Vipul Health Insurance (Vidal Health): Benefits, Claim Process & More

Vipul Health Insurance, which is also known as Vidal Health Insurance TPA, is a Third Party Administrator that is endorsed by IRDAI in India. It was established around 2002. It has provided outstanding services to its customers since. In the past, Vipul MedCorp Insurance TPA has merged and Vidal Health TPA, creating one of the largest TPA networks in India with more than 12,000 hospitals in the network.

Vipul Health Insurance (Vidal Health) Benefits

The Vidal Health TPA is one of the biggest in India and the benefits it offers are

• Big hospital networks: The Vidal Health list of hospitals is massive. It is one of the largest TPA networks operating in India there are about 12,000 plus Vidal Health network hospitals in India which allow employees to avail of an electronic claim to pay to receive medical treatment.
• 24/7 dedicated helpline: Vidal Health TPA has a 24/7 helpline and a corporate benefit desk that can benefit policyholders with their insurance claims and claims for health insurance.
• Fastest TAT: The TPA offers an extremely fast turnaround time to process operations for the various insurance plans.
• SMS/email alerts: Vidal Health TPA sends the policyholder’s email or SMS alerts about the request for preauthorization or claim requests.

Vidal Health TPA claim status

This Vidal health claim’s status can be checked with the following procedure.

• Step 1: Visit https://tips.vidalhealthtpa.com/vidalhealth/
• Step 2: Enter one of these data from your enrollment ID/pre-authorization number/claim number/mobile phone number/email ID to obtain the claim details
• Step 3: Submit the required information and the status of your claim is displayed.
• Step 4: In many cases, the status of your claim will be communicated by SMS or email to your registered telephone contact number and email. You can also call customer care to inquire about the status of your Vidal Health Insurance TPA claim status.

Vidal Health TPA Login

Below are the necessary steps you must follow to get how to use the Vidal Health TPA login for employees who are covered under group health insurance.

1. Visit this Vidal Health and TPA homepage page and in the upper right corner, click on this section Login.
2. In that, please select the employee login
3. Enter your enrollment ID (pre-authorization number), pre-authorization number, or mobile number to get on with through the login procedure.
4. You can gain access to the TPA ID card, as well as the TPA unique ID number, submit a claim, review the status of your claim, or get your Vidal Health TPA ID card, etc.

Vidal Health TPA Claim Process

Vidal Health TPA (Third Party Administrator) helps policyholders process their health insurance claims by acting as an intermediary between insurance companies and hospitals. Here’s a step-by-step guide to the Vidal Health TPA claim process:

1. Cashless Claim Process (For Network Hospitals)

• Step 1: Select a Network Hospital
  Choose a hospital from Vidal Health TPA’s network of empaneled hospitals.
• Step 2: Pre-Authorization Request
  At the hospital, fill out the cashless request form available at the insurance desk. The hospital will submit the form to Vidal Health TPA for approval.
• Step 3: Approval from Vidal Health
  Vidal Health TPA will review the documents and, if everything is in order, issue a pre-authorization for the cashless treatment.
• Step 4: Treatment and Settlement
  Once approved, the hospital will proceed with treatment. Post-treatment, Vidal Health TPA settles the bill directly with the hospital, except for non-covered expenses (which must be paid by the patient).
• Step 5: Discharge and Final Billing
  After treatment, you’ll need to sign the final bill and pay any personal expenses, after which you can be discharged.

2. Reimbursement Claim Process (For Non-Network Hospitals)

• Step 1: Avail Treatment
  Get treated at any hospital (network or non-network). Settle the hospital bills upfront.
• Step 2: Collect Documents
  Collect all original documents, including hospital bills, discharge summary, medical reports, prescriptions, and pharmacy bills.
• Step 3: Submit Claim to Vidal Health TPA
  Submit the reimbursement claim form along with all supporting documents to Vidal Health TPA within the stipulated time frame (usually 7-15 days after discharge).
• Step 4: Claim Assessment
  Vidal Health TPA will review the claim and documents. They may ask for additional information if required.
• Step 5: Claim Approval and Payment
  Once the claim is approved, the reimbursed amount will be transferred to the policyholder’s bank account.

Related Read:- How to Check LIC Policy Status, Details, Statement via Online/SMS/Call

