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IRDA License No. 16

NOTE: The claim in both Network and Non-network hospitals would be settled by TTK subject to the Mediclaim Policy terms, conditions and exclusions.

IF YOU ARE PLANNING HOSPITALISATION
You need to do the following …

• Fill the Pre-Authorisation Form, available with the Network Hospitals upon showing TTK Health Card. This can also be obtained from any of the TTK branch offices or can be downloaded from this site
• Submit/Fax the Pre-Authorisation Form at our local branch office 4 days in advance
• If your hospitalisation is authorised, then ensure
  • You pay for non-medical expenses and
  • Sign the relevant documents including a claim form before leaving the hospital/ getting discharged
  • If your hospitalisation is rejected, then you can then submit a claim for reimbursement purpose at the TTK Branch office near you. (See Claims Procedure)

REMEMBER! - TTK Health Card issued to you is NOT a Credit Card, it is just complementary to your Mediclaim policy, and only on verification of your coverage, will you be given CASHLESS treatment Your cashless treatment will begin at the hospital, only after the hospital receives Authorisation confirming the same.

WHEN YOU NEED EMERGENCY HOSPITALISATION
Please follow the guidelines and update your family members so they would know what to do-

• Get admitted into a network immediately
• Please inform your family member /relative to contact the billing dept in the hospital to inform them to intimate TTK
• If your hospitalisation is authorised, then ensure
  • You pay for non-medical expenses and
  • Sign the relevant documents before leaving the hospital/ getting discharged
• If your hospitalisation is rejected, your treatment will be continued at the hospital. After discharge, you can then submit a claim for reimbursement purpose at the TTK Branch office near you. (See Claims Procedure)

To settle your claims, it is essential that every policyholder go through a 3 step cycle which is called
(1) Claim Intimation/Notification; (2) Claim document procurement; and (3) Claim submission.

(1) Claim Intimation/Notification
Under Mediclaim, in case of hospitalisation, the policyholder should primarily ensure that the TTK is informed within 7 days of the hospitalisation. This preliminary notice should be submitted to TTK prior to the claim and the same should contain the following particulars:

1. TTK Card Number / Policy and Certificate Number
2. Nature of illness and/ or injury
   
3. Name and address of the attending physician
   
4. Name of the hospital or nursing home, attending doctor
5. Bed number in the hospital etc

(2) Claim Document Procurement

The following documents are required to

(1) Hospital Bill with Receipt for payment along with the break up signed by the policyholder.
(2) In case of surgeons / consultants bills, kindly insist on a stamped, preferably numbered receipt. (3) Doctors prescription and medicine bills.
(4) Discharge summary sheet from the hospital.
(5) Pathological reports and other investigation reports along with the doctor's authorization.
(6) Other relevant details and documents connected to hospitalisation.

(3) Claim submission.

All the above need to be enclosed along with the Claim Form that can be obtained from the nearest TTK office or can be download by clicking on the downloads in left menu.

This claim form must be filled fully and sent to the nearest TTK office along with the following documents in original.

Note: Only expenses relating to hospitalisation will be reimbursed as per the policy taken. All non-medical expenses will not be reimbursed.