

So opt for packaged tariffs, protect your sum insured, and be worry-free with Medi Assist!

Read the detailed note on the NPPA notification in our previous blog here.

Valentine’s Day made Special for the Heart

Now here’s an unexpected Valentine’s Day gift for angioplasty patients. The National Pharmaceutical Pricing Authority (NPPA) has, with immediate effect from 14 February 2017, capped the prices of drug eluting stent at INR 29,600/- and that of bare metal stents at INR 7,260/- — slashing costs by as much as 85 percent. All stent manufacturers and importers would now have to price their products below the notified ceiling price.

This is a welcome move that would go a long way in making healthcare truly affordable for the millions of heart patients in the country. Even as the incidences of heart diseases continue to increase at an alarming rate, the data shared by the NPPA notes an exponential jump in prices of stents by as much as 1,000 percent from production till the time it reaches patients.

Heart patients in need of an angioplasty would now have to spend considerably lesser on their treatment, significantly reducing the financial impact of hospitalization on their family.

What does this mean for you, dear Medi Assist member?

If you / your family member has only recently undergone an angioplasty, do make it a point to check your bill and reconfirm the amount billed against the stent. You could expect some temporary glitches in the billing – this is after all a significant change that has been made effective immediately without much prior notice.

If you are planning an angioplasty in the coming days / weeks, consider opting for an eCashless hospitalization using your MediBuddy app. This will allow you to identify the estimated cost of treatment under the new notification and as per your policy terms and conditions, without having to step out of your home or make multiple calls to the hospital. Not to mention the sheer comfort of a green channel walk-in on the date of admission.

For those of you who have just undergone the treatment just before the announcement of the slashed rates, do take heart. As you plan your post-hospitalization check-ups, medicines, etc., do make sure to avail the exclusive discounts available to Medi Assist members on services booked on MediBuddy Infiniti. Use offer code WELCOME10 for exclusive additional discounts on select services such as health check packages. After all nothing means more to us than your speedy recovery and happy heart.

Happy Valentine’s Week to all!

Get visibility into your hospitalization expenses, with eCashless!

All of us leCashless gives visibility into out-of-pocket hospitalization expensesove surprises, but not when they come wrapped in hospital bills!

When you have planned to utilize your insurance policy to make your hospitalization cashless, there are often times when you are faced with ‘additional expenses’ that you have to pay out of your pocket. Since most of us may not be fully informed of the minute details that make up our insurance policy, there is a chance that we expect a particular cost to be covered by the policy, when in fact it is not.

eCashless bails you out of such painful and ‘unpredictable’ situations when we are caught unawares and are therefore not in a position to bear the costs for non-admissible expenses during hospitalization.  It gives you visibility into the estimated cost of treatment ahead of hospitalization, which means that you can plan your out-of-pocket expenses in advance.

An eCashless request needs to be raised at least 48 hours in advance from the time of hospitalization, and can be availed via the MediBuddy portal and app, from the comfort of your home! Through eCashless, you get a provisional preauthorization based on your insurance policy. You are therefore able to get the estimated cost of treatment based on the coverage as mentioned in your policy, even before you step into the hospital.

eCashless, in essence, enables patient choice, better cost of care, green channel admission, real-time visibility and optimal use of health benefits.

So, don’t remain in the dark regarding your out-of-pocket expenses resulting from your cashless hospitalization. Opt for visibility, choose eCashless on MediBuddy !

How Managed Care helps Optimize Medical Spend

Prashant Jhaveri, Chief BusManaged_Careiness Officer, Medi Assist  recently wrote an article for the Silicon India in which he discussed about the concept of Managed Care Organisation (MCO) and its importance in the Indian Healthcare Ecosystem. He also discussed about the various techniques deployed by MCOs to promote informed decision making and reduce overall cost of care for consumers.
Scroll down to read the complete article, or click here.

The concept of managed care, aimed at reducing cost of providing quality healthcare, is still in its nascent stage in India. A popular concept in the United States, the need for managed care organizations is perhaps far more acute among developing nations such as India. Medical inflation in India stands at 12-15 percent as against a global average of 6-7 percent. Despite the steep rise in cost of healthcare, the IRDA Annual Report 2014-2015 indicates that only two percent of the Indian population is covered by individual health insurance policies; and only another four percent are covered under group medical policies. In the absence of any medical cover, the average Indian family today grapples with high out-of-pocket expenses on account of healthcare.

A recent report by FICCI suggests that primary healthcare accounts for over 70 percent of all medical spend and that the per capita spend of urban households on outpatient care is approximately Rs. 4,250 per person, a typical urban family of four adults, therefore, spends an average of Rs. 17,000/- per month on doctor consults, medicines and diagnostic labs. Add to this the inherent lack of transparency within the healthcare ecosystem. While it is, for example, easy for one to compare myriad options, choose and book holidays, travel, stay and so on, consumers do not have such deep visibility into the options available to them when planning their medical spend. Managed Care Organizations (MCO), therefore, have a significant role to play in the Indian healthcare ecosystem. Not only do they bring all the stakeholders of the ecosystem together, they also work towards deploying techniques to promote informed decision making and reduce overall cost of care for consumers.

MCOs Negotiate Early

Managed care organizations partner with healthcare providers to obtain preferred tariffs and discounts for their members. While the preferred pricing helps increase visibility and footfalls for the provider, it helps reduce cost of care for the individual. MCOs also deploy various loss control measures to ensure that, in the event of a hospitalization, members are provided most optimal care at the most optimal price point at their chosen network medical centre.

MCOs Tech-enable early

Managed care organizations, which collaborate with all stakeholders in the healthcare ecosystem, are best placed to invest in technology for transformation. Technology allows all stakeholders to come onto a common platform to improve speed of access and quality of delivery. Our technology platform, MediBuddy, for example, allows hospitals to provide seamless cashless access to in-patient and outpatient services to their patients; it gives insurers and corporate decision makers deep visibility into the performance of their health benefits portfolio; and importantly, it gives every individual member the power to compare, choose, and schedule healthcare services using just their mobile phone from the comfort of their home. The predictive analytics capabilities help decision makers spot trends and take informed product and service delivery decisions for the future.

MCOs Help Plan Early

Planning is the key to optimal decision making. For example, a planned maternity can help the family ensure greater comfort for the mom-to-be and also help the young couple reduce their out of pocket spend by optimally utilizing their health benefits. Similarly, a managed care organization can help senior members planning an elective surgery to opt for cashless hospitalization at a preferred network, at a discounted preferred pricing. Innovations such as e-Cashless allow members to choose their preferred network medical center and obtain a provisional preauthorization using a mobile app for a cashless hospitalization. E-Cashless also gives the family full visibility into the expected cost of treatment, amount covered under their policy and the corresponding out of pocket spend, if any.

MCOs Intervene Early

Fraud and abuse control is critical to the success of any health benefits program. Managed care organizations play a significant role in ensuring that the benefits are availed by genuine beneficiaries and as per the terms and conditions defined by the benefits policy. New-gen MCOs use a combination of technology and professional expertise for risk detection and mitigation. MCOs have been credited with generating significant savings for the industry on account of their diligent interventions. Managed care organizations are poised to play a crucial role in these transformative years of the Indian healthcare industry. With deep understanding of the often divergent needs of all stakeholders in the industry, technology leadership and an optimistic vision for the future, MCOs are here to bring about disruptive change in how we think about healthcare spend.

Budget should enhance limits available under Section 80D

Prashant Jhaveri, ChieUnion Budgetf Business Officer, Medi Assist, shared his thoughts on the various reforms to be considered with regard to the Health Benefits industry in the upcoming 2017-’18 budget.

Scroll down to read the complete article, or click here.

The Union Budget will be a crucial one in the light of reform initiatives undertaken by the present Government. It is expected that there will be a slew of changes on the taxation front and policies for financial services sector. When it comes to health insurance sector, the Budget should take into consideration the below reforms.
a) With rising insurance costs, the budget should actively look at enhancing the limits available under Section 80D for deduction of Insurance Premium.b) Online healthcare aggregators do not get benefit of the provisions of “aggregator” under service tax Act as healthcare is an exempt service. For new innovative business models to thrive it will be important to take a consistent view on applicability of service tax.c) More clarity should be provided on applicability of service tax on auxiliary healthcare services rendered by service providers. While healthcare services are exempt from service tax, if the same services are rendered by a non-clinical establishments, it is subject to service tax. This presents a disparity in levy of service tax on essential services like healthcare diagnostics and preventive healthcare.

This Year, Appoint MediBuddy as your Personal Manager for Health Benefits

MediBuddy_corporate-logoIt’s a brand new year…are you still using the old, tedious methods to manage your health insurance benefits? Thousands of people across the country are enjoying the comfort and convenience of MediBuddy; it is time YOU switched too!

The MediBuddy platform, which is available both as a portal and an app, is a powerful self-help tool that not only helps you manage your health insurance benefits, but also helps you reduce the overall cost of healthcare for yourself and your family. It gives you access to a host of benefits related to your health insurance and wellness.

With MediBuddy, you can:

  • Explore details of your Policy
  • Enroll yourself and your beneficiaries under your policy
  • Plan your hospitalization and obtain a provisional preauthorization even before the date of hospitalization through eCashless
  • Raise and manage claims online in a hassle-free way
  • Track your claims in real time
  • Locate network hospitals through a GPS based search
  • View and download e-cards on-the-go
  • Order medicines to your doorstep, and do much more…

Still thinking? Why not give MediBuddy a try and explore for yourself!

Sign up on me.MediBuddy.in to activate your account or visit www.medibuddy.in. You can also give a missed call on 1800 3010 1696 and we’ll send the download link to your phone.

Download the MediBuddy app today by clicking these links.

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Welcome to The New and Improved MediBuddy+ v3.3

health-care

As our health service provider partners, you have been using the MediBuddy+ portal for hassle-free claims management processes. We have some good news for you! We have made your MediBuddy+ portal even better!

The MediBuddy+ v3.3 has the following notable features:

Finance Reconciliation

One of the pain points for you has been offline reconciliation. The claims reconciliation cycle is now completely online, and you can accept/dispute issues in real time.

Documents Tracking

No more issues of lost documents! If you have submitted the original claims documents to Medi Assist, you can update the tracking number/acknowledgement number online.

Pre-authorization Cancellation

You can now cancel a pre-authorized claim if the patient for whom the claim has been raised is not hospitalized.

Enhanced Dashboard

View and download claims details in real time.

Enhanced Profile page

You are in for a much better experience and a faster, more responsive online portal. You can also preview your profile page and view the profile completion status.

So, log onto your enhanced MediBuddy+ portal today to explore and enjoy a superior experience.

Yet to configure your MediBuddy+ profile? Make a start this New Year! Hop on board now on plus.medibuddy.in!

Now Access All Your Agent Portal Features on MediBuddy App

MediBuddy app

As a health insurance agent, you are an important partner to us who ensures that the Medi Assist advantage reaches our retail customers. We had created the MediBuddy agent portal exclusively for you to make your life simpler and empower you with all the information you need to serve your customers better.

We just made the features of the portal more accessible to you, through the MediBuddy app! Some of them include:

• The ability to create your own preferred login to access the portal
• Visibility into your customers and their policies. You can also know when their policies are due for renewal.
• Ability to obtain real-time status of your customers’ claims
E-card downloads for your customers anytime and from anywhere
• Map-based search to locate a preferred network hospital or ability to filter network hospitals by insurers
• Better data management of Medi Assist and non-Medi Assist customers.

All you need to do is download the MediBuddy app and sign in with your login credentials.

So, take advantage of the improved accessibility! And take control of your customers’ health benefits anytime and from anywhere.

Go Hassle-free This New Year with eCashless

ecashlessWith the New Year here, most of us already have new health-related goals. Achieving these goals require a few lifestyle changes. It requires that we shed a few old habits and pick up a few new and positive ones. Why not begin with changing the way you plan your hospitalization?

Planning inpatient admission has gone through a sea of change over the years. People are gradually moving away from reimbursements towards cashless services in most cases of hospitalization due to the convenience the latter offers. With cashless hospitalization, people can conveniently avail inpatient services at network hospitals with minimum out-of-pocket expenses, which translates to significant savings.

This year, go one step further. Choose convenience over concern for booking your cashless admission. Choose eCashless from Medi Assist. The eCashless service available on the MediBuddy app and portal has several advantages over the traditional cashless admission. You can:

  • Eliminate spending time standing in the queue at the insurance desk at the hospital on the day of admission to get an approval
  • Obtain a provisional preauthorization from the comfort of your home or office
  • Have visibility of the estimated cost of treatment beforehand, which means that you can plan your out-of-pocket costs in advance
  • Request your preferred type of room, and
  • Track the claim status anytime and from anywhere.

So, move ahead with the times. Begin the New Year with a new way of opting for your inpatient hospitalization. Choose eCashless!

Medi Assist Gives a Boost to Cashless Hospitalization Through eCashless

eCashless_InfographicCIO Review, one of the country’s leading technology magazines, recently covered the eCashless service from Medi Assist. The magazine talks about how the service available on the MediBuddy app helps our members plan their hospitalization and get a provisional preauthorization for their cashless hospital admission. Here is what CIO Review had to publish about eCashless:

“With eCashless, Medi Assist members are able to plan their hospitalization comfortably from home or office using their MediBuddy mobile app. Members raise a request for preauthorization for treatment at their preferred network hospital and also indicate their preferred room type. The network hospital receives this request from Medi Assist online, confirms availability of room and provides an estimate for the treatment. Based on the confirmation from the hospital, Medi Assist sends a passcode-protected provisional preauthorization letter to the hospital. Simultaneously, the member receives a secure passcode on the mobile app confirming the provisional approval”.

To read the complete article, click here.

