HEALTH INSURANCE CARD
HEALTH CARD This card is for identification purpose only.
TPA ID NO : MDI5-0034373418 General & Claim Enquiry Helpline Cashless Enquiry Helpline
Name : Manika Pal Toll Free : 1800-209-7777 Toll Free : 1800-209-7800
Address : Manikparajhargram Manikpara. Uan No : 1860-233-4446 Uan No : 1860-233-4448
,Manikpara,Medinipur - West West Midnapore Fax No : 1860-233-4447 Fax no : 1860-233-4449
West Bengal 721513 Email : customercare@[Link] Email : authorisation@[Link]
TERMS AND CONDITIONS
Date of Birth : 01/01/1958 Age : 65 1. Pre-authorisation is compulsory from tpa prior to a planned admission
Policy No : 153800/50/22/10001352 and within 24 hours for emergencies.
2. Admission for investigation/evaluation not covered.
Policy Period : 05/03/2023 To 04/03/2024
3. All terms and conditions of the policy would be applicable.
Name of Insured : Manika Pal
Relation with Policyholder : Self 4. Cashless hospitalisation in network hospitals can be obtained in
conjunction with this card, an authorisation letter issued by the tpa and
Phone No : 9733790617 Blood Group : photo identification such as voters id, driver license, passport etc.
HEALTH INSURANCE CARD
HEALTH CARD This card is for identification purpose only.
TPA ID NO : MDI5-0037955626 General & Claim Enquiry Helpline Cashless Enquiry Helpline
Name : Arkadeep Pal Toll Free : 1800-209-7777 Toll Free : 1800-209-7800
Address : Manikparajhargram Manikpara. Uan No : 1860-233-4446 Uan No : 1860-233-4448
,Manikpara,Medinipur - West West Midnapore Fax No : 1860-233-4447 Fax no : 1860-233-4449
West Bengal 721513 Email : customercare@[Link] Email : authorisation@[Link]
TERMS AND CONDITIONS
Date of Birth : 08/05/1992 Age : 30 1. Pre-authorisation is compulsory from tpa prior to a planned admission
Policy No : 153800/50/22/10001352 and within 24 hours for emergencies.
2. Admission for investigation/evaluation not covered.
Policy Period : 05/03/2023 To 04/03/2024
3. All terms and conditions of the policy would be applicable.
Name of Insured : Manika Pal
Relation with Policyholder : Son 4. Cashless hospitalisation in network hospitals can be obtained in
conjunction with this card, an authorisation letter issued by the tpa and
Phone No : 9733790617 Blood Group : photo identification such as voters id, driver license, passport etc.