Advisory for GIPSA Employees and Retirees covered under Group Mediclaim Policy

Greetings from HI TPA.
1. Contact our Tollfree numbers to reach HI TPA 24*7*365 for any support:
1800 180 3600 / 1800 102 3600
2. Mobile Helpline (8 am to 8 pm Monday – Saturday) and email id for each company
        Insurance Company Employee
   Email id for correspondence
     Mobile Helpline Number
         National Insurance
                    Nationalgipsa@hitpa.co.in
                 8448998791
         New India Assurance
Newindiagipsa@hitpa.co.in
  8448998792
           Oriental Insurance
            Orientalgipsa@hitpa.co.in
         8448998793
           United India Insurance
                 Unitedindiagipsa@hitpa.co.in
           8448998794
         GICRe
        Gicre@hitpa.co.in
         9599922517
       3. For availing cashless treatment, kindly check ‘Network Hospital’ section on HI TPA website https://www.hitpa.co.in/ for empanelled hospitals. However, if need be, cashless facility can also be organised at any hospital (not listed on website) which meets IRDAI/policy criteria and where members were availing cashless through previous TPA. The member/hospital should send Pre-authorisation to Cashless@hitpa.co.in and it would be attended to in all cases.
4. In case of hospitalization, employees may use their existing TPA cards as proof of being insured under the policy till new cards are issued by HI TPA as Member data is being organised from previous TPA. In case of non-availability of TPA cards from previous TPA, employee ID card for self and Aadhar card/government issued valid identity proof of other members will be accepted.
5. Documents for reimbursement claims can be directly submitted/couriered to
Health Insurance TPA of India Ltd,
2nd Floor, Majestic Omnia Building, A-110, Sector 4, Noida, Uttar Pradesh – 201301.
Documents can also be submitted at our branches in Mumbai, Chennai, Kolkata, Bengaluru, Hyderabad and Ahmedabad at below addresses:
Working Hours: Monday to Friday (10 AM to 6 PM)
   
     HO/Branches
       Address
      Corporate office and Central Processing Centre
Delhi/NCR
       Health Insurance TPA of India Ltd.
2nd Floor, Majestic Omnia Building, A-110, Sector 4 Noida,
Uttar Pradesh – 201301.
                Ahmedabad Branch
       Health Insurance TPA of India Ltd. 1st Floor, Jeevan Sadan, Opposite Sanyas Ashram, Ellis Bridge, Ashram Road, Ahmedabad, Gujarat - 380009
                  Chennai Branch
   Health Insurance TPA of India Ltd. Dwaraka Tower, New No. 79, 2nd Floor, Uthamar Gandhi Salai (Nungambakkam High Road), Nungambakkam, Chennai - 600034.
               Hyderabad Branch
       Health Insurance TPA of India Ltd. 1st Floor, United India Towers, Door Number, 3-5-817 & 818, Basheer Bagh, Hyderabad - 500029
               Kolkata Branch
       Health Insurance TPA of India Ltd.
3rd Floor, Inside Re-insurance Accounts Department,
National Insurance Building
8, India Exchange Place, Kolkata – 700001
                Mumbai Branch
           Health Insurance TPA of India Ltd. 5th Floor, Sterling Cinema Building, 65, Murzban Street, Fort, Mumbai- 400 001.
               Bengaluru Branch
        Health Insurance TPA of India Ltd. "Jeevan Sampige Building" (LIC), 2nd floor,#1/1, 2nd Main Road, Malleshwaram,Bengaluru – 560003.
             S.No 1
2
3
4
5
6
7
6. Following are contact details of zonal resources for Emergency Purpose:
                  Insurers Regional Offices
           HI TPA Zone Mapping
              Contact Person
     Mob no
           Ambala, Chandigarh, Bhopal, Dehradun, Delhi NCR, Jaipur, Jodhpur, Indore, KANPUR, LUDHIANA, LUCKNOW.
      Delhi NCR
    Shatrunjay Mishra
        8448491426
           MUMBAI
       Mumbai
       Dr Arun Gadekar
         9599689729
         CHENNAI, Pondicherry,
          Chennai
          Aswin Kumar
            8448491425
        BHUBANESHWAR, GUWAHATI, KOLKATA, PATNA, Raipur.
   Kolkata
   Ratul Bhattacharya
    9958861914
         HYDERABAD, VISAKHAPATNAM,
      Hyderabad
      Pradeep Reddy
        8800662181
       Ahmedabad, Baroda, Surat
      Ahmedabad
      Dr Meera
        7042009028
       BANGALORE, HUBLI
          Bangalore
          Dr Raghavendra
            9717082795
        NAGPUR, Pune
   Pune
   Dr Arun Gadekar
    9599689729
         Kochi, Madurai, COIMBATORE
         Kochi
         E Mathivanan
           9599770901
      
