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Insurance

Symbiosis Health Insurance Programme

Every student & staff at Symbiosis is covered under a unique group medical insurance scheme with the National Insurance Company (NIC) for hospitalization


Insurance for Students and Staff

Students and staff are insured under National Insurance Company Ltd.'s Group Mediclaim and RTA policies. They can be admitted to NIC's network hospitals.


For the list of network hospitals:

  • Visit: https://mdindiaonline.com/ProviderList.aspx
  • Choose "National Insurance Company (NIC)" from the dropdown.
  • Select "Corporate".
  • Select your state and city, then click "Get Hospital List."
  • E-health summary with advice.

For policy details, click: https://www.schcpune.org/insurance.php

Policy Name : Group Mediclaim & Road Traffic Accident Policy for Symbiosis School & College Students

Third Party Administrator (TPA) : MD INDIA Healthcare Services (TPA) Pvt Ltd (https://mdindiaonline.com/ProviderList.aspx)

Policy Period : Every year- from 05th June to next year 4th June

Sr.No Category Mediclaim Policy(Sum Insured) INR RTA Policy (Sum Insured) INR
1 College Students 50,000 1 Lakh
2 School Students 10,000 20,000
3 SIS Students 1 Lakh 1 Lakh

Policy Covers:-

Policy covers medical expenses incurred for any treatment(as per policy terms and conditions) subject to stay in hospital for a minimum of 24 hrs. Hence hospitalization is a must prerequisite.No coverage for OPD treatment.

Claim Settlement : cashless and reimbursement: Both.


How it works:

Designated staff of the institutes is required to do the submission of ‘personal details’ in the Paper Tracer Software

Identity card issued by institutes is to be produced on admission to empanelled hospital.

Students are required to inform SCHC on admission to hospital. A confirmation mail is sent by SCHC Insurance Cell to the insurance company immediately after admission.

For non-empanelled hospitals, information is to be sent within 3 days of admission and claim documents are to be submitted at SCHC within 20 days after discharge.

Medical Officer, Insurance Department, SUHRC

Office: 9552525015

Head Insurance, SUHRC

Office: 9552525015

Policy Name : Group Mediclaim & Road Traffic Accident Policy for Symbiosis Staff

Policy Period : Every year - from 08th May to next year 7th May

Sr.No Category Mediclaim Policy(Sum Insured) INR RTA Policy (Sum Insured) INR
1 Grade I & II 2 Lakh 1 Lakh
2 Grade III & IV 1 Lakh 1 Lakh

Policy Covers:-

Policy covers medical expenses incurred for any treatment (as per policy terms and conditions)subject to stay in hospital for minimum of 24 hrs. Hence hospitalization is a must prerequisite. No coverage for OPD treatment.

Claim Settlement : cashless and reimbursement: Both.
Excess (Co-payment) for each & every claim is as under.


How it works:

All full time Symbiosis staff members are covered by Mediclaim & Road Traffic Accident policy.The 100% premium is paid by Symbiosis for staff of Symbiosis Society & Symbiosis International (Deemed University)

The start/ renewal date for the Mediclaim and Road/ RTA policy of the staff members is 8th May of every year. The insurance policy period is from 8th May to 7th May next year.

Large No of hospitals all over the country are empanelled with our insurance TPA (MD India) where a cashless treatment facility can be availed by staff & students, for other hospitals re-reimbursement of expenditure incurred is applicable subject to policy terms and conditions. The policy document can be found on SCHC website www.schcpune.org

The designated staff of the institutes is required to do the submission of ‘personal details’ in the Paper Tracer Software

The employee identity card issued by institutes is to be made on admission to empanelled hospital.

A confirmation mail is sent by SCHC Insurance Cell to the insurance company immediately after admission hence staff members are asked to inform SCHC on admission to hospital.

For non-empanelled hospitals, information is to be sent within 3 days of admission and claim documents are to be submitted at SCHC within 20 days after discharge.

Premium once paid for Mediclaim and RTA policy is not refundable, due to any reason whatsoever.

Medical Officer, Insurance Department, SUHRC

Office: 9552525015

Head Insurance, SUHRC

Office: 9552525015


Claim Procedure -

PROCESS FLOW- CASHLESS

Vision & Mission | SCHC

PROCESS FLOW- REIMBURSEMENT

Vision & Mission | SCHC
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