Under what conditions request for cashless hospitalization is denied from TPA or diseases not covered? | Indian Spinal Injuries Centre

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Under what conditions request for cashless hospitalization is denied from TPA or diseases not covered?

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- Information in the pre-authorization form is insufficient & further information is not available for various reasons for the TPA to arrive at a decision.
- Cashless treatment is denied in case of pre-existing diseases, influence of alcohol, diseases covered under different clauses as per the policy rules made by IRDA.
- In individual policy maternity or related to maternity charges are not covered. You have exhausted your Medical Insurance cover limit.
09 May 2016

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