Question 1

What is Medi Assist? What does Medi Assist TPA mean?

Accepted Answer

Medi Assist India TPA Services Limited is an IRDAI-licensed Third Party Administrator (TPA) — a company that processes health insurance claims on behalf of insurance companies. When your employer buys a Group Mediclaim (GMC) policy from insurers like New India Assurance, Bajaj Allianz, or Reliance General, Medi Assist handles the hospital authorisations, cashless approvals, and claim settlements. With 15,000+ empanelled hospitals, Medi Assist is India's largest TPA.

Question 2

What is the Medi Assist customer care helpline number?

Accepted Answer

Medi Assist customer care: 1800-102-4477 (toll free, 24/7). Email: care@mediassist.in. The helpline handles cashless pre-authorisation, claim status queries, and escalations. Your helpline number is also printed on your Medi Assist eCard. For urgent hospitalisation at night or on weekends, call the helpline directly — they have dedicated emergency pre-auth teams available round the clock.

Question 3

How do I download my Medi Assist eCard?

Accepted Answer

To download your Medi Assist eCard: (1) Visit the Medi Assist member portal at mediassist.in and log in with credentials shared by your employer or insurer; (2) Go to 'My Profile' or 'Health Card' section and download the PDF; (3) Alternatively, use the MAClaim mobile app — tap your profile icon to view and download your eCard. The eCard shows your policy number, sum insured, and is accepted at all 15,000+ Medi Assist network hospitals.

Question 4

What is the MAClaim app and how do I use it?

Accepted Answer

MAClaim is the official Medi Assist mobile app, available on Android (Google Play Store) and iOS (App Store). Search 'MAClaim' or 'Medi Assist' to download. Key features: view and download your eCard, track claim status in real time, find network hospitals near you by GPS or pin code, upload reimbursement documents, and check pre-authorisation status. The app replaces most helpline calls for routine queries.

Question 5

How do I check my Medi Assist claim status?

Accepted Answer

Check Medi Assist claim status by: (1) logging into mediassist.in and going to the 'My Claims' tab; (2) opening the MAClaim app and tapping the 'Claims' section — updated in real time; (3) calling 1800-102-4477 with your claim reference number. If your claim shows 'Under Process', documents are being reviewed — typically 7-15 working days. If pending beyond 21 days, raise an escalation through the portal or ask your HR or broker to escalate directly with the TPA desk.

Question 6

What documents are needed for Medi Assist reimbursement? Where do I get the claim form?

Accepted Answer

For Medi Assist reimbursement, you need: (1) Medi Assist Claim Form Part A — filled by the hospital (available on mediassist.in or from your HR); (2) Medi Assist Claim Form Part B — filled by the insured; (3) Original hospital bills and receipts with hospital seal; (4) Discharge summary; (5) Doctor's prescriptions and investigation reports (lab, radiology); (6) Pharmacy bills with prescriptions; (7) NEFT details for payment. Submit within 30 days of discharge. Upload via MAClaim app or submit through your HR department.

Question 7

How do I submit a pre-authorisation request through Medi Assist?

Accepted Answer

Pre-authorisation for cashless hospitalisation through Medi Assist: (1) For planned surgery — inform your network hospital's TPA desk at least 48 hours in advance. The hospital submits the pre-auth request to Medi Assist with the doctor's advice and estimated cost. Medi Assist responds within 24 hours. (2) For emergency admission — the hospital contacts Medi Assist immediately on admission. IRDAI mandates approval within 1 hour for emergencies. Show your Medi Assist eCard at the TPA desk on arrival.

Question 8

How long does Medi Assist take to settle claims?

Accepted Answer

Medi Assist turnaround times: Emergency cashless pre-auth: 1-2 hours (IRDAI mandated). Planned cashless pre-auth: within 24 hours. Cashless discharge approval: 1-2 hours after final bill submission. Reimbursement claim settlement: 15-21 working days from receipt of complete documents. If documents are incomplete, Medi Assist raises a deficiency query — the 21-day clock restarts from the date of complete document receipt.

Question 9

What if my nearest hospital is not in the Medi Assist network?

Accepted Answer

If no network hospital is available nearby, seek treatment at any hospital and file a reimbursement claim. In genuine emergencies, Medi Assist processes non-network reimbursements as a priority. Call 1800-102-4477 before or immediately after admission for guidance. For remote locations, submit scanned documents via the MAClaim app — physical originals are not mandatory for initial processing.

Question 10

Can my dependents also avail cashless treatment at Medi Assist hospitals?

