Insurance and Cashless Treatment Disclaimer
INSURANCE AND CASHLESS TREATMENT DISCLAIMER
TarunVeda Ayurveda Hospital may assist eligible patients in applying for cashless treatment through participating insurers or Third-Party Administrators (“TPAs”).
Availability of a cashless facility does not mean that every patient, policy, procedure, therapy, medicine, room category or expense will be covered.
1. Prior Authorisation
Cashless treatment is subject to:
• The terms and validity of the patient’s insurance policy
• Applicable waiting periods, exclusions, limits and sub-limits
• Medical necessity and treatment eligibility
• Submission of required documents
• Prior or final authorisation by the insurer or TPA
• Network and package conditions applicable on the treatment date
TarunVeda cannot guarantee approval, processing time, settlement amount or final payment by an insurer or TPA.
2. Patient Responsibility
The patient or policyholder remains responsible for:
• Co-payments and deductibles
• Non-medical and non-payable items
• Expenses exceeding policy limits or approved amounts
• Treatments, medicines or services excluded by the policy
• Differences arising from room-rent limits, package rates or proportionate deductions
• Any amount rejected, reduced, withdrawn or not settled by the insurer or TPA
3. Documentation
Patients must provide accurate policy details, identity documents, medical records and any other information required by the insurer or TPA. Incomplete, inaccurate or delayed documentation may result in rejection or delay.
4. Emergency or Pending Approval
Where treatment begins before authorisation is received, the patient may be required to make an advance payment or settle charges directly. Any refund will be processed only after receipt and reconciliation of payment from the insurer or TPA.
5. Reimbursement Claims
Where cashless approval is unavailable or rejected, the patient may pay the hospital directly and independently seek reimbursement from the insurer. TarunVeda may provide available bills and clinical documents but does not guarantee reimbursement.
6. Final Settlement
Discharge or completion of final billing may be delayed while insurer or TPA approval is pending. Any balance payable after final settlement must be cleared by the patient or authorised attendant.
For assistance, contact:
TarunVeda Ayurveda Hospital
Email: info@tarunveda.com
Phone: +91 93197 97144 / +91 11 4602 7481
Cashless approval is entirely subject to the terms, eligibility criteria and authorisation of the concerned insurer or TPA.