Genins India TPA Ltd.
   
   
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Genins India TPA Ltd. is a Third Party Administrator in health Insurance. Licensed by IRDA to administer health policies issued by Insurance Companies.

We have been selected by your insurer to provide you with value added services, such as:

i) Cashless Hospitalisation

ii) Expeditous settlement of claim

iii) 24 hour help-line to answer your queries, related to your policy.


How to utilize the services of Genins India TPA Ltd., in case of illness At Network Hospital

Step 1: The Genins cardholder visits any of the network hospital listed in the guidebook and establishes his/her identity to the hospital by producing the card.

Step 2: The Network Hospital sends request to Genins for authorization.

Step 3: Genins cardholder commences his/her treatment after getting authorization from Genins, in case of planned hospitalisation.

Step 4: Authorization should be obtained prior to hospitalization, but in case of emergency, authorisation can be obtained after hospitalisation, within 24hrs of admission.

Step 5: Hospital will not charge the card holder for any expenses except the deductibles like extra bed. phone charges etc (as mentioned in the authorisation letter).

Step 6: Before discharge, the card holder should fill up Insurance claim form and sign it.

Step 7: No original documents should be collected from the hospital by the card holder to facilitate direct payment to hospital.

Step 8: The validity period of authorization is 3 days from the date of issue or date of Hospitalization, whichever is later.

Step 9: For the expenses pertaining to Pre- and post Hospitalization. The card holder will have to submit the documents containing Prescriptions, cash memos, investigation report, etc. to Genins directly and shall be reimbursed directly.


At Non-Network Hospital

The card holder will have to intimate to Genins within 24 hrs. of hospitalisation, through a letter, fax, e-mail at gil@geninsindia.com

The card holder will have to pay the total expenses directly to the hospital.

The card holder will have to claim for the reimburse-ment from Genins after discharge from hospital.

How to claim : After getting the intimation letter, Genins will send claim form, which the card holder will have to fill up properly. Documents to be enclosed with the claim form are :-

1 : Photocopy of registration certificate of hospital. If unregistered, a certificate from the hospital, about the facilities including:

a) No. of beds

b) Availability of In-house Operation Theater

c) 24 hours doctor on duty

2 : Pre hospitalization documents : Prescription, Chemist Bills and Investigation reports.

3 : Hospitalization documents: Discharge Summary, Investigation reports, Hospital Bill, Receipts of payment, break-up of each heads of hospital bill separately, prescriptions and cash memo, incurred during hospitalization period, both supplied by the hospital and purchased from outside hospital.

4 : Post hospitalization Documents: Prescriptions, Chemist Bills and Investigation reports.

5 : The policyholder will have to deposit the above documents at Genins India TPA Ltd.


DONT'S

1) Do not get admitted to hospital for health check up, investigation or evaluation only. These are not payable if positive existence of disease is not disgnosed.

2) Do not take original documents related to treatment from a network Hospital.

3) When treatment is taken at non-network hospital, send all documents at one go with duly completed claim form. Do not send them in piece meal.

The policy of insurance covers hospitalization expenses for any disease, which is not excluded, as per policy terms and conditions of the Policy. For detailed exclusions, please refer to the policy document.

Important Note : -

In case sufficient information in the prescribed pre-authorisation format is not given or in case of vague symptoms, where medical team of Genins India TPA Ltd. is not sure of eligibility of coverage under the policy, due to inadequate medical information, pre-authorization for cashless can be denied.

The denial of cashless facility does not mean denial of treatment and does not prevent you from seeking necessary medical attention or hospitalization.

Registered Office :
A-3 IInd floor Acharya Niketan, Mayur Vihar-I
New Delhi - 110 091 (India)


Corporate Office :
B-127, Sector 2, Noida-201301
Tel. : 25 - 26865611-20. Fax: 0120-2539969 to 70
E-mail: gil@geninsindia.com

Regional Office :
Genins India TPA Ltd.
AD - 239, Salt Lake City,
Sector -1,Kolkata - 700 064.
Tel. : 033 - 40073580, 033 - 40073589, Fax : 033 - 23599156
E-mail : kolkata@geninsindia.com

Patna Branch :
Genins India TPA Ltd.
B-3, Patrakar Nagar,
Kanker Bagh,
Patna - 800 020, Bihar.
Ph.No. 0612 - 2360045/3200920.
Fax- No. 0612 - 2361458
E-Mail- patna@geninsindia.com

Chandigarh Branch :
Genins India TPA Ltd.
SCO - 118 - 120, 4th Floor,
Sector - 34 - A,
Chandigarh - 500 016.
Tel.: 0172 - 5077366, 0172 - 4622166
E-mail : chd@geninsindia.com

Dehradun Branch :
Genins India TPA Ltd.
75 - A, 2nd Floor,
Friends Plaza, Rajpur Road,
Dehradun - 248 001
Tel.: 09997946783
E-mail : dehradun@geninsindia.com

