Family Health Plan Insurance TPA Pvt Ltd

About Family Health Plan Insurance TPA Pvt Ltd

Family Health Plan Insurance TPA Pvt Ltd (hereafter referred to as the TPA) is a leading ThirdParty Administrator specializing in comprehensive health insurance solutions for families. Established in 2005, the company has built a reputation for reliability, transparency, and a customercentric approach. By partnering with a wide network of insurers, hospitals, and diagnostic centres, the TPA offers a seamless experience that simplifies policy administration, claim settlement, and wellness management for policyholders.

Mission: To make quality healthcare affordable and accessible for every family through efficient administration, rapid claim turnaround, and proactive health management.

Our Core Services

• Policy Administration: Endtoend handling of policy issuance, renewals, endorsements, and cancellations.
• Claim Management: Fast, paperless claim submission, verification, and settlement.
• Network Management: Maintenance of an extensive hospital and diagnostic network across the country.
• Cashless Hospitalisation: Direct billing and settlement with network hospitals for hasslefree treatment.
• Wellness & Preventive Programs: Health screenings, vaccination drives, and lifestyle coaching.
• Customer Support: 24/7 helpline and online portal for realtime assistance.

Key Benefits for Policyholders

Families choosing a plan administered by Family Health Plan Insurance TPA enjoy a host of advantages:

• Speedy Claim Settlement: Average turnaround of 23 business days for cashless claims.
• Transparent Processes: Realtime claim tracking and clear documentation requirements.
• Extensive Network: Over 9,000 network hospitals and 20,000 diagnostic labs nationwide.
• Cost Efficiency: Negotiated rates with providers help keep outofpocket expenses low.
• Personalized Care: Dedicated relationship managers for each family account.
• Digital Convenience: Mobile app for claim filing, policy documents, and health tips.

Simple Claim Process Step by Step

1. Notify the TPA: Call the 24hour helpline or use the mobile app within 24 hours of admission.
2. Submit PreAuthorization: Provide hospital details, diagnosis, and estimated costs for approval.
3. Cashless Treatment: Once approved, the hospital bills the TPA directly; the patient pays no upfront amount.
4. Document Upload: After discharge, upload discharge summary, itemized bills, and any additional reports via the portal.
5. Verification & Settlement: The TPA reviews the documents, verifies policy limits, and releases the settlement amount to the hospital.
6. Feedback: A posttreatment questionnaire is sent to capture experience and improve service.

The entire workflow is designed to minimise paperwork and reduce the stress associated with medical emergencies.

Get in Touch

Whether you are an insurer looking for a reliable TPA partner, a corporate HR manager seeking a familycentric health plan, or an individual seeking more information, our team is ready to assist.

Phone: +918012345678

Email: info@familyhealthtpapvt.com

Office Address: 4th Floor, Prestige Business Tower, MG Road, Bengaluru 560001, India