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A third-party administrator (TPA) is licensed by the Insurance Regulatory and Development Authority of India (IRDAI). It handles insurance claims under health insurance policies. TPAs serve as intermediaries between individuals and health insurance providers. They help streamline the claims process. TPA registrations typically last for three years, unless suspended or revoked.

Important Update (Dated May 30, 2024) – Good news for Health Insurance policyholders! According to the Master Circular on Health Insurance Business 29052024 rolled out on May 29, 2024 by IRDAI, insurers are to decide on the request for cashless claims within 1 hour of receiving the request. Also, the final claim is to be granted within 3 hours after the policyholder’s discharge from the hospital. Insurers have been directed by IRDAI to establish necessary systems and procedures for this process by July 31, 2024.

 

The Master Circular on Health Insurance Business 29052024 circular is available here - https://irdai.gov.in/document-detail?documentId=4942918

List of Third-party Administrators in India in 2023

Here’s a list of health insurance TPAs in India, as of 29th February 2024: 

TPA Name

Registration Number 

CEO/CAO Name

Address

Contact Details

Medi Assist Insurance TPA Private Limited

003

Dr. Mukunda Madhava

Tower D, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road, Bangalore, 560029

Helpline for Senior Citizens: 1800 419 9493, Toll-free Helpline: 1800 425 9449, Email ID: cao@mediassist.in, Website Address:  www.mediassist.in

MDIndia Health Insurance TPA Private Limited

005

Mr. Suresh V. Karandikar

46/1 E-space A-2 Building, 3rd Floor, Pune-Nagar Road, Vadgaonsheri, Pune – 411 014.

Helpline for Senior Citizens: 020-25300126, Toll-free Helpline: 1800 209 7777, Fax: 1860 233 4449, Email ID: skarandikar@mdindia.com, Website Address:  www.mdindiaonline.com

Paramount Health Services & Insurance TPA Pvt Ltd

006

Dr. Nayan Shah

A-442, Road Number: 28, Ram Nagar, MIDC Industrial Area, Wagle Estate, Thane (W) - 400 604

Helpline for Senior Citizens: 022 66629813, Toll-free Helpline: 1800 22 66 55, Email ID: nayan.shah@paramounttpa.com, Website Address:  www.paramounttpa.com

Heritage Health Insurance TPA Private Limited

008

Mr. Manash Chakraborty

NICCO HOUSE, 5th Floor, 2, Hare Street, Kolkata-700001

Helpline for Senior Citizens: 033 40145100, Toll-free Helpline: 1800 345 3477, Email ID: mchakraborty@bajoria.in, Website Address:  www.heritagehealthtpa.com

Family Health Plan Insurance TPA Limited

013

Ms. Medha Sabdeep Ghugre

8-2-269/A/2-1 to 6, 2nd Floor Srinilaya Cyber Spazio, Road Number: 2, Banjara Hills, Hyderabad – 500 034.

Helpline for Senior Citizens: 1800 102 4273, Toll-free Helpline: 1800 102 4033, Email ID: drmedha@fhpl.net, Website Address:  www.fhpl.net

Raksha Health Insurance TPA Private Limited

015

Ms. Palak Dhall

C/o Escorts Corporate Centre, 15/5, Mathura Road, Faridabad, Haryana – 121 003

Helpline for Senior Citizens: 1800 180 1555, Toll-free Helpline: 1800 180 1444, 1800 220 456, 1800 425 8910, Email ID: palak@rakshatpa.com, Website Address:  www.rakshatpa.com

Vidal Health Insurance TPA Private Limited

016

Mr. Rajan Subramaniam

First Floor, Tower Number 2, SJR iPark, EPIP Zone, Whitefield, Bangalore - 560 066.

Helpline for Senior Citizens: 080 46267070, Toll-free Helpline: 1860 425 0251, 080 46267018, Email ID: rs@vidalhealthtpa.com, Website Address:  www.vidalhealthtpa.com

East West Assist Insurance TPA Private Limited

018

Mr. Malay Kumar Lala

38, Golf Links, New Delhi - 110003

Helpline for Senior Citizens: 011 47222647, Phone Number:  011-47222666, FAX: 011-47222640, Email ID: cao@eastwestassist.com, Website Address:  www.eastwestassist.com

Medsave Health Insurance TPA Limited

019

Ms. Geeta Vaid

F-701A, Lado Sarai, Mehrauli, New Delhi - 110030

Helpline for Senior Citizens: 9319810070, Toll-free Helpline: 1800 111 142, Email ID: geeta@medsave.in, Website Address:  www.medsave.in

Genins India Insurance TPA Limited

020

Dr. Sumit Garg

D-34, Ground Floor, Sector-2 Noida - 201301 (U.P.)

