Out Patient Department (OPD) Cashless

Card- Benefits

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 Cashless OPD card

iHealth Card
A first of its kind concept
 Cashless OPD valid for 1 year
 No copay, sublimit or deductions
 For Employees (E), Employee-Spouse-Children (ESC) and Employee-
Spouse-Children-Parents (ESCP)
 The card allows cashless GP & Specialist consultation along with
Diagnostics (all pathology related, Sonography and ECG) in select
network
 15 consultations/ Doctor home visits / 2nd opinion on cashless basis –
free of cost
 INR 1000 diagnostics on cashless basis – free of cost

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 • Average General Physician Consultation is around 500.
• 15 Consultations will be of INR 7,500(for you & your family* )
• Diagnostics of INR 1,000 free on cashless basis
• Total benefits of INR 8,500

*family of employee, spouse, 2 children & 2 dependent parents

Please note- This benefits are calculated just for illustrative purpose
only.

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 OPD Network
Generic
Total Specialist
City Provider (s) Services Diagnostics
Clinics Consultation
Available
Intermed, Express clinic, Doctor’s
Ghaziabad 4
clinic, Nationwide
Express clinic, Ross clinic, Ophthalmologist
NCR Gurgaon 8
Nationwide , ENT,
General
Orthopedic,
Express clinic, Urgent care, Physician,
New Delhi 8 Sonologist,
Nationwide Gynecologist,
Cardiologist –
Pediatric
Elbit Medical, Dr. Mohans, Vijaya, others on
AP Hyderabad 16
Wellcare, Ambicare demand
Blood Tests,
Express clinic, Health Vista , Physicals, X
KT Bangalore 15
Nationwide Ray, Limited
(Sonography,
Dr. Mohans, Aarthi, Doc med, Tec
TN Chennai 12 ECG, TMT)
med
BL Diagnostic, Calcutta Medical, Gynecologist
Cardiologist
Carewell, Evergreen, Life Science, / ENT /
WB Kolkata 12 Diabetologist /
MM Medical, Mala, Probe, RB, Dermatologist
MD aviation
Sony / General
Medicine
Physician/
Express Clinic, Health Spring, Orthopedic
Mumbai 14 Pediatrician
MH Vishwas, Thunga
Pune Express Clinic 8

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 Process for enrolment; if contribution from
employees
Email is sent to A policy will be
all employees booked and
for enrolment, Employees to
‘iHealth card’ to
through HR. provide basic
Confirmation be provided to
details like
Specifying OPD mail is sent to all employees
employee
cashless employees. with in 15 days
name, id, email
benefits & a from date
id.
link for enrolment is
enrolment closed.

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 Call Doctor at Home
Customer Customer Authorization & Service delivery
Intimation authorization confirmation

• Customer • Provider • Clinician is

provides confirms the sent to the
UHID, Name appointment confirmed
• Customer for validation, of the doctor address along
calls for the Address & within half an with
consultation exact hour by authentication
@ 3xxxxxx problem he calling back letter to be
is suffering the customer signed by the
from patient

TAT of 6 hrs for TAT of 1 day from the

confirmed slot time of confirmation
depending on the
urgency

• Doctor at home services is available across seven major cities Chennai, Bangalore,
Mumbai, Pune, Hyderabad, Kolkata & Delhi-NCR
• Coverage across city covering major locations
• Coverage 8am – 8pm on all days including weekends

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Doctor -Home visit : Process

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 Medical Second Opinion in OPD card

Now the medical second opinion from

reputed Indian doctors from best of the
hospitals just a click away through your
OPD card
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 Online Consults & Second Opinion
Various Consulting Services Consulting Services Process Flow
eQuery
• Customer can register a routine complaint, answered
by a Panel doctor ICICI Lombard
eConsult Treatment plan sent to
Patient or patient’s GP
• Customer writes a detailed complaint and uploads Patient Account/ GP
relevant report, sent to a selected Panel doctor
• The patient can select a doctor from International or
Indian panel
eRadiology
• Expert diagnosis and interpretation of radiology ICICI Lombard
MA Panel Doctor
images, including but not limited to X-Ray, CT Scan,
72 hours guaranteed
MRI, Ultrasound, & Nuclear Medicine. Also supports response
online diagnosis, storage & interpretation of
radiological Images
Video Consult
• Patient-physician Interaction via a live/face-to-face via
video conferencing platform. The interaction is stored.
Write Detailed
Complaints,
Admin Doctor Upload images & reports.

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