Vidal Health TPA Hospital List

Hospital Name	Address	City	State	Pincode
AASHIRWAD NURSING HOME & ICCU	A3, New Green Apartments, Tilak Chowk, Turel Pakhadi Roa, Malad west	Mumbai	Maharashtra	400064
ABHISHEK NURSING HOME (L.P.DIAGNOSTICS PVT. LTD.)	Jagruti Co-Op.Soci Bhatwadi,Near Maratha Mandir, Co-Op Bank, Ghatkopar west	Mumbai	Maharashtra	400084
AGGARWAL EYE HOSPITAL	No.102/5, Ketayan Mansion, Shahaji Raje Marg, Koldongri, Andheri east	Mumbai	Maharashtra	400069
AGRAWAL EYE HOSPITAL	1St Floor, Maharaja Apartment, Opp. Tel. Exchange, S.V. Road, Malad west	Mumbai	Maharashtra	400064
AGRAWAL CLINIC SURGICAL & GENERAL HOSPITAL WITH ICU	49, Daftary Road, Opp. Subhash Lane, Malad East	Mumbai	Maharashtra	400097
ARIHANT EYE CARE CENTRE	B-104 Gomti Apts. Above Mandpeshwarhospital Near Sudhir Phadke Mover Svp Road, Borivali west	Mumbai	Maharashtra	400092
AKSHI EYE CENTRE	#169A, Dr. Ambedkar Road,Dadar T.T.,Dadar east, Mumbai-400014.	Mumbai	Maharashtra	400014
DR BANSAL AROGYA HOSPITAL	1St Floor, Golden Park, Opp.Navneet Motors, L.B.S. Marg, Ghatkopar west	Mumbai	Maharashtra	400601
BELLE VUE NURSING HOME	Sejal, 1St Floor, New Link Road Off Veera Desai Road Andheriroad, Versova, Andheri west	Mumbai	Maharashtra	400058
BHARATIYA AROGYA NIDHI SHETH KANTILAL C. PARIKH GENERAL HOSPITAL	N.S.Road.No.13, Juhu scheme , Vile parle west	Mumbai	Maharashtra	400049
BHARGAVA NURSING HOME	Gopal Bhuvan, Tagore Road, Santacruz west	Mumbai	Maharashtra	400054
BSES MG HOSPITAL	Sv Road, Opp Andheri Rly Stn,Andheri west	Mumbai	Maharashtra	400058
BALAJI HOSPITAL	Victoria Road, Cross Lane 3, Byculla west	Mumbai	Maharashtra	400027
CHARAK CLINIC NURSING HOME	Laud Mansion, 4Th Floor, 21, M Karvi Roadm.Karve Road, Opp.Charni Road, Charni rd west,	Mumbai	Maharashtra	400004
CRITICARE MULTI SPECIALITY HOSPITAL & RESEARCH CENTRE	Plot# 38, 39, Opp.Juhu Suprune Shopping Centre, Jvpd Scheme, Andheri west	Mumbai	Maharashtra	400049
CUMBALLA HILL HOSPITAL	93-95, August Kranti Marg,	Mumbai	Maharashtra	400036
DIVYA JYOTI EYE HOSPITAL	Jyoti Apts, Gr. Floor, Depot, J.P. Road,	Mumbai	Maharashtra	400053
DR. GANDHI’S NURSING HOME PVT LTD	101/102/202, Mangamurti Chs, Off.Bole Road, Dadar west	Mumbai	Maharashtra	400028
DR.L.H.HIRANANDANI HOSPITAL	Hillside Avenue, Hiranandani Gardens, Powai	Mumbai	Maharashtra	400076
FORTIS HOSPITALS LTD	Adsheshwar Park, Bail Bazaar, Kalyan Shill Road, Kalyan West,	Mumbai	Maharashtra	421301
DR. THAKUR HOSPITAL	Vidya Bhuvan, 121, Shivaji Park, Dadar west	Mumbai	Maharashtra	400028
DR.BET HOSPITAL & POLYCLINIC	Antta Appt Bawadi Cross Lane Orlem, Behend Dena Bank Malad west.	Mumbai	Maharashtra	400064
ALL CURE SUPERSPECIALITY HOSPITAL	I Floor, Near State Bank Of India Station Road,Sbi Station Road, Jogeshwari east	Mumbai	Maharashtra	400060
DR.MASURKAR HOSPITAL	Sukhsagar, 1St Floor, Akurli Cross Road No.1, Near Railway Station, Kandivali east.	Mumbai	Maharashtra	400101
DR.PAREKH’S DEAFNESS CLINIC & ENT HOSPITAL	Jai Prakash Road, Four Bunglow, Andheri west	Mumbai	Maharashtra	400053

You can find the list of hospitals empaneled with Vidal Health TPA on their official website. They have a robust network of over 15,000 hospitals across India, ensuring extensive coverage.

Vidal Health TPA Eligibility Criteria for Policyholders

Vidal Health TPA (Third Party Administrator) offers health insurance with specific eligibility requirements for policyholders:

Eligibility Criteria for Policyholders:

1. Age: Policyholders are typically required to be in a specific age range, typically between 18 and 65. Some plans, however, may include dependents who are younger than 18 or permit coverage for older people.
2. Residency: The policyholder must be a citizen of India and impart proof of residency with a government-issued identification card or utility invoice.
3. Health status: The applicants may be required to undergo medical underwriting dependent on the policy to evaluate any existing medical conditions. Certain health issues may cause exclusions or increase costs.
4. Policy type: The eligibility of a policy can be different depending on the type of health insurance you purchase (individual or family floater critical illness, etc. ).
5. Documentation: Policyholders are required to favor essential documents, including identification proof, proof of age, and medical history by Vidal Health TPA.
6. Premium payment: The policyholder has to warrant you pay the policy premium in the full amount and in time for the policy to remain active.
7. Existing Condition: The policy may include waiting periods to cover existing conditions. The exact details will be provided in the policy documents.

Vidal Health TPA Customer Care Number

You can reach Vidal Health TPA’s customer care through the following contact numbers:

• Toll-Free Number: 1800 102 1700
• Alternate Contact Number: +91 22 6681 7070

Related read:- SBI Accidental Insurance Policy 1000 RS Details

Conclusion:

Vidal Health TPA, also called Vipul Health Insurance, has established itself as a top Third Party Administrator in India since its beginning in 2002. The simplified claim process either cashless or reimbursement improves the overall experience. In addition, eligibility requirements assure that a variety of people can avail of their services which makes healthcare easier to access. For any queries their customer service team is ready to benefit, making sure that policyholders get the assistance they require.

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