Medi Assist Wins SKOCH Award 2016

SKOCHWe’re so excited! Medi Assist is proud to be the recipient of the prestigious SKOCH Award, the highest independent honour in India, in the following categories:

–          Silver Award for Cloud, Mobility and Apps

–          Order of Merit Award for Innovation

This has been made possible by MediBuddy, our revolutionary technology platform that allows Medi Assist members to avail seamless and cashless access to inpatient and outpatient services; and, importantly, your constant encouragement and support!

Making Affordable Healthcare A Reality in Tamil Nadu

TNCMCHIS award

Nothing can be more fulfilling for us, both an institution as well as individuals, than contributing towards nation-building. Medi Assist takes great pride in partnering with Central and State Governments to administer medical benefits under a range of welfare programs for the citizens of India.

The following blog series gives you a brief insight of our collaboration with various state governments to make the dream of affordable healthcare a reality.

As part of our endeavor to make healthcare more accessible and affordable in the country, Medi Assist feels proud to be a partner to the Government of Tamil Nadu in the administration of the Tamil Nadu Chief Minister’s Comprehensive Health Insurance Scheme (TNCMCHIS), a scheme launched by the late Honorable Chief Minister, J. Jayalalitha, that has given millions of families in the state the gift of timely, convenient and cashless medical care.

Our journey in a nutshell

We commenced administering the TNCMCHIS scheme in 2012 and have consistently elevated our performance and levels of engagement over the years. Our systematic approach, with strong local presence and connect, has helped us steadily increase our outreach to the scheme’s beneficiaries across the state. Here are some key highlights of our work with the Government of Tamil Nadu.

• We have touched over 170 lakh lives and have processed over 6 lakh claims till date. We have a maintained a track record of swift claim approvals. More than 80 per cent of all preauthorization requests are approved within 6 hours and 65 per cent of all claims are settled within 3 days from the date of receipt.
• Timely preventive care goes a long way in attempting to reduce the cost of medical care. In a bid to optimize the cost of care, we have assisted the state government in conducting over 970 health camps, 780 special health camps and over 440 mega health camps all across the state.
• The floods in Chennai caused unprecedented havoc. Medi Assist played an active role in the rehabilitation of the affected families by conducting over 2,060 special flood health camps. We screened 1.11 lakh people and referred several thousands of them for further treatment.
• Our efforts have been recognized and commended. Medi Assist was conferred the prestigious “Best Practicesaward by the Chief Minister of Tamil Nadu in 2014 for the implementation of the scheme. We have also received over 25 other awards and appreciation certificates from various stakeholders.

Here are a few highlights of our journey together:

Target population: Families with annual income of less than Rs. 72,000
Sum Insured (Rs): Rs. 1 lakh/family/annum
Districts allocated: 10
Families covered: 50 lakh
Lives covered: 170 lakhs

The Tamil Nadu government is one of the governments we are pleased to work with. Stay tuned to read more about our association with other state governments in our upcoming blogs.

Affected by Demonetization? Opt for Cashless Medical Care with Medi Assist

ecashless-medibuddy-2The eCashless service from Medi Assist was recently covered by Business World. The article discussed how in times of demonetization, Medi Assist members can still avail all services covered under their health benefits policy in a cashless format. Here is an excerpt from the article.

“Medi Assist, a managed care organization, is helping millions of Indians ease the burden of managing medical expenses by making them cashless. The recent demonetization of high value notes, and the ongoing currency crunch in urban and rural areas alike, has left many Indian families worried about their immediate and imminent medical spend.

Medi Assist is making it possible for members to conveniently schedule their preferred medical service online using their MediBuddy mobile app and, importantly, availing all services covered under their health benefits policy in a cashless format”.

Click here to read the complete article.

Opt for a Speedy Reimbursement with Medi Assist

You are just about to be discharged from a recent hospitalization at a non-network hospital and you now plan to raise a reimbursement claim for your hospital expenses.

However, claiming a medical reimbursement for hospitalization may not be a straightforward task as there may be challenges involved in processing your claims. For example, there may be times when you may be required to submit additional documents and additional information on the treatment, which means sending multiple couriers. Moreover, the claim processing begins only after all your documents have been received in full, hence taking a longer duration to process your claims.

How would it be if you could enjoy a faster settlement of your reimbursement claim? Would it reduce your worries? Medi Assist can help you in doing this. All you need to do is follow a few simple steps.

1. Notify us in advance of your upcoming claim. This will help us be ready for your incoming claim.

2. Upload your documents online. We will check if we have received all the required documents and intimate you in case of any missing/additional documents that may be required so that you can upload them and avoid sending couriers multiple times. Medi Assist will also begin the process of settling your claims as soon as you upload all the documents on MediBuddy.

3. Send us the hard copy of all your bills and documents within 15 days from the date of discharge, as claims can be settled only upon receipt and validation of the hard copies.

So, fast-track your claim reimbursement process today! Watch the above video to know more.

ನಮಸ್ಕಾರ! Your Medi Assist Website Is Now Available in Kannada

Kannada websiteAs stakeholders in the healthcare ecosystem of a diverse and multilingual country as India, we at Medi Assist understand the importance of communication and believe in reaching out to the masses. More often than not, communicating in one’s mother tongue is what proves to be the ice-breaker and helps one connect with people. Keeping this in perspective, we already have a multi-lingual website.

Medi Assist is now proud to announce that we have added yet another popular language to our list. Our website is now available in Kannada. The Kannada website was launched by Dr. S. Chiranjeevi Reddy, Dy. General Manager, The New India Assurance Co. Ltd in Bangalore.

You can now explore the Kannada website by clicking the following link:

https://www.mediassistindia.com/kannada/

MediBuddy App: Your World of Healthcare in Your Pocket

MediBuddy appAs a Medi Assist member, you already enjoy a host of benefits related to your health insurance and wellness on the MediBuddy portal – access to a wide range of network hospitals, hassle-free cashless hospitalization, seamless claims reimbursement submissions, online health records, an option to order medicines, access to comprehensive health check packages, and more.

How would it be if you were able to carry all these features in your pocket? The MediBuddy app helps you do exactly that.

The MediBuddy mobile app is a powerful self-help tool, which helps you access a wide range of information in real-time on your smartphone, making it your true health buddy in times of planned or emergency hospitalization. The app, available for Android, iOS and Windows smartphone, allows you to access the following:

  • Policy coverage and benefits, contact information, e-cards and so on.
  • Cashless claim procedures, network hospitals, claim status and so on before/during hospitalization.
  • Reimbursement claims procedure, claim status, feedback and more after hospitalization.

So, pocket your health buddy! And manage your healthcare benefits on the go!

Ordering Medicines Made Simple with MediBuddy

Falling sick or encountering a medical condition which requires treatment is a regular part of life. And with treatment comes prescription medicines which you tend to buy from a nearby medical store. But there may be a possibility that the medical store may have run out of the drugs. There is also no guarantee that the store may have an alternative medicine or the substitute may have the required composition prescribed to you. Moreover, why even go to a medical store when you can purchase medicines from the comfort of your chair?

Now order your prescription medicines from Medi Assist and get them delivered to your preferred location in a simpler and faster way. Watch the above video to know how.

The Medi Assist advantage

Buying medicines from Medi Assist has several advantages.

  • Assured availability of prescription drugs
  • Genuineness of medicines
  • Attractive discounts on MRP of medicines
  • Multiple payment options including cash on delivery or cashless if the prescription is covered under your insurance policy

So, order your medicines on MediBuddy and save your precious time and money.

Medi Assist Forays Into Outpatient Healthcare Delivery With MediBuddy Infiniti

MediBuddy Infiniti_PRIn an interaction with the media persons in Bangalore, Prashant Jhaveri, Chief Business Officer and Satish Gidugu, COO, Medi Assist spoke about the new offering from the organization, MediBuddy Infiniti. This is what Satish had to share:

“What differentiates MediBuddy Infiniti in the market is our curated network of hospitals, clinics, and diagnostic centres. On Infiniti, you will find services offered by partner providers and specialist doctors that Medi Assist members have historically preferred and trusted for their medical needs. Our focus is on showcasing trusted providers rather than merely maximizing the number of listings.”

Scroll down to read the complete article or click here.

 

The Medi Assist Group, a managed healthcare organization, has launched MediBuddy Infiniti, the country’s first truly integrated online platform for discover, scheduling and management of curated  outpatient services. Infiniti brings together the might of 10,000+ trusted hospitals, diagnostics centres, medical clinics and authorized pharmacy partners in the Medi Assist Network to provide one-stop online platform for personalized outpatient services.

Medi Assist has delivered over 3 lakh health checks, 3 lakh+ outpatient consults and outpatient benefits of over INR 150 crores in the last fiscal.

Addressing media persons in Bangalore, Prashant Jhaveri, Chief Business Officer, Medi Assist said, “Seamless access to quality healthcare through the illness-to-wellness continuum at affordable prices is the need of the hour. We aim to leverage technology, partnerships and the magic of the human touch to deliver informed healthcare decisions to our members.”

Outpatient care is a recurring, and expensive, need for every family. A recent report by FICCI released in December 2015 suggests that primary healthcare accounts for over 70% of all medical spend and pegs the market at around INR 135,000 crores. The per capita spend of urban households on outpatient care is approximately INR 4,250 per person – a typical urban family of four adults, therefore, spends an average of INR 17,000/- per month on doctor consults, medicines and diagnostic labs.

With Infiniti, Medi Assist members will be able to discover, compare and schedule outpatient services of their choice, with a specialist doctor at their preferred network provider, at preferential pricing, on one comprehensive online platform.

Speaking about the latest offering, Satish Gidugu, COO, Medi Assist, said, “What differentiates MediBuddy Infiniti in the market is our curated network of hospitals, clinics, and diagnostic centres. On Infiniti, you will find services offered by partner providers and specialist doctors that Medi Assist members have historically preferred and trusted for their medical needs. Our focus is on showcasing trusted providers rather than merely maximizing the number of listings.”

On MediBuddy Infiniti, Medi Assist members will find an exhaustive listing of OPD services including preventive care packages, health checks for chronic condition management, doctor consults and second opinion services, home healthcare, doorstep pharmacy, and other unique services such as genome mapping and instant doctor connect. Currently covering over 45 cities, Infiniti will grow both in depth of catalogue as well as reach across the country in the months to come.

Medi Assist’ inherent strength is its ability to help members reduce overall spend and convert their transactions into a cashless format. For example, over 50% of all inpatient claims administered are availed by their members in the cashless format.

Satish further added that, “Having worked relentlessly with our partners to simplify access and delivery of inpatient care in a cashless format, it is now time to move outpatient benefits into the cashless realm in a much bigger way. While the discounts offered by our partner providers reduce cost of care, these services can become completely cashless if the OPD expenses are covered under a health insurance policy or a sponsored corporate wellness program administered by Medi Assist.”

MediBuddy Gets Featured On Times of India

The Times of  IndiaPage  No 18 18 Oct 2016ChennaiMedi Assist’s tech-based self-help tool, MediBuddy, has gained significant recognition in recent times. The Times of India, after a recent interview with Prashant Jhaveri, Head Products and Strategy, Medi Assist, ran an article today on health tech startups in which MediBuddy has a significant mention. You can read the complete article here.

 

 

MB_Infiniti

MediBuddy Infiniti Is Now Live!

MB_InfinitiMediBuddy∞, India’s first Curated Cashless Network for Outpatient Services is now live! You can now select and book your outpatient services such as health check packages and doctor consultations from a range of trusted health service providers brought together on one comprehensive platform. You can also order medicines that will be delivered to your doorstep by our authorized partners. And all you need to explore this network is your MediBuddy account.

So, discover a superior way of managing your outpatient services.

Discover MediBuddy Infiniti today!

Know Your Claim Status, Anytime and Anywhere

Inpatient hospitalization is the time when you are likely to opt for a cashless or reimbursement claim. In either case, tracking your claim becomes extremely important. For example, knowing whether your cashless request has been approved helps you in being prepared for your out-of-pocket expenses.

However, tracking claims in traditional ways can be time-consuming as you may spend significant time and effort calling up your contact centre or TPA trying to know the status of your claim. You may also end up anxiously awaiting a notification without having a clue about your claim status.

Why depend on them when there is a simpler, smarter and efficient way of tracking your claim? With the MediBuddy app, you can know the status of your claim in real-time. All you need to do is follow a few simple steps:

  • Download the MediBuddy app.
  • Click the ‘Claims’ tile.
  • Search for your claim number and click ‘details’ adjacent to the claim number to view the claim status.
  • You can alternately use your mobile browser to log into the MediBuddy portal and track your claim.

So, start tracking your claims the smarter way with MediBuddy. Watch this video to know more.

Medi Assist receives Leadership Award

Rajasthan-awardMedi Assist received the Leadership Award at the Healthcare Summit held at Jaipur on 23d September 2016. The prestigious award was presented by Shri Faggan Singh Kulaste, Govt.of Rajasthan and was received by Prashant Jhaveri, Head Products and Strategy, Medi Assist.

Tech and Touch Redefine the Future of Healthcare

IIFL-PostIn a recent interview with IIFL, Prashant Jhaveri, Head Products and Strategy, Medi Assist, spoke about how the future of healthcare is being redefined with the use of technology and the role of Medi Assist in making this possible. Here is an excerpt on what he had to share.

“Our award-winning technology platform, MediBuddy, provides a range of tools that empower every stakeholder in the healthcare ecosystem. The MediBuddy portal and mobile app help members access and manage their healthcare needs online, in real-time and on the go.

Hospitals use our MediBuddy+ portal to manage all cashless claims, from origination to settlement, online and in real-time. MediBuddy+ also allows medical centres to manage the booking and scheduling of wellness services, such as health checks, online.