Accepted Answer

Yes. If your group policy includes family cover (spouse, children, or parents), your dependents can avail cashless treatment at all 15,000+ Medi Assist network hospitals. Each dependent has their own eCard downloadable via the MAClaim app or mediassist.in. If a dependent's card is not available, the employee's card with a valid relationship proof (Aadhaar, marriage certificate) is accepted at most hospitals.

Question 11

How do I find Medi Assist network hospitals near me?

Accepted Answer

Find Medi Assist network hospitals by: (1) visiting mediassist.in and using the Hospital Locator — search by city, pin code, or hospital name; (2) opening the MAClaim app and tapping 'Find Hospitals' — uses GPS to show the nearest empanelled hospitals; (3) downloading the full Medi Assist hospital list PDF from the member portal. With 15,000+ hospitals across India, Medi Assist has the widest TPA network in the country, covering all metros, Tier 2 cities, and many Tier 3 towns.

Question 12

What is the cashless limit per hospitalisation with Medi Assist?

Accepted Answer

The cashless limit depends on the sum insured under your group policy — for example, if your GMC covers Rs.3L, Medi Assist approves cashless treatment up to that amount. Any expenses beyond the policy limit, or outside coverage (excluded treatments, non-medical charges), must be settled directly with the hospital. Your HR team or the policy document will confirm the exact sum insured applicable to your grade.

Hospital Name	Location	Type	Cashless Available
Max Super Speciality Hospital	Saket, Delhi	Multi-Specialty	24x7
Fortis Hospital	Shalimar Bagh, Delhi	Multi-Specialty	24x7
Apollo Hospital	Indraprastha, Delhi	Multi-Specialty	24x7
Artemis Hospital	Gurugram, Haryana	Super Specialty	24x7
BLK Super Speciality Hospital	Pusa Road, Delhi	Multi-Specialty	24x7
Sir Ganga Ram Hospital	Rajinder Nagar, Delhi	Multi-Specialty	24x7
Primus Super Speciality Hospital	Chanakyapuri, Delhi	Super Specialty	24x7
Pushpawati Singhania Hospital	Sheikh Sarai, Delhi	Multi-Specialty	Business Hours
Max Hospital	Patparganj, Delhi	Multi-Specialty	24x7
Fortis Memorial Research Institute	Sector 44, Gurugram	Super Specialty	24x7
Medanta The Medicity	Sector 38, Gurugram	Super Specialty	24x7
Asian Hospital	Sector 21, Faridabad	Multi-Specialty	24x7
Metro Hospital	Sector 11, Noida	Multi-Specialty	24x7
Kailash Hospital	Sector 27, Noida	Multi-Specialty	Business Hours
Sharda Hospital	Greater Noida	Multi-Specialty	24x7
Felix Hospital	Sector 137, Noida	Multi-Specialty	24x7
Jaypee Hospital	Sector 128, Noida	Super Specialty	24x7
Cloudnine Hospital	Sector 51, Noida	Maternity & Child Care	24x7
W Pratiksha Hospital	Sector 110, Gurugram	Multi-Specialty	Business Hours
Yashoda Super Speciality Hospital	Kaushambi, Ghaziabad	Super Specialty	24x7

Region	Empanelled Hospitals	Pre-Auth Desk	Specialty Coverage
Delhi NCR	2,800+	Yes	Full spectrum
Mumbai	2,200+	Yes	Full spectrum
Bengaluru	1,800+	Yes	Full spectrum
Hyderabad	1,200+	Yes	Full spectrum
Chennai	1,100+	Yes	Full spectrum
Pune	900+	Yes	Full spectrum
Kolkata	750+	Yes	Full spectrum
Tier 2 Cities	4,250+	Selected hospitals	Multi-specialty

Medi Assist TPA - eCard, Claims, App & Hospital Network Guide

About Medi Assist

Key Services

MAClaim App - Medi Assist's Official Mobile App

Download Your eCard

Track Claim Status

Find Network Hospitals

Upload Reimbursement Documents

Pre-Auth Status

Policy & Benefit Details

Contact Information

Pre-Authorisation Process

Show Your eCard

Hospital Submits Pre-Auth

Medi Assist Approves

Cashless Discharge

Medi Assist Cashless Hospitals - Delhi NCR

Medi Assist Network Hospitals by City

Mumbai

Bengaluru

Hyderabad

Chennai

Pune

Kolkata

Network Coverage Summary

Document Checklist

Cashless Claim Documents

Reimbursement Claim Documents

Turnaround Times

Medi Assist TPA - Frequently Asked Questions

Want Medi Assist TPA on Your Company's GMC Policy?