THE NEW INDIA ASSURAN Wholly owned by Government of budia CE CO. LTD. Insurance Cashless e-Card Employee Name: Rajesh P Polley Holder: Tata Consultancy Services Lid Employee 10: 2362943 Policy Start Date: o1-ApH2024 Policy End Date stMar2025 Room Elgity ‘Twin Sharing AC Room for Employee!Spouse/Child Room Elgoity 2: Twin Sharing AC Room for ParentiParentn-aw Beneficiary name Medi Assist ID pos Relation Rajesh P 4081029657 15.May-2000 sett Perumal > 4050088695 o4-Jan-1972 Father HELPLINE NUMBERS: ‘+ This cards only for identcation and isnot an authorization to proceed wth the treatment ora guarantee for payment. + nthe case of photoes identity cards issued fo beneficiaries, acceptable proof fidenily such as Aadhar Card/PassportOsver License! Raton Cara! Voters 1D Card | PAN Car shoud be presented at hota, + This non-ransferable idenifeaton cardis valid at selected Network Hospitals & wil enable Card Holes to aval casless hospitaizaon only on the bass of preauthorization by Medi Assis. ‘+ For the lates! updated hospital is, login to www. mediassstza in, Important Note ‘+ Co-pay hasbeen introduced on all sptazation clams under TCS Inia Heath Insurance Scheme (HS), for more Geta reer the HIS policy document ‘+ Room Rent Eligibility for parents and parent in aw fra plan except Platnum Plus and Platinum plan is “Entry Level Tuln Sharing AC Opting higher room category than elgily wi cause proporionate deduction which Is applicable to alblline tems and not ust he room rent difference. This deduction tobe bore bythe employes. ‘+ Pro-axising alments/ diseases will rot be covered for any newly added parents cr parents-n law unless defined under crea ilnss, However tis ¢ not applicable to beneiares added within 90 days from the dae of joining or marsage of ehh For Cashless Pre-Authorization request queries please write to cashless@mediassist in “Tracking your claim is much simpler and at your fingertips. Access LmediassisLin Download our MediAssist app to rackimnage your heath care needs and do much more -now available in Android and 10S Medi Assist Insurance TPA Pvt, Ltd. “ToworD, 4th Flos, IBC Knowlodge Park, 4/1 Bannerghatia Road, Bhavani Nagar, Bengalury, Kamataka 1560029, CIN: U85199K/1990PTC025676 Website. madiaesctna in