The MIS reporting and analytics capabilities of MediBuddy allow decision makers to make informed choices and effectively manage their healthcare portfolio.”

To read the complete interview, click here.

Medi Assist E-card: Your Online Identity Card

Getting hospitalized? Or any of your dependents getting admitted to the hospital? Then carrying a Medi Assist e-card is absolutely mandatory. It identifies that you and your dependents are insured under a health insurance policy and Medi Assist has been assigned as your third party administrator (TPA).

But carrying a physical card has its limitations. A physical card identifies only one person in the family. Also, the family member getting admitted to the hospital may forget to carry the physical card with them during the time of admission. Moreover, why even carry a physical card with you when you can carry an e-card?

Your Medi Assist e-card allows you to carry the details of all your policy’s beneficiaries on your smartphone. All you have to do is to show your e-card on the MediBuddy app when requested at the insurance desk at the time of admission. Watch the video to know how you can do this.

Maintaining Your Health Records Made Easy With MediBuddy

You know that maintaining your health records such as doctor’s prescriptions, health screen reports, scans and test reports, and hospital discharge summaries is extremely important for your future reference. So, you put all your records in a file and put it away in a safe place.

But there are several drawbacks associated with this. One drawback is that you need to be highly organized without which, you may misplace a record or file. This means, the next time you want to retrieve it, you may not be able to find it. Another problem is that physical records and files deteriorate over time. All these may prove costly in critical times. And then, there is the problem of carrying these bulky records with you every time you need to visit a doctor or a lab for a scan.

You can now say goodbye to these problems. MediBuddy, your health buddy, helps you maintain all your health records at one safe and secure place. Not only this, but you can access these records anytime, anywhere and never lose them again.

Here is how it works

• Go to your MediBuddy online portal, click on the ‘Records’ tile and sign into your account.

• Upload all the records onto the secured digital repository. In order to scan the documents, simply take a picture of them.

• Whenever you need to view or download any of these records, sign in or just enter your details to access them through the MediBuddy portal or app.

So, switch to a secure and efficient way of storing your health records and accessing them anytime, from anywhere. Watch the video know how simple storing and retrieving records is with

Say Hello to Better Data Management with Agent.MediBuddy

 

agent portal new featureAt Medi Assist, we constantly work towards enhancing the user experience for our customers and healthcare partners. Keeping this in mind, a few months ago, we gave you insurance agents a whole new transformed MediBuddy portal with improved features.

We have now gone one step further to make life easier for you. Till now, you have maintained the data of your customer policies handled by Medi Assist on the MediBuddy agent portal while maintaining data of non-Medi Assist customers on other data management platforms. We have now made it possible for you to maintain the details of all your customers and their policies on the agent portal. And this includes policies that are not administered by Medi Assist. This means that you no longer need to use multiple data management tools to maintain your customer data.

What’s more? You can also set reminders to stay updated about the upcoming policy renewals of your customers.

Our improved agent portal also enables you to:

  • Create your own preferred login to access your MediBuddy’s features.
  • Gain visibility into your customers and their policies
  • Get real-time status of your customers’ claims.
  • Instantly download e-cards for any of your customers anytime from anywhere, and
  • Use our map-based search to locate a preferred network hospital in your vicinity or filter network hospitals by insurers.

So, what are you waiting for? Log into your MediBuddy portal today and start maintaining all your customer records on one platform, specifically designed for you!

Medi Assist Wins CIO100 2016 Award

CIO100Medi Assist is the proud recipient of CIO100 award for the year 2016, often referred to as the ‘Oscar of the IT industry’ under the category ‘Information Mastermind’. This is recognition of MediBuddy as a revolutionary technology platform that revolutionizes the health insurance industry. The award was received by Himanshu Rastogi, CIO – Medi Assist.

Here is an excerpt from our project submission to CIO awards:

“MediBuddy is a revolutionary technology platform that transforms the health insurance industry at the very core. MediBuddy, with its diverse offerings for various stakeholders of the health benefits industry, makes the process of discovering, accessing, utilizing and monitoring health benefits seamless, real-time and virtually paperless. Here are some notable features of MediBuddy:

  1. Members can sign-up for MediBuddy with a username / password of their own choice. They can then access, raise, manage and track their claims in real-time using both the MediBuddy portal as well as the mobile app.
  2. Members can opt for eCashless on MediBuddy to obtain a provisional preauthorization from the comfort of their homes using their mobile app. Not only does eCashless eliminate all wait time and anxiety at the time of hospitalization, it also gives members full visibility into their cost of care and out-of-pocket expenses so members can plan all aspects of their hospitalization better.
  3. Particularly useful in the case of emergency hospitalization, members can use the GPS-enabled network hospital search to locate hospitals within their insurer network in their vicinity.
  4. Hospitals can use the MediBuddy platform to manage all cashless claims, from origination to settlement, online and in real-time. No more illegible faxes or emails; patients can now get their preauthorization much faster.
  5. With the ability to raise claims online and save all documents in digital format, MediBuddy makes the entire lifecycle of health benefits virtually paperless by saving all records on the cloud. Members can access records anytime, anywhere, and on-the-go – and forever.”

Medi Assist Gets Listed On CIO Review India

CIO review image

Medi Assist Group has got listed on CIO Review India as one of the top ‘20 most promising medical technology solution providers 2016′ – an excellent validation of our technology platform, MediBuddy.

The September issue of the magazine carries a detailed article on how MediBuddy platform caters to our customers as well as various stakeholders. For example, the MediBuddy portal and app, our tech-based self-help tools help our customers avail cashless hospitalization, raise claims effortlessly and enjoy a host of other features designed exclusively to make healthcare actionable. The MediBuddy+ portal helps healthcare providers manage healthcare benefits from their end.

The article also talks about how Medi Assist plans to enable the MediBuddy platform to morph into a one-stop gateway for all healthcare needs of an individual.

Click the following link to read the complete article on Page 32 of the magazine

http://www.cioreviewindia.com/magazines/medical-technology-special-september-2016/

 

Namaskaram! Your Medi Assist Website Is Now Available in Malayalam

MediAssist Malayalam Website LaunchHealth benefits of an insurance policy are often a complex matter to comprehend, but it is something that everyone in the family should be aware of. It therefore, becomes imperative that everyone, including the senior members of the family, the rural sector and those benefiting from government schemes be approached in their own preferred language and native tongue. Keeping this in perspective, we already have a multi-lingual website. We are now proud to announce that we have added yet another popular language to our list.

Medi Assist is happy to announce the launch of our Malayalam website. The website was jointly launched by senior members of the insurance industry, Mr. John Philip, New India Assurance; Mr. K Jothinathan, Oriental Insurance; Mr. Abhijit Chattopadhyay, National Insurance; and Mr. V. Ramachandran, United India Insurance, alongside Dr. Vikram Chhatwal, CEO and Chairman, Medi Assist, in Kochi. The Malayalam version of the website can be explored by clicking the following link.

https://www.mediassistindia.com/malayalam/

Stay tuned, as we add more languages and say hello to you in one of your own!

Your Health Buddy Just Got A Make-over!

MB app playstoreYour very own MediBuddy app, that lets you manage your health benefits and wellness with ease, now has a new and upgraded version available on the Google Play Store! Apart from an enhanced look and feel, you will now enjoy a host of additional features such as:

  • Notifications on your phone – which keeps you informed of the status of your claims and other important information, even when you are not using the app or your device
  • Dynamic search for network hospitals on the map – which allows you to click anywhere on the map to locate a hospital
  • Use the app in offline mode – which lets you download and access your e-card, as well as the entire document repository
  • Take a picture directly from the app – to allow you to upload your prescriptions and other documents in an instant
  • Ability to change your password – to ensure safety of your account
  • Auto-upgrade for existing MediBuddy users – our promise of convenience holds true!

Navigate through the new and improved MediBuddy app today, and revel in the experience of an upgrade!

Don’t have the MediBuddy app yet? Download it today from the Google Play Store.

Stay tuned for more information on the exciting new features.

Blending Tech, Touch & Intelligence to Deliver on All Fronts of Healthcare

Prashant Jhaveri, Head, Products and Strategy, Medi Assist Healthcare Services recently wrote an article for the Business World magazine in which he discussed how TPAs are transforming from being just organizations that process  laims, into partners who help organizations solve for all realms of healthcare. He also discussed how organizations can choose a TPA partner who delivers on all fronts of healthcare– cost, excellence, insights and customer experience.

Scroll down to read the complete article, or click here.

“In many ways, Third Party Administrators (TPAs) are slowly stepping out from the shadows into a healthcare industry that is at the cusp of transformation.

Responsible for processing claims of the insured on behalf of the insurer, TPAs have for long ensured that stakeholders in the healthcare industry concentrate on their core competencies – insurers on underwriting risks and product innovation; medical care providers on enabling high quality of care; and corporate HR on elevating employee experience.

In recent years, TPAs have transformed into being much more than just an organization that manages claims; they are increasingly donning the role of a partner who helps organizations solve for all realms of healthcare and also makes health benefits actionable to their largely young and tech-savvy employee base.

If you are a corporate decision maker, choosing the right TPA can significantly impact the bouquet of services you offer to your people, the cost at which you make these available to them and also the employee experience you enable for them.

While cost has traditionally been the most important parameter applied to evaluate a TPA, in today’s day and age, your choice must be driven by many other aspects. Here is a contemporary guide to choosing a TPA partner who can help you deliver on all fronts – cost, excellence, customer experience and insights.

TECHNOLOGY

Choose a TPA who understands and leverages the power of technology. Adopting a technology-first approach to claims management can go a long way in maximizing productivity and minimizing inefficiencies. Your TPA should be capable of empowering your employees with self-help tools to independently access their e-cards and policy details, raise and track claims online, and access benefits on-the-go using their mobile phones.

Technology-oriented innovations like eCashlessTM can today give employees the ability to “book” a cashless hospitalization using a mobile app and reduce wait time at the hospital during admission by as much as 95 per cent.

The customer experience enabled during cashless hospitalization is a true litmus test for a TPA. TPAs who are able to leverage technology to simplify the process of choosing an ideal network hospital and also systematically reduce the time taken to process a preauthorization request would pass the litmus test with flying colours.

TOUCH

Choose a TPA who appreciates the fact that the magic of the human connect is irreplaceable. From enabling access to a predictable customer support and governance structure, to constantly engaging with your employees at various junctures of their healthcare lifecycle, TPAs must have the ability to truly touch every life they service.

At Medi Assist, we leverage two innovative consumer touch points at two opposite ends of the spectrum. With our CareRangers program, we check on the well-being of our members by their bedside at the hospital when the family in the throes of a medical emergency. On the other end of the spectrum is ChampCamp, our high-energy onsite event that has helped us create awareness about health benefits among more than 50,000 Gen Y professionals in less than one year.

OPERATIONS

Your TPA must demonstrate a deep understanding of their core operations – claims management – and also a willingness to constantly evolve with the rapidly changing world around them. Building robust systems that increase process accuracy and scalability, and adopting industry best practices such as paperless processing, digital receipt and storage of documents, real-time access, analytics, etc., can be significant differentiators for TPAs today.

Fraud and abuse control are a natural extension of strong operations. Your TPA must adopt the right blend of technology, to automatically flag suspicious activities, and people, whose timely intervention can safeguard the interests of all stakeholders in the ecosystem.

Couple these with the need to demonstrate full knowledge of regulatory norms, and compliance with statutory regulations and audit practices, and you have a TPA whom you can rely on to manage your health benefits conscientiously.

INTELLIGENCE

Partner with a TPA who empowers you to control and channelize your health spend effectively. TPAs have always been instrumental in reducing overall cost of care by enabling cashless hospitalization at preferred tariffs. TPAs are also entrusted with generation of MIS reports to evaluate adherence to SLAs.

Your TPA must go one step further to help you analyse your portfolio and give you actionable insights – top ailments where your benefits are being spent, demographical contribution, year-on-year movement of incurred claims ratio (ICR) and, importantly, predictive analysis that can help you design your benefits programs effectively in the coming years.

Clearly, the role of a TPA has morphed in recent years – and interestingly, this transformation is led by the growing needs of your growing organization and the demands of your savvy employees. Let’s welcome this paradigm shift and prepare for a future where employee delight hinges as much on experience as it does on cost and other traditional parameters – with a TPA and an insurer partner who share your vision and can match your pace of growth”.

Medi Assist Aims at Optimizing Maternity Costs

Maternity_story_1BannerAn article by Medi Assist on how we leverage technology and networking prowess to help parents-to-be optimize their expenditure and maximize convenience during maternity, recently appeared in the newspaper. Click here to read the complete article.

Me.MediBuddy.in: The Freedom to Enjoy Seamless Access to Health Benefits

At Medi Assist, we believe that self-help is empowering; and the rapid adoption of MediBuddy, our self-help technology platform, is a testament to this fact. MediBuddy, available both as an online portal as well as a mobile app, is today actively used by several million users; and we continue to add over 50,000 new users to the platform each month. And this is just the beginning…

A few months earlier, through Me.MediBuddy, we launched the ability for our retail customers to sign up and activate their MediBuddy accounts on their own without any intervention from us. We now make this capability available to our corporate customers too. Me.MediBuddy now is a common point of access for all our customers, corporate or retail, irrespective of whether a MediBuddy account has been set up earlier or not. Here’s a brief on how Me.MediBuddy works:

 

  • If you are an employee of an organization whose group medical cover (GMC) policy is managed by Medi Assist, you can begin the activation of your MediBuddy account by entering your employee ID, company name and birth date.
    • MediBuddy identifies you based on your inputs, and if a username has already been allotted to you to access your exclusive corporate portal, prompts you to sign in with your pre-defined credentials.
    • In case you don’t remember your credentials, MediBuddy allows you to securely retrieve your username and also reset your password. You can, of course, reset your password only using your registered corporate email ID.
    • If a single sign-on facility has been activated for your organization, you will be automatically taken to your company’s single sign-on gateway and no password would be required.