                  I
INSURERS REGIONAL
HI TPA ZONE
CONTACT PERSON
MOB NO
MAIL ID
  OFFICES EAST ZONE
MAPPING
                 KOLKATA
KOLKATA
RATUL BHATTACHARYA DR DEBABRATA GHOSH
9958861914
8448488339
Ratul.bhattacharya@hitpa.co.in ; debabrata.ghoshtemp@hitpa.co.in
                   GUWAHATI
KOLKATA J
AYANTA BURMAN
9365435296
barmanjayanta5@gmail.com
                  BHUBANESHWAR
KOLKATA
RATUL BHATTACHARYA
9958861914
Ratul.bhattacharya@hitpa.co.in
                  PATNA
KOLKATA
UTTSAV KUMAR
8448488337
kumar.uttsavtemp@hitpa.co.in
                  RAIPUR
KOLKATA
CHETAN SHARMA
8448481072
Chetansharma28011991@gmail.com
                REIMBURSEMENT CLAIM RECONCILLIATION (EAST ONLY) - DR DEBABRATA GHOSH – 8448488339
List of frequently raised queries by members and answers to same:
1. Whenwouldcardsbeissued,whetherphotosarerequiredtobesubmittedby members
Presently we are examining the data received from previous TPAs, whether complete in all respects to issue and despatch cards.
Wherever the member photos are available linked with UHID, we shall be in position to issue photo cards.
Once data is enrolled, all E-cards (non-photo format) can also be downloaded from our website www.hitpa.co.in.
2. Cancashlesstreatmentbeavailedbasedonoldcards
Yes, in case of hospitalisation, existing employees as well as retirees may use their existing TPA cards as proof of being insured under the policy till new cards are issued by HI TPA.
3. WhatifparticularhospitalwheretreatmentistobetakenisnotlistedinHITPA network.
Cashless facility can be organised at any hospital (not listed on HI TPA website) which meets IRDAI/policy criteria and where members were availing cashless through previous TPA. The member/hospital should send Pre-authorisation to Cashless@hitpa.co.in and it would be attended to in all cases.
4. WhichformscanbeusedforPre-authorizationandreimbursementclaims
Pre-Authorization and Claim Forms are available on our website www.hitpa.co.in same can be downloaded/used for claim purpose.
   
5. Whatarethepolicytermsandconditionsandexclusions?
Policy terms and conditions and exclusions are the same as last year and can be checked from respective HR department of the company, a copy of policy and Amendment’s is also available in Download section on our website www.hitpa.co.in
 
6. Whatisthepremiumchargeable
Kindly check with your respective HR department for the same.
7. Wherereimbursementclaimdocumentsaretobesubmitted
Reimbursement claim documents can be submitted in offices as listed at Sl.No.5.
8. Wherepre-postexpenseclaimoftreatmenttakenpriorto1stApril2018areto be submitted for reimbursement
Pre-Post Claim documents for which main hospitalisation admission dates are prior to 1st April 2018 needs to be submitted in the previous TPA.
9. WhetherHITPAmobileAppcanbeusedtoaccessandinteractwithHITPA
HITPA Mobile application is coming soon.
10. Who is to be contacted for any emergency
We have provided Helpline numbers for each company, refer Sl No.2, also you can reach us on Toll free numbers 18001023600/18001803600 which is available 24*7*365.
11. What is the process for reporting grievance Please send us email on grievance@hitpa.co.in
12. What is the process for knowing deduction details and appeal against the same You may write to us at company specific email id as mentioned at Sl.No.2
We assure our best services to valued employees and their dependents.

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