1 Out Patient Department (OPD) Cashless Card- Benefits
Cashless OPD card ihealth Card A first of its kind concept Cashless OPD valid for 1 year No copay, sublimit or deductions For Employees (E), Employee-Spouse-Children (ESC) and Employee- Spouse-Children-Parents (ESCP) The card allows cashless GP & Specialist consultation along with Diagnostics (all pathology related, Sonography and ECG) in select network 15 consultations/ Doctor home visits / 2 nd opinion on cashless basis free of cost INR 1000 diagnostics on cashless basis free of cost 2
Average General Physician Consultation is around 500. 15 Consultations will be of INR 7,500(for you & your family* ) Diagnostics of INR 1,000 free on cashless basis Total benefits of INR 8,500 *family of employee, spouse, 2 children & 2 dependent parents Please note- This benefits are calculated just for illustrative purpose only. 3
OPD Network City Provider (s) Total Clinics Generic Services Available Specialist Consultation Diagnostics Ghaziabad Intermed, Express clinic, Doctor s clinic, Nationwide 4 NCR AP KT TN WB MH Gurgaon New Delhi Hyderabad Bangalore Chennai Kolkata Mumbai Express clinic, Ross clinic, Nationwide Express clinic, Urgent care, Nationwide Elbit Medical, Dr. Mohans, Vijaya, Wellcare, Ambicare Express clinic, Health Vista, Nationwide Dr. Mohans, Aarthi, Doc med, Tec med BL Diagnostic, Calcutta Medical, Carewell, Evergreen, Life Science, MM Medical, Mala, Probe, RB, Sony Express Clinic, Health Spring, Vishwas, Thunga Pune Express Clinic 8 8 8 16 15 12 12 14 General Physician, Gynecologist, Pediatric Gynecologist / ENT / Dermatologist / General Physician/ Pediatrician Ophthalmologist, ENT, Orthopedic, Sonologist, Cardiologist others on demand Cardiologist Diabetologist / MD aviation Medicine Orthopedic Blood Tests, Physicals, X Ray, Limited (Sonography, ECG, TMT) 4
Process for enrolment; if contribution from employees Email is sent to all employees for enrolment, through HR. Specifying OPD cashless benefits & a link for enrolment Employees to provide basic details like employee name, id, email id. Confirmation mail is sent to employees. A policy will be booked and ihealth card to be provided to all employees with in 15 days from date enrolment is closed. 5
Call Doctor at Home Customer Intimation Customer authorization Authorization & confirmation Service delivery Customer calls for the consultation @ 3xxxxxx Customer provides UHID, Name for validation, Address & exact problem he is suffering from Provider confirms the appointment of the doctor within half an hour by calling back the customer Clinician is sent to the confirmed address along with authentication letter to be signed by the patient TAT of 6 hrs for confirmed slot TAT of 1 day from the time of confirmation depending on the urgency Doctor at home services is available across seven major cities Chennai, Bangalore, Mumbai, Pune, Hyderabad, Kolkata & Delhi-NCR Coverage across city covering major locations Coverage 8am 8pm on all days including weekends 6
Doctor -Home visit : Process 7
Medical Second Opinion in OPD card Now the medical second opinion from reputed Indian doctors from best of the hospitals just a click away through your OPD card 8
Online Consults & Second Opinion equery Customer can register a routine complaint, answered by a Panel doctor econsult Customer writes a detailed complaint and uploads relevant report, sent to a selected Panel doctor The patient can select a doctor from International or Indian panel eradiology Expert diagnosis and interpretation of radiology images, including but not limited to X-Ray, CT Scan, MRI, Ultrasound, & Nuclear Medicine. Also supports online diagnosis, storage & interpretation of radiological Images Video Consult Various Consulting Services Patient-physician Interaction via a live/face-to-face via video conferencing platform. The interaction is stored. Consulting Services Process Flow ICICI Lombard Treatment plan sent to Patient Account/ GP MA Panel Doctor 72 hours guaranteed response Admin Doctor Patient or patient s GP ICICI Lombard Write Detailed Complaints, Upload images & reports. 9
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