 

  • On the other hand, if no predetermined username has been defined for access to your GMC, you can sign up for MediBuddy with your preferred username and password.

 

  • If you are a retail policy holder, you can identify yourself with your policy number and Medi Assist ID (MA ID) and then sign up with a username and password of your choice.

 

Once you have signed up, you can enjoy seamless access to a wide range of services online – policy terms, e-card, eCashless for planned hospitalization, online submission of reimbursement claims, real-time claims tracking, online repository of medical records, and a host of other services.

 

What more, you can then use the same credentials to log into the MediBuddy mobile app (available for Android, iOS and Windows) for access to health benefits on the go!

 

What better way to usher in the 70th Independence Day of our country than empowering our members with Freedom of choice and the ability to Independently manage their health benefits? So, go ahead. Click here to sign-up and activate your me.MediBuddy account today!

Leave No Room for Doubt… Ensure That Your Customers Choose You!

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In this tech-age, our members are increasingly choosing the most convenient way to plan their hospitalization; through our revolutionary eCashless service on the MediBuddy portal and app, where your customers are able to get a provisional pre-authorization even before stepping into your hospital. And on this platform, they get the flexibility to pick their network hospital based on their location, room type requirement and any other amenities that they feel are important to them.

Your hospital fits the requirements of your customers perfectly, and you may be just in their vicinity. But unless you showcase it to them, they would have no knowledge of the same.

Your endeavor must therefore be to present yourself on eCashless while your customer is making his choice. A sure shot manner, in which you can achieve this, is by completing your profile on MediBuddy+.

Simply update the following information:

Location

When a customer chooses an eCashless hospitalization, a GPS enabled search helps to identify their location and give search results corresponding to the nearest hospitals that fall within the insurer network. If you are within reach, you must update your location in order to be seen on their eCashless page.

Rooms section on MediBuddy+

Your customers will be able to choose a room at your hospital based on:

• The type of room and room rent

• The number of beds available per room, and

• The amenities available in the room.

By making all of the above information available upfront, you make it convenient for your customer to choose your hospital over others!

 

Update your MediBuddy+ profile page today!

Thrill Your Customers With All The Information They Seek!

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All customers are unique and have their own set of requirements for out-patient services such as medical tests, consultations, and health checks. When it comes to making a choice of a health check package or a specialist, customers grade their preferences on different parameters; such as the list of tests in a package, rates and prices, doctor’s credentials, slot availability and so on….

In the universe of choices available today to Medi Assist members, you have the advantage of having qualified doctors on panel and health check packages at discounted tariffs, and MediBuddy+ lets you showcase this advantage on MediBuddy Infiniti, which is where our members are searching for you.

MediBuddy Infiniti is your curated network for outpatient services, where your potential customers get all the information they seek on one single platform. To be chosen by them, you must feature on that page where they are looking for you on MediBuddy Infiniti, which gets updated only when you complete your profile on MediBuddy+.

Update the Health Checks Section:

Simply populate the Health Checks page with the following details:

• The type of health package available and its price

• The tests and consultations covered in the package, and

• Any necessary instructions that need to be followed

Update the Doctor’s Section:

Add the following details regarding your specialist doctors:

• Qualifications and experience of the doctor

• Area of core specialization

• Consultation fees

• Availability

Don’t Remain an Option For Your Potential Customers, Become Their Choice!

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Hospitalization is an important decision for your customers. Be it for themselves, or for their loved ones, they are riddled with apprehensions and queries. They begin their search with a range of parameters in mind so that they are able to zero in on the best hospital that caters to their needs.

Even if your hospital has all the amenities that a customer is looking for, how do you make sure that you figure on their list? This is where your profile page on MediBuddy+ can help you!

With a completed profile page, you are able to provide your customers with all the information they are looking for at that critical moment when they are making a choice so that they choose you over others.

Also, more and more Medi Assist members are choosing eCashless for the convenience and simplicity which they experience when opting for a planned hospitalization. For your hospital to be chosen by such customers, you must feature on that page where they are searching for you, which gets updated only when you update your profile on MediBuddy+.

A detailed profile page can help you showcase, everything that a potential customer would want to know before they make their final choice.

• Showcase the health packages available to your customers along with package prices

• Update your doctors’ profiles

• Showcase the facilities and amenities available at your hospital

• Upload photos of your room types available to your customers

• Update your location, so that customers can find you easily through a quick network hospital search

Don’t lose out on the chance to turn up at the top of your customer’s list.

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Your Profile gives You the Power to be Discovered

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Now that you are familiar with the versatility of MediBuddy+, the next step is to leverage the unique features of MediBuddy+ to increase your discoverability among potential customers.

The profile that you create on MediBuddy+ is almost like a ‘feeder’ to the platform where 14 million Medi Assist members and your potential customers are converging for their in-patient and out-patient medical needs. It therefore, becomes essential for you to be present on that platform to showcase all your services during that critical moment when the customers are making their choice; and choose you over others.

Medi Assist members prefer to use eCashless on their MediBuddy mobile app to plan their hospitalization from the comfort of their homes – based on the room type, amenities, and pictures that you upload on your MediBuddy+ profile page.

And they discover a range of outpatient services – from the catalogue you populate on your MediBuddy+ on their exclusive cashless outpatient network, MediBuddy∞.

Complete your profile page on MediBuddy+ today to become your customer’s first choice!

eCashless

The eCashless feature is a hassle-free method to avail cashless hospitalization on the MediBuddy app. It helps save time for you and your customers by providing a provisional pre-authorization, even before they step into the hospital. The benefit of eCashless can be availed at any network hospital and also gives your customers full visibility into the costs of the hospitalization.

MediBuddy∞

MediBuddy∞ is Your Curated Cashless Network for Outpatient Services; where we partner to enhance access to a wide range of wellness services. Our members choose from a catalogue that you have yourself uploaded on our portal. Patients will be able to purchase and take an appointment for a wellness service online and you will have the ability to confirm the same in real time.

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We have some Good News!

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MediBuddy+ has now morphed into India’s first integrated portal for management of in-patient claims and out-patient services.
4500+ hospitals, just like you, bank on MediBuddy+ to manage all their cashless claims. We are happy to add another dimension to our engagement with you.

4500+ hospitals, just like you, bank on MediBuddy+ to manage all their cashless claims. We are happy to add another dimension to our engagement with you.

MediBuddy+ now aims to transform the way you can manage the critical aspects of your out-patient services; no more hassles with booking, scheduling or payments!

Get the MediBuddy+ advantage today by completing your hospital profile with the following details:

• Health Checks – Create a catalogue of health check packages including tests, tariffs etc. and schedule the same as per slot availability

• Doctors – Provide details about your specialists and schedule appointments based on their timings and availability.

• Amenities – Provide information on your best-in-class medical and general amenities

• Rooms – Upload pictures of the types of rooms available along with tariffs

• Location – Update your location on the map to make yourself visible during map searches

Log into hospital.medibuddy.in to update your details today!

For any queries, please write to hospital.medibuddy@mediassistindia.com.

Obtain Pre-authorization within Minutes With eCashless

You have been advised a surgery by your doctor for a minor fracture. You are aware that you can avail cashless hospitalization at a network hospital covered under your insurer. However, obtaining pre-authorization on the day of admission can be a long and painful process as chances are that you may have to stand in the queue at the hospitalization insurance desk filling up forms while waiting anxiously for hours to know whether your request for cashless hospitalization will be approved.

Why not opt for a better way of availing cashless hospitalization for your surgery? Say hello to eCashless by Medi Assist. With eCashless, you can skip the long wait at the hospital insurance desk. Instead, you can avail the cashless facility from the comfort of your home, that too within a few minutes.

Here is a testimonial from Shylendra Kumar from DBOI Global Services who recently opted for eCashless.

“We are very much happy and satisfied with the initiative you had taken on our claim and the quick turnaround in getting our ticket approved knowing the urgency of the patient’s discharge from the hospital. You were kind enough while talking to us and understanding our requirements and our status in the hospital.

Appreciate your good work and effort involved in settling our claim”.

You too can avail the benefits of eCashless for your hospitalization. Watch the video to know how.

Making Hearts Smile

musical_elementsMedi Assist now has a Theme Song!

Titled “Making Hearts Smile”, this tune exudes the Medi Assist philosophy of making healthcare affordable, accessible, and actionable for everyone of our 140 million members.

What makes this theme song so much more special is that it is composed in-house; the tune is conceptualized and directed by some of your colleagues; every instrument you hear is played by a Medi Assist employee, and every voice you hear in the chorus is a Medi Assist voice.

Let’s celebrate the joy of working together, surrounded by incredibly talented colleagues, to make every heart smile – ‘coz the heart smiles only when it experiences absolute peace and unadulterated happiness.

Do listen and we hope you love it just as much as we do!

This tune is now the official call wait tune at our call centre! Want to make it your caller tune? Write to commshub@mahs.in and if we have enough requests, we will try to speak with the service providers and see if this can be done.

Network Hospital Search Made Easy

Deepa is pregnant and she has just completed her first trimester. Being a smart woman, she knows which doctor she should consult during her pregnancy, what diet she should follow, what exercises she should do, and where she should get her scans done during her pregnancy. She has even planned her delivery in advance. She knows that the best place to get admitted for her delivery is a network hospital covered under her insurer, as she has the option of availing cashless hospitalization and she has fewer out-of-pocket expenses to worry about. However, she has one problem – how to find out which hospital is covered under her insurer in her city?

Deepa’s husband Kiran has a simple solution for this dilemma. Being a Medi Assist customer, he is aware of the network hospital search feature available to him. Medi Assist’s network hospital search feature allows him to search all hospitals within their city, closest to their location. What’s more?  He can also filter his search based on the insurer and the specialty he is looking for. This helps him zero in on the closest hospital to their location, where Kiran can get his wife admitted when the time of hospitalization arrives.

Now Deepa can rest assured knowing that she doesn’t have to worry about finding out where she can get cashless admission for her delivery.

You too can find out your network hospital through Medi Assist’s network hospital search. Watch the video to know how.

The Changing Face of TPAs

Prashant-JhaveriPrashant Jhaveri, Head, Products and Strategy, Medi Assist Healthcare Services, was recently interviewed by Healthcare Radius, a healthcare magazine for Indian healthcare professionals. Discussing about changing face of health insurance third party administrators (TPA), this is what he had to say:

“TPAs are an integral part of the rapidly evolving healthcare ecosystem – they are the bridge between insurance companies, hospitals and their customers, facilitating seamless access to cashless health insurance benefits. Going by the observable trends in the Indian healthcare industry, the role of TPAs is only going to widen in the years to come. TPAs play the unique role of an aggregator in the industry; they empanel hospitals into their network to enable cashless hospitalization for their members. TPAs bring insurance companies, hospitals, ambulatory healthcare service providers, pharmacies, corporates, and individuals together, and as the single point of contact for all of them, they manage a wide web of interactions seamlessly.

TPAs that can aggregate a wide spectrum of service providers will be in a position to attract many more consumers of healthcare. Service providers are also more willing to partner with TPAs that have a wide customer-base in a bid to reach out to a larger segment of the market”.

To read the complete article, click the following link:

http://edition.pagesuite-professional.co.uk/launch.aspx?pbid=900364d7-8bdf-4e78-a041-221f6e35ec15

Save on Your Maternity Costs With eCashless

Maternity_story_1BannerNina was overjoyed when she learnt that she was going to have a baby. At night, she lay awake dreaming of the endless cuddles, the cute little outfits and the warm feel of her new-born as she would hold it. But she also realized that preparing for motherhood also meant numerous visits to her gynaecologist, tests, scans and the delivery itself; resulting in medical expenses for which she must plan today.

The wise girl that Nina is, she promptly realizes that her health insurance policy has a maternity cover that she can utilize, and make her expenses completely cashless. But with that, she does not want to exhaust her insured amount; whatever money she saves could get utilized for her baby, should the need arise.

 

With ample time on her hands, she decides to plan her maternity expenses the eCashless way through MediBuddy! Not only does she get full visibility in advance into the expenses that she will incur, she also gets to enjoy discounts at the network hospitals she chooses for her tests and finally her delivery.

Here is how she did it:

Here is how she did it:
• She visited ecard.medibuddy.in to instantly download her eCard.
• She clicked the eCashless tile on her MediBuddy mobile app/online portal.
• She entered the details of her impending hospitalization and sent intimation 48 hours ahead of admission.
• She received a secure passcode confirming her provisional preauthorization.
• On the day of admission, she presented her secured pass-code, Medi Assist e-card and photo ID card at the hospital.
• She submitted any additional information as required to process interim claims and final bill before discharge.
• She tracked her claim in real-time by clicking the ‘Claims’ tile on MediBuddy, where she could simply use her claim number and an identification to get the latest update.

Nina had a bonny baby and she was completely worry-free throughout her pregnancy, thanks to her smart planning. Be smart like Nina, opt for eCashless!

Save Time on Your Hospitalization with eCashless

ecashless-medibuddy-2Time is of paramount importance when it comes to hospital admission. The prospect of going through the apparently time-consuming process of claims registration or obtaining pre-authorization for cashless hospitalization can seem to be a daunting task for a person who is already in the throes of a potential hospitalization.

Pre-authorization at the time of hospitalization always leads to a few tense moments. Besides leading to anxiousness about the estimated cost of treatment, the out-of-pocket expenses and availability of a preferred room type, family members also have to leave their unwell relatives unattended and wait at the insurance desk to get an approval for their pre-authorization for cashless treatment.

