Vidal Health Insurance
Vidal Health Insurance was established in March 2002. Vidal health insurance claims to have a mission of providing top-quality TPA services to policyholders. They hold an IRDA license (Insurance Regulatory & Development Authority - License No. 016) and have been hired by prestigious public and private insurance providers throughout the nation.
Vidal Health Insurance Benefits
The various benefits of Vidal Health Insurance are mentioned below -
- Vidal health insurance provides 24/7 customer care support to its customers.
- Help desks at hospitals to improve patient care.
- Customers have the benefit of getting enrolled online and will be issued an e-Card.
- Vidal Health Insurance provides a tailored report that offers information on their customer's health insurance portfolio to aid in their analysis.
- Preauthorization and claim requests can be tracked with the aid of SMS and email alerts.
How to Apply for Vidal Health Insurance?
If you are interested in enrolling for Vidal Health Insurance, you can contact the nearest branch of the company and a representative of Vidal Health Insurance will help you in enrolling.
Vidal Health Insurance Claims
The various health insurance policies offered by Vidal Health Insurance are -
- Cashless hospitalization – Vidal Health Insurance provides the benefit of cashless hospitalization to its policyholder. This facility can only be availed at the hospitals that have collaborated with Vidal Health Insurance.
- Comprehensive Claim Management - If the cashless hospitalization option is not used or treatment is received at a non-network hospital, hospitalization costs can be claimed back. Policyholders must pay the hospital bill, gather all original hospitalization records, and then submit the records to our office for review in accordance with the terms of the policy and to determine if the claim and related charges are admissible or not.
How to Avail Cashless Hospitalization Policy?
Follow the steps mentioned below to avail the cashless hospitalization policy :
Vidal Cashless Hospitalization:
Step 1: Policyholders should only schedule admissions to such hospitals that are a part of Vidal Health Insurance network. Policyholders should only be admitted to hospitals that are part of the GIPSA PPN Network if the customer's policy is covered by that network. If they are admitted elsewhere, the cashless facility will not be available to them, and even the amount of any expense reimbursement is capped according to the GIPSA PPN Tariff.
Step 2: Policyholders should bring the ID card Vidal Health Insurance has issued at the hospital help desk, as well as any other ID proof for the patient, such as a driver's license, voter ID, passport, etc.
Step 3: Policyholders should obtain a Pre-authorization Form from the Hospital Help Desk, fill out the Patient Information section, and then return the Pre-authorization Form to the Hospital Help Desk.
Step 4: Policyholders should remember to include their ID card number. In case the health insurance is provided through the employer, the policyholder's employee number will be sufficient.
Step 5: The treating physician will fill out the hospitalization/treatment details, and the hospital will enter the anticipated cost of care. The form then should be sent to Vidal Health Insurance via fax or online method.
Step 6: If the information provided is insufficient, the company will process the request and ask for more papers or explanations.
Step 7: Once all of the information is provided, the company will evaluate the request in accordance with the terms and conditions and exclusions therein and decide whether to approve or reject it based on the merits of the situation.
What is the Reimbursements Process for Vidal Health Insurance?
The claim form No. 9 must be downloaded from the company's website, www.vidalhealthtpa.com, by the policy holder. The four-page claim form also includes a medical certificate. The treating physician must complete the medical certificate and attach the hospital seal and physician signature. The policyholder must complete the claim form, include all original receipts, and send a courier to the appropriate branch of Vidal Health Insurance TPA Pvt. Ltd.
FAQs on Vidal Health Insurance
- How many days will it take for me to receive the cheque once the claim is processed?
It might take around 7 to 10 working days for you to receive the cheque once the claim is processed.
- What happens if the price is higher than what my hospitalization insurance will pay?
The policyholder will be responsible for paying the difference in this scenario. We will let the hospital know how much the policyholder is eligible for, and the hospital will go straight to the policyholder for payment of any excess over the credit amount.
- Is there a minimum amount of time that patients must spend in the hospital?
Cashless treatment requires a minimum of 24 hours in a hospital (or daycare, if no active line of therapy is being used). Even though the length of hospitalization is less than 24 hours, there are a few particular illnesses listed in the policy that can be covered. such as dialysis, chemo, radio, and surgery for the eyes, etc.
- What are considered non-medical expenses?
Admission fees, registration fees, extra bed fees, etc. Are considered as non-medical expenses.
- Do I have to make a payment to the hospital in order to access the Cashless hospitalization?
Yes, the policyholder is responsible for covering the co-pay (if any) as well as the non-medical costs. The difference (between the final bill and the allowed amount) must be paid by the policyholder.
- What steps must I take to use the cashless facility?
To present a copy of his or her Vidal Health Insurance TPA ID card and identity evidence at the hospital reception, the patient must walk into one of the hospitals in the Vidal Health Insurance TPA Pvt. Ltd. network. A two-part pre-authorization form must be completed. The patient or the patient's family must fill out Part 1, and the hospital administration or treating physician must fill out Part 2. The fully completed application should be sent or mailed to the appropriate branch of Vidal Health Insurance TPA Pvt. Ltd. After Vidal Health Insurance TPA Pvt Ltd. receives the pre-authorization form, the case will be processed within 4 hours, and Vidal Health Insurance TPA Pvt will fax or email the initial authorization letter—whether it is approved or rejected—back to the hospital.
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