Bangalore Branch :
Genins India TPA Ltd,
Building No - 898, 1st Floor,
A.T.N.T Complex, 6th Block,
80 Feet Road, Koramangala,
Banglore - 560 095.
Ph. No.080 - 41501680
Fax No.080 - 41501681
E-mail:bangalore@geninsindia.com

Pune Branch :
Genins India TPA Ltd.
Flat No.9+10, 2nd Floor,
Phoenix B Appartment,
Senapati bapat Road,
Near Vetal Chowk, Shivaji Nagar,
Pune - 411 016
Tel.: 27 - 26865611-20, Fax : 020 - 25667829
E-Mail- pune@geninsindia.com

Mumbai Branch :
Genins India TPA Ltd.
C - 101 - 102,Green Lawn Apartments,
Opp. St. Pius College,Arey Road,
Goregaon (East)
Mumbai - 400 063
Ph. No. 022 - 26865611-20
Fax : 022 - 26865541/ 2686517 E-Mail-mumbai@geninsindia.com

Nagpur Branch :
Genins India TPA Ltd.
Plot No. - 23, Govind Mansion,
New jaitala Road, Near Anand Purti,
Super Bazar Khamla,
Nagpur - 440 025.
Ph. No. 24 - 26865611-20.
Fax : 0712 - 2295030 E-Mail-nagpur@geninsindia.com

Goa Branch :
Genins India TPA Ltd.
4B 4th Floor,Priyadarshani Building,
Above Chinese Pavillion, Comba Margoa,
Goa - 403 601.
Tel. : 0832 - 3223482 Fax : 0832 - 2735030
E-Mail- goa@geninsindia.com

Guwahati Branch :
Genins India TPA Ltd.
A. K. Azad Road, Reha Bari,
(Near Sumi Jewellers),
Guwahati - 781 008.
Tel. : 09435070187 Fax : 0832 - 2735030
E-Mail- guwahati@geninsindia.com

Hyderabad Branch :
Genins India TPA Ltd.
6 - 3 - 1177 / A / 135,
B.S Maktha, Begumpet,
Hyderbad - 500 016.
Ph.No.09949031999
E-Mail- hyderabad@geninsindia.com

Jaipur Branch :
Genins India TPA Ltd.
Lovhodia Chamber,
Ashok Marg, C - Scheme,
Jaipur.
Ph.No. 09829070969
E-Mail- jaipur@geninsindia.com

Jammu Branch :
Genins India TPA Ltd.
Plot - No. 306,
Backside Of SarwaHospital,
Rehari Colony,
Jammu - 180 001.
Ph.No. 09419610038
E-Mail- jammu@geninsindia.com

Lucknow Branch :
Genins India TPA Ltd.
208, Chintels House,
16, Station Road,
Lucknow - 226001.
Ph.No. 0522 - 2293519
Fax No. 0522 - 2635208
E-Mail- lucknow@geninsindia.com

Ludhiana Branch :
Genins India TPA Ltd.
Morden Complex, Cabbin No.6,
Kumhar Mandi,
Ludhiana - 100 141.
Ph.No. 9872444142
E-Mail- ludhiana@geninsindia.com

Chennai Branch :
Genins India TPA Ltd.
B - 13, Basement1,
Apollo Dubai Plaza No.100,
Mahalingapuram Main Road,
Chennia -600 034.
Ph. No 044 - 45036367
E-Mail-chennai@geninsindia.com

Ambala Branch :
1st Floor, Singh Market, Palika Vihar, Ambala (Haryana)
Tel.: 0171-3092129

Indore Branch :
48-G/G, Scheme-54, Indore-452010
Tel.: 0731-2553635, 2555415

Bhubaneshwar Branch :
Genins India TPA Ltd.
Room No. 402, 4th Floor,
Janpat Tower, Ashok Nagar Unit-2,
Bhubaneshwar - 751 009.
Ph. No. 0674 - 540463
Fax. No. 0674 - 2531276
E-Mail- bhubaneshwar@geninsindia.com

Coimbatore Branch :
Genins India TPA Ltd.
New No. - 4, Old No. - 331,
Langappa Chetty Street,
Coimbatore - 641 001.
Ph. No. 0422 - 4369408
Fax. No. 0422 - 4368408
E-Mail- coimbatore@geninsindia.com

Salem Branch :
Genins India TPA Ltd.
Sivam Complex,
175 / 1, Peramanur Mainroad,
Salem - 636 007.
Ph. No.-28 - 26865611-20.
Fax. No. 0472 - 4031920
E-Mail- salem@geninsindia.com

Gurgaon Branch :
C-432A, Sushant Lok 1, Gurgaon
Tel.: 0124-5046820, Fax : 0124-5046820

 
 
 
 
 
 
 
 
 
 
 
 
   
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