Medi Assist’s eCashless provides you a truly seamless cashless experience. It reduces wait time for pre-authorization at the hospital by as much as 90%. Patients can request a provisional pre-authorization from a laptop or mobile app, choose their preferred room type and get green channeled into their room on the date of admission. These go a long way in improving patient’s experience at the time of hospitalization.

Here is a testimonial from Sameer Lalani who recently opted for eCashless for his mother’s treatment. Here is what he had to say:

“Below is my experience post using the application:
Pros:
• User-friendly application – Right from viewing the list of hospital to download the E-Card
• Hassle free (No run around required with the TPA in the hospital)
• Less paperwork though does not compromise on the documentation process
• Reduced turnaround time as compared to approaching the TPA
• Regular SMS intimation informing the timeline for processing any request…

…The support provided by Medi Assist (Represented by Dr. Vishal) was amazing and has changed the perception in regards to the TPA’s”.

‘Namaskar’! Medi Assist website Is Now Available in Marathi!

Marathi websiteAt Medi Assist, we understand the importance of communication and believe in reaching out to the masses. More often than not, communicating in one’s mother tongue is what proves to be the ice-breaker and helps one connect with people.

Health benefits of an insurance policy is often a complex matter to grasp, but it is something that everyone in the family should be aware of. It therefore becomes imperative that everyone, including the senior members of the family, the rural sector and those benefiting from government schemes be approached in their own preferred language and native tongue. Keeping this in perspective, we already have a multi-lingual website up and running, and we are proud to announce that we have added yet another popular language to our list.

Medi Assist is happy to announce the launch of our Marathi website. The website was launched by the DGM of The New India Assurance, Mr. Dilip Sonawane in Mumbai. The Marathi version of the website can be explored by clicking on the link below.

Stay tuned, as we add more languages and say hello to you in one of your own!

mediassistindia.com/marathi/

How Ramesh Safeguarded his Sum Insured with eCashless

CostCutHappy-go-lucky and cheerful, Ramesh was popular in office and lived on the philosophy of ‘keeping life uncomplicated and easy’. Even when he realised that it was time his father got a knee replacement surgery, he was relaxed. He knew his company had insured him and his parents for a decent sum of Rs. 5 lakhs. He approached the best hospital in the city and asked for an estimated cost, which came to about Rs. 2 lakhs. Satisfied, Ramesh left the hospital with a smile.

One day, whistling his way to the cafeteria, he bumped into Suresh, his best friend and colleague from another department. They sat down for coffee, and Ramesh mentioned about his father’s impending knee replacement surgery and how he would smartly claim from the company-paid insurance. When he learnt of the estimate, Suresh became concerned. “My sister’s father-in-law also got the same surgery, for Rs. 1.5 lakhs. That’s Rs. 50,000 less than your estimate!” he said. “How does it matter?” laughed Ramesh, “I am not paying from my pocket anyway!” Suresh playfully hit him on the head, “and who is to safeguard your sum insured?” The puzzled look on Ramesh’s face made him realize that he had no clue about it.

Suresh stressed the importance of minimizing the costs for current hospitalization expenditures so that the sum insured is safeguarded for future use. “Your sum insured is fixed. The faster you use it up, the lesser you will have left for any expenditures you may want to make for other dependents!” He counselled Ramesh for a good 10 minutes until Ramesh realized his folly.

Since the knee replacement surgery could be planned in advance, he opted for the eCashless service provided by his TPA. The team at the TPA helped him to get full visibility into the costs involved in the surgery at a network hospital.

Ramesh actually ended up saving Rs. 50,000 of the amount from his sum insured, which he later used for his mother’s cataract surgery. And, he still had Rs. 3 Lakhs left that he could bank on for any other medical needs that his family may require.

That morning he woke up to see his parents in the balcony; his mother describing the new flowers in the Gulmohur tree, and his father standing strong on his two feet, with an arm around her shoulder. Ramesh now had more reasons to be happy.

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‘Vanakkam’! Medi Assist Launches Website in Tamil!

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We, at Medi Assist, understand the importance of communication, and believe in reaching out to the masses. More often than not, communicating in one’s mother tongue is what proves to be the ice-breaker and helps one connect with people.

Health benefits of an insurance policy is often a complex matter to grasp, but it is something that everyone in the family should be aware of. It therefore becomes imperative that everyone, including the senior members of the family, the rural sector and those benefiting from government schemes, be approached in their own preferred language and native tongue. Keeping this in perspective, we already have a multi-lingual website up and running, and we are proud to announce that we have added yet another popular language to our list.

The Tamil version of the website can be explored by clicking on the link below. Stay tuned, as we add more languages and say hello to you in one of your own!

mediassistindia.com/tamil

eCashless – Helping You Plan Your Hospitalization

ecashless-medibuddy-2Planning your hospitalization in advance can help you reduce your healthcare costs. The eCashless facility from Medi Assist not only helps you avail cashless hospitalization from the comfort of your home but also plan your hospitalization costs in advance.

All you need to do is log onto the MediBuddy portal or app and raise an eCashless request. Once Medi Assist receives this request, the request is forwarded to the hospital. Based on the recommended treatment, the hospital sends intimation to Medi Assist regarding the expected expenses for the treatment. Once this is received, Medi Assist applies your policy terms and conditions in order to calculate the provisionally approved amount for your treatment. You can view this on MediBuddy. This gives you an idea about the amount you should arrange for the surgery and plan your sources accordingly.

On the day of admission, all you need to do is take the patient to the hospital along with an e-card and photo ID and within a few minutes, the patient will be green-channeled into the operation theatre.

On the day of admission, all you need to do is take the patient to the hospital along with an e-card and photo ID and within a few minutes, the patient will be green-channeled into the operation theatre.

You can also raise reimbursement claims for the pre and post hospitalization costs as well as track your claims using the MediBuddy portal.

Here is a real life testimonial from Jeetendra Kulkarni from Intel who recently opted for the eCashless facility for planned hospitalization:

“I would like to thank you for providing the eCashless facility for a recent planned hospitalization in my family. Especially, I should highlight the assistance from your Dr Vishal through-out from the time of their involvement…

…I shall also be mentioning about this facility to our HR, as it was not available earlier and will be greatly helpful to all employees”.

Technology to Redefine Patient Care and Experience

Prashant-JhaveriPrashant Jhaveri, Head Products and Strategy, Medi Assist, recently discussed the importance of technology in patient care in a world where patient experience is becoming as critical a barometer as the quality of care”. This is what he had to share.

“As we gravitate towards a world where patient experience is becoming as critical a barometer as the quality of care, it is easy to see why technology is today a doctor’s best friend.

Technology for patient experience

There is a remarkable shift in the manner in which doctors engage with their patients. Doctors actively list their services on online portals and use social media for better outreach. They are comfortable with the idea of patient ratings and evaluation based on credentials, infrastructure, vicinity, cost, etc.

Hospitals use ERP systems to manage their business efficiently. Most network hospitals eschew faxes and emails to send patients’ pre-authorization requests and have adopted online platforms to manage cashless claims management online.

The advent of features such as eCashlessTM reduces wait time for pre-authorization at the hospital by as much as 90%. Patients can also request a provisional preauthorization from their mobile app, choose their preferred room type and get green channeled into their room on the date of admission. These go a long way in improving the patient experience at the time of hospitalization.

Technology for cashless care

Improving access to high-quality care and improving patient experience will continue to be the thrust areas of the future. However, another important dimension will come into play in the years to come – cashless care. Cashless facility is today mostly geared towards in-patient hospitalization. But as insurance products mature, cashless medical care will soon cover outpatient expenses and spend on medicines as well.

In the near future, patients will book their appointment for a consultation online, state their policy number in the request, make a payment for non-medical expenses via a payment gateway and carry their appointment confirmation and policy e-card with them to the medical centre on their mobile phone. They will be green channeled into the consultation room where the doctor will already have access to their e-records to review case history and latest statistics from their wearable device. After the consultation, the digital health records will be updated automatically with the doctor’s notes and prescriptions. The digital prescription for the medicines, also covered under the insurance policy, will directly reach the pharmacy. The patient will collect the medicines and leave the hospital after a truly cashless and paperless experience! Building a healthcare service providers’ network that is ready for this exciting future is the need of the hour.

Technology to deliver healthcare to rural India

Cashless facility outside the realm of in-patient hospitalization is also critical for the Government to implement the Universal Health Coverage program. In fact, managing health benefits for a large, diverse and populous country like India is no easy task. Technology plays a critical role in Government programs that provide health cover to millions of indigent Indians across multiple states. Biometrics-based e-cards for beneficiaries, paperless admission and claims management at network hospitals, SMS- and mobile app-based claims tracking for beneficiaries, integration with government systems for utilization tracking and MIS reporting, data analytics that empower government decision makers to derive intelligent insights from the enormous amounts of data collected from across the nation; technology must necessarily be at the heart of any initiative to administer such significant public healthcare schemes.

The time is ripe for all stakeholders in the healthcare industry to innovate and, importantly, collaborate with each other to utilize a common technology platform that can give Indians seamless and potentially cashless access to high quality healthcare anywhere in the country.”

Medi Assist Receives Appreciation from Visva-Bharati

TestimonialMedi Assist’s Kolkata office has yet received another feather in the cap!! Visva-Bharati recently expressed their satisfaction with Medi Assist’s services as a dependable and responsive TPA for the Vidyarthi Mediclaim Policy, through a letter of appreciation. The following is an excerpt from the letter.

“We express our satisfaction in dealing with you as a dependable, responsive TPA for our Vidyarthi Mediclaim Policy. Right from issuance of Mediclaim cards following new enrolment, claims, processing, approval of cashless authorization, generation of settlement of claim – so far you are delivering to our satisfaction”.

44,000 Health Conscious Techies Bat for Wellness and Fun with ChampCamp

IMG_0054ChampCamp from Medi Assist is in the news again. The interactive wellness program that includes health-related games, fun, and social engagement, was recently covered in detail by Business Wire India.

Scroll down to read the complete article, or click here.

Medi Assist, a managed healthcare organization that offers corporate wellness programs, has introduced ChampCamp, an interactive wellness program that includes health-related games, fun, and social engagement. In less than six months, ChampCamp has reached nearly 44,000 employees from more than 15 leading companies. Companies that have experienced ChampCamp are unanimous in their opinion that the format delivers lasting employee delight. Employees at Flipkart recently gave ChampCamp a happiness score of 4.6 out of 5.

ChampCamp has registered up to 40% increase in participation of employees at onsite health benefits and wellness events conducted for the likes of Flipkart, Adobe, Wipro, Persistent Technologies, Exilant, Syniverse, nVidia, Intel, Sabre, Nothern Trust and more.

“Holistic wellbeing is the key to employee welfare and happiness. Organizations, particularly in new-age sectors such as IT, ITES and e-commerce, see a direct correlation between corporate wellness programs and employee productivity,” says Satish Gidugu, COO, Medi Assist. “Unlike traditional programs and sessions, ChampCamp is an innovative onsite program that uses a combination of games, quizzes and engagement to appeal to young professionals,” he adds.

The need for wellness is equally understood by employees and organizations. A key employee retention strategy for corporates, such activities also promote work-life balance among employees. Ironically, however, budgets allocated towards wellness activities are often under-utilized due to low turnout during wellness events. This is primarily due to their staid program design; youngsters prefer activities that they can engage in with friends and share on social media. ChampCamp addresses this latent need for young professionals to go social with their wellness goals.

Persona-based, targeted communication appeals to the different audience profiles among employees; group fitness challenges encourage people to bring their friends along; theme-based games engage participants while they wait for their turn at the onsite event, and social engagement activities convert plain-vanilla camps into a fun filled event for employees.

About Medi Assist

Medi Assist is transforming the Indian healthcare ecosystem by making healthcare more accessible, affordable and actionable for millions of people around the country. It is changing the way the various stakeholders of the ecosystem – insurers, insured and medical service providers – interact with each other; while influencing the ecosystem to cover many more lives that today remain unserved.

A Red Herring Asia award winner in 2014, Medi Assist has been widely recognized for the innovative use of technology in the healthcare industry. The company has also been listed as one of Forbes India’s Hidden Gems in 2014. For more information, visit www.mahs.in.”

Chhattisgarh Chief Minister Visits Medi Assist Enrolment Centres

c201b887837182895d28d6e3b6212d11The Medi Assist enrolment centre at Devasara village in Kawarda district had the privilege of having the Hon’ble Chief Minister of Chhatisgarh, Dr. Raman Singh, during the enrolment of beneficiaries for the RSBY and MSBY schemes. About 54 out of the total 56 targeted beneficiaries in the village got enrolled.

The Hon’ble Chief Minister did an online distribution of the cards to all the beneficiaries enrolled into the scheme. He also had a few appreciative words to say about Medi Assist’s work towards the enrolment of beneficiaries to these schemes.

Kawarda District has been allotted to Medi Assist with effect from 1st April 2016.

eCashless: Enhancing Your Cashless Hospitalization Experience

Prashant-JhaveriPrashant Jhaveri, Head, Products and Strategy, Medi Assist Healthcare Services, was recently featured in an article on Healthcare Executive. He discussed how eCashless makes it possible to plan a cashless hospitalization from the comfort of your home. Here is what Prashant had to say:

Healthcare, Insurance and Technology

“Medical inflation in India stands at 12-15 percent as against a global average of 6-7 percent. With the cost of medical care constantly increasing, there is little doubt that more and more people will opt for health insurance policies to hedge themselves against the risk of high out-of-pocket expenses.

Cashless hospitalisation is one of the primary benefits availed by insured members. But, for a person who is already in the throes of a potential hospitalisation, the prospect of paperwork to obtain pre-authorisation for cashless hospitalisation can often seem to be a daunting task. In the case of an emergency hospitalisation, customers often seek instant guidance on choice of network hospital, cost of treatment, expected out-of-pocket expenses, necessary paperwork, etc.

