Government Schemes
At Adira Multispecialty Hospital, we support major Government Health Schemes to make quality healthcare accessible and affordable. We are empanelled under key schemes, enabling eligible patients to avail cashless treatment for a wide range of medical and surgical procedures without financial burden.
Key Government Schemes We Offer
- Swasthya Sathi Scheme — West Bengal Government’s flagship scheme providing up to ₹5 Lakh annual coverage per family for secondary and tertiary care. Cashless treatment with no cap on family size and coverage for pre-existing conditions.
- West Bengal Health Scheme (WBHS) — Cashless indoor treatment facility for West Bengal Government employees, pensioners, and their families at empanelled hospitals.
- Ayushman Bharat / PM-JAY — National health protection scheme offering up to ₹5 Lakh per family per year for hospitalization (where applicable).
- Other State & Central Schemes — We facilitate smooth processing for eligible government-sponsored health programs.
Why Choose Us for Government Schemes?
- Empanelled Hospital — Seamless cashless treatment under Swasthya Sathi, WBHS, and other schemes.
- Dedicated Help Desk — Experienced team to verify eligibility, handle pre-authorization, and manage all documentation.
- Fast & Hassle-Free Process — Quick approval and admission so treatment starts without delay.
- Wide Range of Services — Coverage available across our specialties including Normal Delivery, NICU Level III, ITU, HDU, Orthopedic OT, Laparoscopic & General Surgeries, and more.
- Transparent & Patient-Friendly — Clear guidance on covered treatments with minimal paperwork.
- 24×7 Support — Round-the-clock assistance for emergency admissions under government schemes.
What is Mediclaim?
Mediclaim is a type of health insurance policy that provides financial coverage for hospitalization expenses arising due to illness, injury, or surgery. It helps patients manage high medical costs by offering cashless treatment or reimbursement of eligible hospital bills, giving you peace of mind during medical emergencies.
Benefits of Mediclaim
- Cashless Hospitalization — Get admitted and treated without paying from your pocket (at network hospitals).
- Coverage for Hospital Expenses — Includes room charges, doctor fees, medicines, diagnostics, surgeries, and ICU stay.
- Pre & Post Hospitalization Cover — Expenses before and after admission are also covered as per policy terms.
- Financial Protection — Protects your savings from unexpected high medical bills.
- Tax Benefits — Premium paid qualifies for tax deduction under Section 80D of the Income Tax Act.
- Hassle-Free Claims — Quick processing through TPA or direct insurer support.
Why Choose Us for Mediclaim?
- Empaneled with Major Insurers & TPAs — Smooth cashless facility with leading insurance companies.
- Dedicated Insurance Desk — Experienced team to handle pre-authorization, documentation, and claim settlement.
- Fast Approval Process — Quick intimation and approval so treatment can start without delay.
- End-to-End Assistance — Support from admission till discharge and final claim settlement.
- Transparent Process — Clear guidance on covered expenses and policy benefits with minimal paperwork.
- Trusted Care in Kolkata — Reliable Mediclaim services backed by our advanced multispecialty hospital facilities.
TPA Insurance
TPA stands for Third Party Administrator. It is a licensed organization that acts as a bridge between the patient, hospital, and health insurance company. At Adira Multispecialty Hospital, our dedicated TPA desk simplifies the entire insurance claim process, enabling smooth cashless hospitalization and hassle-free claim settlement for insured patients.
Benefits of TPA
- Cashless Treatment — Get admitted and treated without paying upfront hospital bills (in network hospitals).
- Faster Claim Processing — Quick pre-authorization and approval from insurance companies.
- Hassle-Free Experience — No need to run between hospital and insurance office; our TPA team handles all documentation.
- Transparency — Clear communication about covered expenses, policy limits, and admissible claims.
- 24×7 Support — Assistance during admission, treatment, and discharge for insured patients.
- Wide Network Support — Tie-ups with leading TPAs and insurance providers for seamless service.
Why Choose Us for TPA Services?
- Dedicated TPA Desk — Experienced insurance coordinators available round the clock to assist you.
- Empaneled with Major TPAs & Insurers — Smooth cashless facility with most leading insurance companies.
- Fast Pre-Authorization — Quick approval process so treatment starts without delay.
- End-to-End Support — From admission to discharge and final claim settlement.
- Patient-Friendly Approach — Transparent guidance and minimal paperwork for a stress-free experience.
- Trusted Care in Kolkata — Reliable TPA services backed by our multispecialty hospital infrastructure.