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Tomar Multispeciality Hospital Kirari Suleman Nagar, Delhi

Insurance & cashless hospitalisation

What we accept today, what you need to carry, and how the cashless process actually works - stated plainly, with nothing implied.

Accepted at the hospital

Payment and insurance

ModeStatus
Chola MS Health Insurance - cashless networkAccepted
CashAccepted
Debit cardAccepted
Credit cardAccepted
UPIAccepted
Net bankingAccepted

Insurance panels

Cashless hospitalisation and insurance support are available with the following insurers.

Health insurer
Star Health
HDFC ERGO
Bajaj Allianz
Niva Bupa
Care Health
ICICI Lombard

Government schemes

Scheme
Ayushman Bharat (PM-JAY)
CGHS
ECHS

TPAs

Third-party administrator
Medi Assist
Paramount Health Services
MD India

Panels and TPA tie-ups change from time to time, and what is covered depends on your individual policy. Please call +91 72748 00800 with your card or policy number before a planned admission so the insurance desk can check your specific policy.

Cashless vs reimbursement

Cashless

Your insurer or TPA settles the approved amount directly with the hospital. It works only if the hospital is in that insurer’s network and pre-authorisation is approved. You still pay non-medical items, deductions and anything outside your policy.

Reimbursement

You pay the hospital and claim from your insurer afterwards. Keep the original itemised bill, discharge summary, all reports, prescriptions and payment receipts - claims are most often delayed by missing paperwork.

How the cashless process runs

  1. Tell us at admission that you intend to use insurance, and show your health card and photo ID.
  2. Pre-authorisation is raised by the hospital to your insurer or TPA with the diagnosis and estimated cost.
  3. The insurer responds with an approval, a query or a rejection. Planned admissions should allow 24-48 hours; emergencies are raised immediately and treatment is never delayed for paperwork.
  4. Treatment proceeds while the approved amount is tracked against the running bill.
  5. At discharge you settle non-payable items, co-payment or deductions, sign the claim form, and the balance is billed to the insurer.

An insurer can decline or reduce a claim for reasons outside the hospital’s control - waiting periods, policy exclusions, non-disclosure or an incomplete policy. Please keep funds available as a fallback until approval comes through.

Documents to carry

  • Health insurance card (or e-card) of the patient
  • Government photo ID - Aadhaar or similar
  • Policy number and insurer/TPA helpline number
  • Referral or admission advice from the doctor
  • Previous reports relating to this illness
  • For a corporate policy: employee ID or letter

Insurance desk

Call the hospital and ask for the insurance desk to check your policy, start a pre-authorisation or follow up on an existing claim.

Phone: +91 72748 00800

Hours: during OPD hours, Monday to Saturday. For an emergency admission outside those hours, the casualty team will start the paperwork.

In an emergency, treatment comes first. Come to casualty or call +91 72748 00800. Insurance formalities are completed alongside treatment, not before it.

Book an OPD appointment

Share your details and our front desk will confirm your slot. For same-day or urgent consultations, calling is fastest.

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