Third party administrators (TPAs), as the conduits between the insurer and the insured, attempt to make these crucial touch-points as customer-friendly as possible; and technology plays a significant role in realising this goal. In fact, health benefits administrators cannot reach their true potential by merely processing claims. They must morph into technology and implementation partners and transform patient experience before, during and after hospitalisation.

Consumer Happiness during Planned Hospitalisation

Technology has significantly redefined consumer experience, wherein anything from a train ticket, to groceries or a family vacation can be accessed with the flick of a button on your smartphone. The time is ripe to leverage technology to enable the same experience within the healthcare industry, and certainly within the health benefits industry.

Pre-authorisation at the time of hospitalisation always leads to some tense moments. Predominantly a manual process, until the recent advent of online cashless claims managements systems, cashless hospitalisation requires members to obtain a pre-authorisation form at the insurance desk at the hospital, fill up the form in conjunction with the treating doctor, send it to the TPA via fax or email, await the approval from the TPA and then be ushered in for a cashless admission. Family members would often have to leave their unwell relatives unattended and wait at the insurance desk to know the status of their pre-authorisation request. This often leads to an agonising wait and loss of precious time for the insured as well as the hospital. This apart, there is also a lot of anxiety about the estimated cost of treatment, availability of a preferred room type and the out-of-pocket expenses that the family would have to incur.

The key to consumer satisfaction during hospitalisation lies in encouraging members to plan their hospitalisation with as much care, and importantly as much ease, as possible with the help of technology. Features such as eCashlessTM today make it possible to plan a cashless hospitalisation from the comfort of your home, with a smartphone, even before the expected date of hospitalisation.”

You can click here to read the entire article.

Network.medibuddy.in: Enhancing Your Network Hospital Search

Network Hospital   Medi Assist Insurance TPA Pvt. Ltd.Gagan from Gurgaon is working in a software company and is a member of the Medi Assist family. His father needs to undergo an emergency surgery. Gagan has enrolled his father as a beneficiary in his company’s group medical policy. He is aware of the cashless hospitalization facility available as part of his medical policy. Being smart, he searches for the nearest network hospital using 4 simple steps and gets a cashless hospitalization for his father.

Enhancing network hospital search

Searching through a vast network of hospitals can be a challenge. To make it easier, we gave you a map-based search on your MediBuddy app, where you can locate a network hospital close to your preferred location conveniently at your fingertips, be it planned hospitalization or an emergency.

Besides the MediBuddy app, you now have an additional option to search for our network hospitals. Welcome to network.medibuddy.in, the portal that gives you a list of our network hospitals in your city.

Finding a list of network hospitals in your city is simple. Here is how you can do it in 4 simple steps.

1) Go to network.medibuddy.in.
2) Select your city from the “Quick city selection” (or) enter your city in the search option to find the list of hospitals.
3) Select your insurer’s name from the drop down. If you do not know your insurer’s name, enter your employee details and click search to find the network hospital.
4) You will be shown all the network hospitals in your city.

So, get smart like Gagan. The next time you have an emergency hospitalization, act quickly and with confidence. Find a network hospital closest to you and get your loved ones immediate medical attention. You might also want to view this video to understand how to respond to medical emergencies and avail a cashless hospitalization.

Simplifying the Healthcare Ecosystem the TPA Way

Healthcare - Folder Name in Directory.Dr. Vikram Jit Singh Chhatwal, Chairman, and CEO, Medi Assist has written about how changing lifestyles of people, increasing awareness about holistic well-being and raising income levels of the middle class are increasing the expectations of Indian consumers from the healthcare industry. He also wrote about how Third Party Administrators (TPAs) are helping insurers in providing quick and hassle-free health benefits administration at lower costs.

 

To read the complete article, click the following link.
https://www.idfc.com/pdf/report/2013-14/Chapter-11.pdf

 

A World of New User Experience with MediBuddy+ v2.0

The MediBuddy+ portal for hospitals empowers you to move your entire claims management process online. From raising pre-authorization requests online for eCashless claims to enjoying faster settlement of outstanding claims, MediBuddy+ helps you extend cashless hospitalization to your patients with great ease.

Now,we are bringing to you MediBuddy+ v2.0, with improved features and a whole new user experience.

What has changed?

The following are a few feature improvements available now in your MediBuddy+.

1. Notifications

The new notifications tile automatically notifies you about new addition to claims or change in claim status, beginning from logging a new cashless/eCashless claim up to the claim being settled in case of approval.The notification tile also notifies you about the claims that have been approved, denied as well as claims being processed.

Apart from being updated about change in claim status, you can perform several necessary actions, which include raising enhancement costs for additional inpatient treatment, submitting missing documents and discharge documents.

2. Simpler claims search

The new version of MediBuddy+ offers you a simplified and unified claims search, instead of having multiple and distributed filters. The various search criteria include claim number, patient name, inpatient number and NEFT/UTR number. Besides a unified search, you can also search for claim details using the claim status including active claims, claims for which documents are awaited and claims that have been settled.Besides these, you can update patient’s date of discharge.

3. Submit discharge anytime

If you have found it difficult to submit a patient’s discharge on the tool when a patient’s claim was already being processed, you can now relax. You can now submit the patient’s discharge at any point of time, irrespective of whether an earlier claim is under process or not.

So, welcome to MediBuddy+ v2.0!! Welcome to a whole different world of user experience.

Plan Your Hospital Admission with eCashless

surgery-688378Ramya from Kanyakumari has been advised by the doctor in the outpatient department (OPD) to transfer her husband to the inpatient department for surgery in the coming week. Being a person who manages everything in the family in a planned way, she wants to convert her husband’s outpatient-to-inpatient transfer into planned hospitalization. For this, she chooses the eCashless facility from Medi Assist.

Ramya logs onto the MediBuddy app on her smartphone and submits an eCashless request for her husband’s surgery well in advance of the hospitalization. Medi Assist instantly gets a notification of the request and forwards the request to the concerned hospital. The hospital sends Medi Assist an estimated cost of treatment.

Medi Assist next validates the request and sends a provisional pre-authorization along with a secure passcode to Ramya. Medi Assist also sends her the approximate cost and approved cost for the surgery. Ramya can track all this on MediBuddy and plan accordingly for the co-pay in advance.

On the day of admission, all she needs to do is take her husband to the hospital along with an e-card and photo ID and within a few minutes, her husband will be green-channeled into the operation theatre.

She can also raise reimbursement claims for the pre and post hospitalization costs as well as track her claims using the MediBuddy portal.
You too can plan your outpatient-to-inpatient transfer in a planned way with eCashless. So, opt for eCashless and plan your hospitalization today.

CareRangers – The Army of Goodwill Ambassadors who Care for You

care coordinatorTouching lives, making a difference to our members, and becoming an indispensable part of everyone’s lives with meaningful solutions and offerings, is how we begin to define customer engagement at Medi Assist.

One of the most crucial touch points for us as your health benefits and wellness partner is in-patient hospitalization – the time when you or one of your loved ones is admitted at a hospital; the time when you utilize our core service, cashless hospitalization; and the time at which, more than anything else, you look forward to some reassurance that everything will soon be alright.

For the first time in the health benefits industry, we present CareRangers, our ambassadors whose sole mission is to personally touch you and your family and enquire about your well-being during a hospitalization.

Who is a CareRanger?

Think of our CareRanger as a friend who calls upon you during a hospitalization in your family and gives you timely help with matters related to your cashless hospitalization. Our CareRangers meet you at your network hospital, put your family members reasonably at ease and help in addressing any concerns you may have with respect to your claims.

Before they take leave, our CareRangers ensure that you are equipped with one or more of our channels for self-help to track claims and also manage your health benefits with ease in future. For example, you may learn about how you can track your claims using our MediBuddy mobile app, or how you can opt for an eCashless hospitalization in case of recurring treatments for chronic conditions or how even your senior relatives can get an instant update on your claim by simply sending an SMS to our registered mobile number.

Our CareRanger initiative has already touched hundreds of lives in several cities around the country and the response from our member has ranged from happiness to extreme delight! It is our endeavour to continue to live by our philosophy of “Going beyond impersonal channels and personally touching lives each day in ways often unanticipated by our members.”

Eliminate Waiting Time at the Hospital Insurance Desk With eCashless

ecashless-medibuddy-2David from Mumbai needs to take his father to the hospital for dialysis every week. He already knows where he needs to take him for his dialysis. He wants to choose cashless hospitalization but he also knows that it involves standing in a long queue at the hospital insurance desk. Being a recurring treatment, David does not want to stand in the queue every week to get his father’s dialysis done.

Instead, he chooses the eCashless facility, an innovative option available for Medi Assist members for planning their hospitalization. With eCashless, he knows he can skip the long wait at the hospital insurance desk every week. Instead, he can avail the cashless facility from the comfort of his home.

Being a smartphone user, David opens the MediBuddy app and submits an eCashless request for his father’s treatment. He uploads the doctor’s diagnosis, prescription, and other details to avail the facility. In a few hours, his claim is provisionally approved by Medi Assist and a secure passcode is sent to him.

On the day of treatment, David takes his father to the hospital, along with an e-card and photo ID, presents the secure passcode for eCashless at the insurance desk. The hospital uses the passcode to unlock the approval letter. David’s father is green-channeled into the dialysis room within minutes. This way, David completely cuts down his waiting time at the insurance desk.

Should you or any of your family members need to obtain recurring treatment, you too can eliminate the waiting time at the hospital’s insurance desk for a recurring treatment. Just download the MediBuddy app on your phone and opt for the eCashless facility today.

Nurturing the TPA Industry

budgetThe Union budget for the financial year 2016-17 was presented by the Union finance minister today. In this context, Prashant Jhaveri, Head of products and strategy at Medi Assist, was recently quoted in India Infoline and Financial Chronicle. Speaking about the growth of the TPA industry, Prashant highlighted the growth trajectory of the retail segment and also touched upon the likely investments required by the industry in the years to come.

Click the following links to read more.

http://www.indiainfoline.com/article/news-top-story/nurturing-the-tpa-industry-to-make-cashless-hospitalization-ubiquitous-116022600266_1.html

http://www.mydigitalfc.com/policy/everybody-wants-something-you-me-today-267

Plan Your Hospitalization Costs with eCashless

eCashless_logoChetan from Bhopal has been advised to undergo a surgery for his broken ankle. He also knows where he can get the surgery done. However, he does not know the exact cost of the surgery and what portion of the cost will be covered by his insurance policy so that he can arrange the remaining amount. Moreover, he cannot stand in a long queue at the hospital insurance desk in his present physical condition.

Fortunately, his friend is aware of the eCashless facility from Medi Assist which can help Chetan avail cashless hospitalization from the comfort of his house. He also knows that when he requests the eCashless facility, along with obtaining cashless treatment, he will also get to know the approximate amount covered by his policy. So, he recommends eCashless to Chetan.

Chetan logs onto the MediBuddy app and raises an eCashless request. Once Medi Assist receives this request, the request is forwarded to the hospital. Based on the recommended treatment, the hospital sends intimation to Medi Assist regarding the expected expenses for the treatment. Once this is received, Medi Assist applies Chetan’s policy terms and conditions in order to calculate the provisionally approved amount for his ankle surgery. Chetan can view this on his MediBuddy app. This gives him an idea about the amount he should arrange for the surgery and plan his sources accordingly.

You don’t need to visit the hospital to avail cashless facility. You can avail it from the comfort of your home and get an idea about the approved amount for your treatment. Just download the MediBuddy app or log into www.mediassistindia.com to request eCashless today.

Welcome Your Bundle of Joy with eCashless

pregnancy-792742_640The first eCashless request comes from Kashmir. Sunny and Aditi, a young couple from Kashmir, are looking forward to welcoming their little one into this world. Sunny is a member of the Medi Assist family. Being well-informed about Medi Assist services, he decides to opt for the eCashless service for planning his wife’s hospitalization.

Sunny wants to make this moment special for both of them by staying with her while their child comes into this world. With the eCashless option, he can also request for a preferred hospital room type. So, he logs on to his MediBuddy app, provides the necessary details, selects a preferred room type and sends the request.

Within a few hours of sending a request, Sunny gets a provisional pre-authorization from Medi Assist, which he can track on his MediBuddy app. He also receives a secure passcode. On the day of admission to the hospital, he takes his wife to the hospital, along with a photo-ID and his Medi Assist e-card, and presents the secure passcode at the insurance desk. He instantly receives his pre-authorization approval letter. In a few minutes, as per his previous request, Aditi and Sunny are green-channeled into his preferred type of room.

Sunny is absolutely delighted about the way cashless hospitalization is changing. Be part of this change. In the case of a need for planned hospitalization, think eCashless and nothing else.

3 Easy Steps to Access Your New MediBuddy Agent Portal

Healthcare - Folder Name in Directory.If you are an insurance agent, you may have already experienced our MediBuddy Agent portal. Let us make the experience more refreshing for you. Medi Assist welcomes you to the transforming world of MediBuddy with exciting new features. The new portal has features that are aimed at helping you, the insurance agent, take control of your customers’ health benefits and empower you with all the information you need to serve them better.

What are the features available to you?

The following are some of the features available to you:
– You can now create your own preferred login to access your MediBuddy’s features.
– You can gain visibility into your customers and their policies. Now, you can also know when your customers’ policies are due for renewal.
– You can get real-time status of your customers’ claims.
– You can instantly download e-cards for any of your customers anytime from anywhere.
– You can use our map-based search to locate a preferred network hospital in your vicinity or filter network hospitals by insurers.

In order to access these new features, you must first activate your account in the new portal.

How do you activate your account?