Helpline for Senior Citizens: 0120 4144100, Toll-free Helpline: 1800 890 2359, Email ID: drsumit@geninsindia.com, Website Address:  www.geninsindia.com

Health India Insurance TPA Services Pvt Ltd

022

Dr. Vinay Chimmad

Neelkanth Corporate Park, Office Number 406 to 412, 4th Floor, Kirol Road/Village, Vidya Vihar Society, Vidya Vihar (West), Mumbai-400086

Helpline for Senior Citizens: 1800 2269 70, Toll-free Helpline: 1800 2201 02, Phone Number:  022-40881000, Email ID: vinay.chimad@healthindiatpa.com, Website Address:  www.healthindiatpa.com

Good Health Insurance TPA Limited

023

Ms. Saigeeta Dikshit

Suite 403 - 406A, 4th Floor, Ashoka My Home Chambers, Behind Ashok Bhoopal Chambers, Sardar Patel Road, Secunderabad, Telangana State - 500003

Helpline for Senior Citizens: 1800 102 9919, Toll-free Helpline: 1860 425 3232, Email ID: saigeeta@ghpltpa.com, Website Address:  www.ghpltpa.com

Park Mediclaim Insurance TPA Private Limited

025

Mr. Anurag Bhatnagar

702, Vikrant Tower, Rajindra Place, New Delhi-110008

Helpline for Senior Citizens: 9821236752, Toll-free Helpline: 1800 11 55 33, Email ID: anuragbhatnagar@parkmediclaim.co.in, Website Address:  www.parkmediclaim.co.in

Safeway Insurance TPA Private Limited

026

Mr. Mahesh Sharma

815, Vishwa Sadan, District Centre, Janakpuri, New Delhi-110058

Helpline for Senior Citizens: 011 45451300 (Extension: 206), Toll-free Helpline: 1800 102 5671, Email ID: ceo@safewaytpa.in, Website Address:  www.safewaytpa.in

Anmol Medicare Insurance TPA Limited

027

Mr. P. S. Kshatriya

2nd Floor, NBCC House, Opp. Ahmedabad Stock Exchange, Ambavadi, Ahmedabad – 380015, Gujarat

Helpline for Senior Citizens: 07961609990, Toll-free Helpline: 1800 233 1999, Email ID: prithvi@anmolmedicare.com, Website Address:  www.anmolmedicare.in

Ericson Insurance TPA Private Limited

035

Ms. Punam Singh

11-C, Corporate Park, ST Road, Chembur, Mumbai - 400 071 (Maharashtra)

Helpline for Senior Citizens: 022-25280208, Toll-free Helpline: 1800 22 2034, Email ID: punam@ericsontpa.com, Website Address:  www.ericsontpa.com

Health Insurance TPA of India Limited

036

Mr. Mathew George

2nd Floor, Majestic Omnia Building, A-110, Sector-4, Noida 201301 (Uttar Pradesh)

Senior Citizen Assistance: seniorcitizens@hitpa.co.in, Toll-free Helpline: 1800 180 3600, 1800 102 3600, Email ID: Mathew.George@hitpa.co.in, Website Address:  www.hitpa.co.in

Vision Digital Insurance TPA Private Limited

037

Ms. Priyanka Jain

Time Square Building 3rd & 4th Floor, Sushant Lok-1, Block-B, Gurugram - 122002

Toll-free Helpline: 1800-419-9982, Phone Number:  0124-4003171, Email ID: priyanka.jain@visiontpa.in, Website Address:  www.visiontpa.in

Link-K Insurance TPA Private Limited

038

Ms. Bharathi G

Number 32, West Woods, 3rd Floor, Y Block, 5th Avenue, Anna Nagar, Chennai- 600 040, Tamil Nadu

Email ID: Info@linkktpa.com, Phone Number: 044 35255426

AKNA Health Insurance TPA Private Limited

039

Sh. B S Kaintura

W-86/C-33 Anupam Gardens, Sainik Farms, New Delhi 110068

Senior Citizen Helpline No.: 1800-309-4455

Toll Free No.: 1800-569-4455

Email:ceo@aknatpa.co

Website: www.aknatpa.com

 

Health Insurance Plans Available at Bajaj Markets

FAQs on Health Insurance Third-Party Administrators in India

What is TPA in health insurance?

A Health Insurance TPA is the authority responsible for processing the claims that come under the scope of a health insurance policy.

What role does a TPA play in health insurance?

TPAs are licensed by the IRDAI to provide the following services after a health insurance policy is issued by an insurer:

  • Enrolling the insured and issuing a health card

  • Pre-authorising cashless treatments

  • Processing reimbursement claims

  • Providing customer service support

What is a health card?

A health card is an identity card that is issued with your health insurance plan. This can be used while availing cashless hospitalisation treatments at any of the network hospitals.

How does a TPA help a policyholder?

A TPA is an intermediary between the health insurance provider and the policyholder. They simplify the claim process under the policyholder’s health insurance policy.

How can I buy health insurance on Bajaj Markets?

You can head to the ‘health insurance premium calculator’ section on Bajaj Markets to buy a health insurance policy online.

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