Activating your account is simple and secure. You need to just follow three simple steps:

1. Identify yourself

You need to identify yourself using your Agent ID & policy details of two of your customers. The policy details that are to be provided include their policy numbers and the policy holders’ name.

2. Update your contact details

Enter your contact details in the given fields. Make sure that you have entered your correct email ID and mobile number to which a secure one-time password (OTP), which is mandatory to confirm your login, will be sent.

3. Choose your preferred login

You can now select your own username and password to create your preferred login. Use the OTP you have received to confirm your profile.

You are now ready to use the portal. Click Login on the top of the page and use the credentials you have used for logging into your account. You can see all the policies for all your customers, download e-cards for them, see when their policies are due for renewal, and do much more.

So, what are you waiting for? Get started today!

Cashless Hospitalization – What You Should Know

Cashless hospitalization is a facility provided by the insurance company where the policy holder can get admitted and undergo necessary treatment without paying the hospital directly for the medical expenses. The eligible medical expenditure which is incurred is settled by the insurance company directly with the hospital. You can avail cashless hospitalization only in the hospitals that are part of your TPA’s network.

At Medi Assist, you can avail cashless and eCashless hospitalization at our network of hospitals. Following is a step-by-step procedure of availing the facility from Medi Assist.

1. Intimate us about your hospitalization at least 72 hours before hospitalization:
• MediBuddy: Intimate Cashless tile (or)
• SMS: CLAIM INT to +91 96641 72929 (or)
• Email: claimintimation@mediassistindia.com (or)
• Toll-free number: 1800 425 9449

2. Present your Medi Assist E-Card at the hospital during admission along with any other legally accepted identity card.

Note: You can log into your Medi Assist online portal and click Generate E-Card to instantly generate and print out an E-Card for any beneficiary.

3. Ensure that the hospital sends your pre-authorization form to Medi Assist:
• MediBuddy+ hospital portal: Log the request online (or)
• Email: cashless@mediassistindia.com (or)

4. Track your claim in real-time:
• Click the Claims tile on MediBuddy (or)
• Log into www.medibuddy.in and click the ‘Claims’ tab (or)
• Visit track.medibuddy.in to search claims by Claim ID, MA ID or Employee ID
• SMS “Claims (Claim Number)” to +91 96631 49992

5. Medi Assist sends the approval to the hospital. Further enhancement approvals may be issued on request, subject to terms and conditions of the policy.

6. In case, the request cannot be approved or if the expenses are not covered by your policy, you will have to settle the hospital bill in full and subsequently raise a reimbursement claim after discharge.

Note: Denial of a pre-authorization request must not be construed as denial of treatment or denial of coverage.

7. After discharge, the hospital will send all the documents related to your claim to Medi Assist for settlement.

Do Note:

• The hospital will ask you to pay for all the non-medical expenses in your bill.
• You will have to pay for all pre- and post-hospitalization expenses. These can be claimed only after the settlement of the main hospitalization claim.
• At the time of discharge, check and sign the original bills and the discharge summary. Do carry home a copy of the signed bill, discharge summary and all your investigation reports for future reference.

eCashless

You can now opt for cashless hospitalization using Medi Assist’s eCashless facility. With typical cashless hospitalization, the pre-authorization process takes time and this can be stressful especially on the day of your admission to the hospital as you have to wait for long hours at the insurance desk at the hospital. With eCashless, you can obtain a provisional pre-authorization well in advance of your hospitalization. All you need to do is carry your ID card, provisional pre-authorization on your MediBuddy app and your Medi Assist E-Card while getting admitted to the hospital.

To know more about how you can opt for eCashless, click here.

Note: In case of suppression of material facts or misrepresentation of facts by the hospital or the insured, the pre authorization issued for the cashless facility will stand cancelled. The insured will be liable to settle the hospital bill in full.

Claims Processing and Settlement: What You Should Know

Whether you have opted for cashless hospitalization or reimbursements, you are bound to make a claim if you are covered by a health insurance policy in case of hospitalization. With Medi Assist, your claim processing and settlement becomes simpler. Here is what you should know about getting your claims settled by us.

Technology at your disposal

Cashless or reimbursement; planned or emergency hospitalization; treatment at a network hospital or non-network hospital – as a holder of a Medi Assist card, you are eligible for hassle-free claims settlement. What more, we leverage technology at every step to help you raise requests easily, track claims in real-time, obtain approvals faster and receive reimbursements quicker:

Medi Assist Online Portal: The Medi Assist online portal allows you to add / modify beneficiaries to your policy, generate your e-card, raise reimbursement requests online, and also scan and upload your medical records to maintain your electronic health repository.
MediBuddy Mobile App: The MediBuddy mobile app allows you to send claims intimation, view policy details, browse network hospitals in the vicinity and importantly, track the status of your claims in real-time using your smartphone. All the functionality of the app is also available on our mobile-friendly portal, www.medibuddy.in.
MediBuddy+ Hospital Portal: This portal allows hospitals to raise and track cashless claims online. By eliminating disparate channels of communication and by moving all interactions onto an online portal, we help you obtain pre-authorization approvals faster.

Cashless Hospitalization

Following are the steps to make a claim for cashless hospitalization.

1. Intimate us about your hospitalization at least 72 hours before hospitalization.
2. Present your Medi Assist E-Card at the hospital during admission along with any other legally accepted identity card.
3. Ensure that the hospital sends your pre-authorization form to Medi Assist.
4. Track your claim in real time.
5. Medi Assist sends the approval to the hospital. Further enhancement approvals may be issued on request, subject to terms and conditions of the policy.
6. In case, the request cannot be approved or if the expenses are not covered by your policy, you will have to settle the hospital bill in full and subsequently raise a reimbursement claim after discharge.
7. After discharge, the hospital will send all the documents related to your claim to Medi Assist for settlement.

To understand in detail the cashless and Medi Assist’s eCashless process, click here.

Reimbursement

You can claim a reimbursement after discharge. Following are the steps to claim reimbursement.

1. Intimate us about your impending claim.
2. Present your Medi Assist e-card at the hospital during admission along with any other legally accepted identity card.
3. Submit your reimbursement claim online within 7 days from the date of discharge.
4. Send the original documents to Medi Assist Insurance TPA Private Limited within 30 days from the date of discharge from the hospital. You can either request your HR team to forward your documents on your behalf, or submit them at the Medi Assist Onsite Kiosk if applicable or courier them to the Medi Assist branch servicing your account. Visit our website, www.mediassistindia.com, for branch addresses.
5. Track your claim in real-time.
6. The medical team at Medi Assist processes the claim.

Following are the documents that you should submit while claiming a reimbursement:

• Original hospital final bill
• Original numbered receipts for payments made to the hospital
• Complete breakup of the hospital bill
• Original discharge summary
• All original investigation reports along with prescriptions
• All original medicine bills with relevant prescriptions
• Original signed claim form
• Copy of the Medi Assist ID card or current policy copy and previous years’ policy copies (if any)
• Covering letter stating your complete address, contact numbers, and email address (if available).

To know more about reimbursement claims, click here

Hospitalization, Claims and Expenses: Things You Should Know

As humans, we are bound to fall sick and get treated. We may even get hospitalized at some point of time. As a person who may be covered under a health insurance policy and opting for hospitalization, these are some basic things you should know about hospitalization, claims, and expenses.

Read on to know some of the basics of hospitalization.

Hospitalization

Hospitalization can be of two types:

  • Planned hospitalization
  • Emergency hospitalization.

Planned hospitalization happens when you have ample time to plan your admission to the hospital. For example, if your doctor advises a surgery for hernia anytime within a couple of weeks, you have time to plan your hospitalization. Emergency hospitalization happens typically in case of emergencies such as domestic accident or a road accident. One cannot plan such a hospitalization.

Benefits of planned hospitalizations

If you are aware of the fact that you or your family members require hospitalization in the near future, you can send prior intimation to Medi Assist to plan your hospitalization. Not only does this ease the admission and pre-authorization process, but it also helps reduce your overall cost of treatment wherever possible.

Once Medi Assist receives the intimation, we will help you plan everything including choosing a network hospital, opting for discounted packages, if available, and planning for cashless hospitalization. Here are the advantages of a planned hospitalization:

• You get a green-channel hospitalization which means that the hospital is aware of your impending admission and your wait time on the date of admission is significantly lesser.
• The Medi Assist executive helps you compare tariffs and facilities at various network hospitals so you can make an informed choice.
• You have the benefit of opting for discounted packages, negotiated by Medi Assist exclusively for our members, along with the benefit of cashless admission, wherever applicable.
• Even if your policy places a cap on your hospitalization expenses you can reduce your out-of-pocket expenses by choosing the discounted price available to you as a Medi Assist member.

Hospitalization expenses

Expenses associated with hospitalization can be classified as follows:

Pre-hospitalization expenses: When you’re unwell, you will most likely consult a physician first, who gets relevant investigations done before advising hospitalization. Such medical expenses incurred before hospitalization are called pre-hospitalization expenses.
Hospitalization expenses: All expenses incurred as part of your hospital stay as an in-patient can be termed as hospitalization expenses.
Post-hospitalization expenses: Some part of your treatment may extend beyond your hospitalization. It may involve follow-up visits to the doctor, prescription medication, further investigations, etc. Such medical expenses are called post-hospitalization expenses.
Domiciliary hospitalization expenses: This typically includes expenses related to domiciliary hospitalization – at-home medical treatment for more than three days for cases which in the normal course would require hospitalization. The exact circumstances / terms / exclusions related to domiciliary hospitalization would be spelled out in your policy document.

Apart from hospitalization expenses, your health insurance policy may also cover pre- and post-hospitalization expenses, and offer a cap for domiciliary expenses.

Claims

Depending on the situation and your policy coverage, you can make two types of health insurance claims:

Cashless: The essence of cashless hospitalization is that the insured need not make an upfront payment to the hospital at the time of admission. You may not have any out-of-pocket expenses towards hospitalization in this scenario. Cashless hospitalization can be availed only at a Medi Assist network hospital and upon approval of your pre-authorization application.
Reimbursement: A reimbursement claim is one where you pay all the expenses related to the hospitalization of the insured and claim a reimbursement of your expenses after discharge. Reimbursement claims may be filed in the following circumstances:
– Hospitalization at a non-network hospital
– Post-hospitalization and pre-hospitalization expenses
– Denial of pre-authorization for cashless facility at a network hospital.

Visit our website, www.mediassistindia.com, for the updated list of network hospitals.

Your Third Party Administrator: What You Should Know

If you are covered by a health insurance policy, you will be allocated a third party administrator or TPA by your insurance company. However, most people are unaware of who a TPA is or what a TPA does. Here is what you should know about the third party administrator.

• If you are reading this, this means that you have probably been assigned Medi Assist as your TPA for health insurance benefits managed by your organization. As a member of Medi Assist family, you are eligible for hassle-free health care insurance claims administration.

• What this really means for you is that, if you or any of your family members is covered under the insurance policy, we handle all the paperwork related to your claims. Wherever possible, we give you the benefit of cashless hospitalization; and we ensure that your claim is settled at the earliest.

• As a member of Medi Assist, you are not only entitled to hassle-free claims, but also several other health benefits.

• However, you should understand that TPAs are not the same as insurance companies.

What a third party administrator (TPA) does

A TPA is appointed by your insurance company to process your claims. This means that whenever you raise a claim for hospitalization for yourself or any of your family members covered under the policy, a TPA processes these claims.

What a TPA does not do

• Decide who is covered and what ailments/procedures are covered under your policy. Your insurance plan dictates these.

• Control your policy terms and conditions. Your insurance policy is developed by your insurance company.

• Decide admissible/non-admissible expenses. Your insurance policy dictates that.

• Approve/disapprove claim without reason. TPAs process claims strictly based on your policy terms and conditions.

6 Steps to Enjoy Host of Wellness Services

wellness checkHealthcare goes beyond in-patient hospitalization. It includes eating healthy and living a healthy life. An important part of maintaining good health is getting a periodic health check, regular lab tests and scans done. But running around in search of these services may be quite confusing and time-consuming.

How would it be if you could access a world of healthcare and wellness services on your palm? And how would it be if you can obtain them as a personalized package? Now, obtain access to a host of health and wellness services including annual health checks, specialist OPD appointments, lab tests and investigations, and much more through just a click.

Here is how you can obtain these services

1. Go to your MediBuddy app or the MediBuddy online portal

2. Click the ‘Wellness’ tile

3. Select the type of wellness program and package you want

4. Select your preferred network medical center

5. Select your preferred date and time

6. Book your appointment.

It is as easy as that. So, just pick up your phone or laptop and opt for your required health service today.

E-Card: An Efficient Way of Identifying Beneficiaries

ID cardDid you know that carrying a Medi Assist card is mandatory during your hospitalization? A Medi Assist card gives the hospital a confirmation that your insurance company has appointed Medi Assist as your TPA. However, carrying a physical card is often a challenge. A physical card gives confirmation of only one beneficiary in the family who is covered by Medi Assist. There is no guarantee that the beneficiary will carry a copy of the card while getting admitted to the hospital. Another challenge is that the card can either get lost or deteriorate due to wear and tear. Moreover, why do you want to carry around a physical card when you can carry an E-Card?

The Medi Assist E-Card helps you in carrying the details of all the beneficiaries of the insurance policy on your phone, instead of carrying individual physical cards. All you need to do is to flash the E-Card on your MediBuddy app upon request at the insurance desk in the hospital at the time of admission.

How can you do this?

Obtaining a Medi Assist E-Card is very simple. You can do it in two ways.

1. Logon to ecard.medibuddy.in and click ‘Download E-Card’.

2. Enter your Medi Assist ID/Employee ID/policy number or your claim ID.

3. Fill the other mandatory fields and click ‘View’ to verify and confirm your details.

4. You can now download the E-Card.

5. Alternately, go to your MediBuddy app. Click the ‘E-Card’ tile and enter your details. You can now view the E-Card on your app.

So, switch to a more efficient way. Download your E-Card today.

Medi Assist Launches its Portal for Retail Policy Holders – me.medibuddy.in

MediBuddy retail

Dr. S. Chiranjeevi Reddy and Satish Gidugu at the launch of me.medibuddy.in, Medi Assist’s portal for retail policy holders

January 29th 2016 was a monumental day for Medi Assist with the launch of me.medibuddy.in, the portal by Medi Assist aimed at retail policy holders. The MediBuddy retail portal aims at giving retail policy holders complete charge of their health benefit management and give them access to various self-help features.

Dr. S Chiranjeevi Reddy, DGM of New India Assurance launched the MediBuddy portal for retail policy holders. Also present during the launch were Ms. Neerja Kapur, Regional Manager, Mr. JK Rao, Health Manager and Dr. Sunil Nakka, New India Assurance. The MediBuddy retail portal is the first portal in the country to provide retail policy holders complete access to their health benefits.

Medi Assist has set another precedent in the industry.

me.MediBuddy.in: The Portal That Puts You at The Centre of Our Universe

If you are serviced by Medi Assist under your group insurance policy, you may have already experienced our MediBuddy online portal and app. However, if you are a retail policy holder, you will not be completely exposed to the MediBuddy online portal due to limited access. As part of group policy, you are already assigned user credentials which you can use to gain access and manage your health benefits and services. However, as a retail policy holder, you do not have the necessary credentials to gain access. This means that you have no control over how you manage your health benefits.

Now for the first time in the industry, retail policy holders who are serviced by Medi Assist can claim access to their own online portal.

Welcome to me.medibuddy.in, the portal that empowers every retail policy holder to take full charge of their health benefit management and give them access to various self-help features.

How can you do this?

Claiming your online portal is a 3-step simple process. Simply follow the steps given below.

1. Identify yourself

a. Visit our online portal me.medibuddy.in.
b. Enter your Medi Assist ID (MAID) or your health insurance policy number.
c. Enter your full name as mentioned in your policy document and your date of birth in the DD-MM-YYYY format.
d. Click Identify. MediBuddy identifies you and retrieves your basic profile information.

2. Complete your profile

a. Click the pencil icon to edit your profile.
b. Do enter your correct mobile number and email ID. Your secure one-time password (OTP), which is mandatory to confirm your login, will be sent to them.

3. Claim your preferred login!

a. Create your own account with your preferred username and password and sign up!
b. You will receive the OTP to your registered email ID and mobile number. Use this OTP to confirm your profile and claim your preferred login.
c. You can then use these credentials to login from the next time onwards.

The me.Medibuddy.in advantage

• With me.medibuddy.in, you have the freedom to create your own personalized credentials.
• Find our network hospitals close to your preferred location.
• Maintain your health records online and gain access to several healthcare and wellness services such as E-Card, prescription medicine and many more from the end of your fingertips.

With me.medibuddy.in, you can completely change the way you go for cashless hospitalization. Try our eCashless service to gain a pre-authorization well ahead of your hospitalization.

So, try me.medibuddy.in now and gain control over all your health benefits and wellness!!

4 Easy Steps to Speed-up Your Reimbursement Claim Settlement

health insuranceClaiming reimbursement for hospitalization may not be a straightforward task as there may be several challenges involved in processing your claims. There may be times when you may be required to submit additional details or documents, and additional information on the treatment. Moreover, the claim processing begins only after all your documents have been received in full. The time taken during the entire process can be stressful.

How would it be if you could enjoy a faster settlement of your reimbursement claim? Would it reduce your worries? Medi Assist can help you in doing this. All you need to do is intimate us of your upcoming claim online before the hospital discharge and upload your documents online on discharge. An advance notification of a reimbursement claim helps us to be ready, and uploading your documents online helps us start working towards your claim processing immediately.

How do you fast-track your reimbursement claim?

Fast-tracking your reimbursement claim is now simple. Just follow the steps below and we will help in settling your claims faster.

• Notify us in advance of your upcoming claim. Go to your MediBuddy app or medibuddy.in and click the ‘Reimbursement’ tile. Fill in the details and click ‘Intimate’. You can also intimate us about your upcoming claim by logging on to the MediBuddy online portal.

• For submitting all your documents online for a reimbursement claim, login to the online portal and fill up the necessary details. Just take a picture of your documents and upload them onto the portal.

• Once you have uploaded your documents online, we will check if we have received all the necessary documents. We will intimate you in case of any missing/additional documents that may be required, so that you can upload them before you courier us all the required documents. This will help you eliminate sending couriers multiple times and stop worrying about unnecessary delays.

• Medi Assist begins the process of settling your claims once you upload the scanned copies of documents on MediBuddy. However, do not forget to send us the hard copy of all your bills and documents you have uploaded within 15 days from the date of discharge, as claims can be settled only upon receipt and validation of the hard copies.

So, what are you waiting for? Fast-track your claim reimbursement process today.

3 Simple Ways to Track Your Claim in Real-time

health insuranceTracking claims becomes extremely important if you plan to raise a claim for hospitalization. If you plan to opt or cashless hospitalization, pre-authorization is an important process that determines whether you qualify for cashless hospitalization. Depending on the sum assured for your treatment, you can be prepared with the amount you have to pay from your pocket including co-pay. On the other hand, if you plan to raise a reimbursement claim, you are bound to go through significant amount of paperwork before your claim gets settled. The claim settlement may also get delayed due to insufficient or incorrect records. Tracking your claim in all these scenarios becomes absolutely necessary so that you can plan your next step in advance.

But, making a claim and tracking it using traditional ways can be quite overwhelming as you may end up spending significant time trying to track it without obtaining a satisfactory response.

Now you have a smarter and efficient way of tracking your claim in real-time using the various options Medi Assist provides. Want to check the status of a reimbursement claim or want to know if your request for cashless hospitalization has been approved before hospitalization? We can help you do this in real-time and from anywhere.

How can you do this?

Medi Assist provides several options to help you keep track of your claim based on your Claim number, Medi Assist ID, email address or mobile number. Here are the options you can use.

– Use your MediBuddy app and click the ‘Claims’ tile. Enter your claim number and other details to track your claim. Alternately, you can use your mobile browser or go online to track your claim on medibuddy.in.

– You can also go to track.medibuddy.in and enter your details to search for your claim details.

– Opting for our SMS alerts is another good way of keeping track of your claim. Just SMS Claims [Claim Number] to +91 96631 49992 to obtain real-time status of your claim.

So, why lose sleep on inconvenient claim tracking processes? Self-help is empowering. Choose one of the aforementioned options and keep track of your claim in real-time.

Now Order Medicines to Your Doorstep

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Falling sick and getting treated is an inescapable part of life. And with treatment comes prescription medicines, which can be bought from a medical store close to you. But there is no guarantee that the medicines prescribed to you are available at the medical store. There is also no guarantee that the alternate medicine provided by the pharmacist has the required composition prescribed to you. Moreover, why go to a medical store when it can come to you?

Now you can just order your prescription medicines from us and get it delivered to your doorstep in a simpler and faster way.

 

This is how you can do it

• Go to the MediBuddy online portal and click the ‘Medicines’ tile.

• Enter the patient details, delivery address where the medicines need to be delivered, and preferred time of delivery.

• Upload a copy of your valid prescription. Search for your prescribed medicines and place the order.

Medicines will be handed over to you upon validating the original prescription.

Why order from us?

While you can go and buy your prescription medicines from your closest medical store, here are the advantages of ordering your medicines from us.

• Assured availability of prescription and specialty drugs.

• Genuineness of the medicines you are buying from us.

• Attractive discounts on MRP on the medicines you are buying.

• Multiple payment options – Cash on delivery, credit card, Medi Assist prepaid card, or cashless if the prescription is covered under the insurance.

So, why wait in a queue at the medical store without the surety of getting the prescribed medicine? Order from us, and save your precious time and money.

3 Simple Steps to Maintain Your Personal Health Records Safely

How do you usually maintain your health records? We bet, you maintain a file of all the prescriptions, scans and tests, health screening reports, discharge summaries, and store it in a safe place. However, there are several problems associated with maintaining physical records. One problem is that you must be extremely organized in order to make sure that you keep the records in the same file in the same location every time you take it out. If not, they can never be found when you need them the most due to misplacement. Another problem is that paper can deteriorate over the years. You may even end up losing an important record and this may prove costly to you. Do not forget about the cumbersome process of carrying a physical record with you every time you travel.

Now, it is simpler to maintain all the health records in one place and never lose them again. Moreover, you can access your record anytime and from any place you want. How can you do it? Simply use the MediBuddy app or online portal.

How does it work?

• Go to your MediBuddy online portal, click on the ‘Records’ tile and sign into your account.

• Upload all the records onto the secured digital repository. In order to scan the documents, simply take a picture of them.

• Whenever you need to access any of these records, sign in or just enter your details to access them. You can view your documents on the MediBuddy app and download them from the online portal.

So, say good bye to the inconvenient ways of storing your health records. Switch to secure and efficient ways of storing them securely and accessing them anytime and from anywhere.

Have you tried a Planned eCashless Hospitalization?

eCashless has something for everyone in the health insurance ecosystem. For you and me, eCashless offers a hassle-free method to get a provisional preauthorization before hospitalization using your MediBuddy app. For hospitals, eCashless the a great way to plan reservations and improve patient experience. And for the health insurance industry, eCashless means taking one definitive step into the future – a future driven by technology, mobility and extreme customer delight.

Here is how it works!!

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Read the whole story here-
Medi Assist introduces ‘eCashless’ feature to book cashless hospitalization

Medi Assist India Revolutionizes Cashless Hospitalization with eCashless

Medi Assist launches eCashless, a feature on their MediBuddy mobile app that allows members to plan a cashless hospitalization from the comfort of their homes before being admitted to hospital. Instead of queuing up at the hospitals, preauthorization request can be raised in just a few clicks. Member receives a secure passcode on the mobile app, straightaway walk into the hospital and presents the secure passcode along with a valid photo ID proof.

With the launch of eCashless, both the patient and the hospital are able to plan the hospitalization comfortably and well in advance. This marks one more step to improve our customer experience at the time of hospitalization.

 

Click here to see our eCashless video :

https://www.mediassistindia.com/ecashless/

The world is discovering  eCashless . Click the link below to read more:

http://tinyurl.com/hxcb2m5

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Reimbursements

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eCashless from Medi Assist

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Visit Medi Assist

Visit Medi Assist

Say hello to eCashless

Say hello to eCashless

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Track Your Claims

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Help us Deliver our Promise

Get The app Now !

Get The app Now !

Enrollment in Three Simple steps

Enrollment in three Simple steps

MediBuddy

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Health Care and Health Insurance

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Claims

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Faster Reimbursements

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Cashless Hospitalization

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Your Claims

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Intimate Reimbursement

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Wellness with Medi Assist.

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Personalizing your world of Health Care .

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MediBuddy Begins with ME !

MediBuddy Begins with ME !

A New Age Portal For the New Age Agent

eCashless, THE most convenient way to avail cashless hospitalization, is here!

Consider how you plan a vacation today. You don’t wait for hours at the travel agent’s desk; you don’t stand in the queue for your train or air tickets; you simply use your smartphone and plan your vacation online. The simplicity of booking and scheduling makes the holiday even more enjoyable.

Now consider how you plan a hospitalization in the family. After consultation with your doctor, you walk into the hospital on the finalized date of admission for the procedure. You join the long queue at the insurance desk to apply for a preauthorization. And while you’re away there, your family waits anxiously for you at the ward. “Why doesn’t someone think of a better way to get this done more efficiently?” you think to yourself.

We did! Presenting eCashless from Medi Assist, a whole new way of experiencing cashless hospitalization. eCashless gives you the power to get a provisional preauthorization even before you walk into the hospital. Here’s how it works:

  1. You opt for an eCashless using your MediBuddy mobile app and enter basic details about the treatment.
  2. Medi Assist sends your request to your chosen network hospital.
  3. The hospital provides an early estimate for the treatment and forwards your request to Medi Assist.
  4. Medi Assist releases a provisional preauthorization to the hospital. Simultaneously, you receive a secure passcode for your request.
  5. On the date of admission, you walk into the hospital and show your secure passcode at the insurance desk.
  6. The hospital “unlocks” your provisional approval with your passcode and instantly hands over the preauthorization.

The result, no waiting, no queues, no last-minute decision making and much lesser anxiety. What more, a planned hospitalization with Medi Assist also helps you reduce your out of pocket expense by opting for preferred discounted tariffs.

So the next time you’re planning a hospitalization, don’t do it the traditional way – make it eCashless, make it really, really easy.

Network Hospital Search: It’s as simple as a map with you at the centre!

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You’ve heard about this fancy new restaurant and want to find out where it is located. So you pick up your smartphone, open Maps, enter the name of the restaurant and locate it on the map.

If finding a restaurant can be so easy, why not network hospitals? After all, the urgency associated with finding a hospital is far greater than that associated with locating a place for leisure activity.

And so, we decided to transform the way Medi Assist members find and locate network hospitals – using just your location and your maps. Here’s how:

1. Open your MediBuddy app. (Don’t have it yet? Get it today from your app store today). But just in case, you can also visit medibuddy.in and click the Hospitals tile.

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2. Set your location, either your current location or change the location as necessary.

3. Choose your insurer so you see only those hospitals that are in your insurer network. (This is important because cashless hospitalization is available only at network hospitals.

4. Voila, you can see all your network hospitals! You can also change the search radius to increase your search area.

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Not only do you get the location of the hospital along with all their contact details, you also have a clear visual indication of the route. Really, really simple, isn’t it? Try it and let us know what you think.