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Sarkar Hospital Agra – Cashless / TPA & Government Health Scheme Empanelment

Sarkar Hospital, Agra is committed to providing affordable, accessible and hassle-free healthcare to every patient. To support this, we are empanelled with multiple Government Health Schemes, Insurance Companies, TPAs, and Corporate Health Programs.
Our dedicated Cashless & TPA Desk ensures smooth coordination for approvals, documentation, and claim processing.

Cashless / TPA Services

Sarkar Hospital, Agra provides seamless Cashless and TPA Facilities to ensure patients receive timely treatment without financial stress. Our dedicated Insurance Desk assists with verification, documentation, and approval for all major insurance companies, TPAs, and corporate health schemes

Government Health Schemes Empanelled at Sarkar Hospital

We proudly offer cashless treatment under the following government health programs:

Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PM-JAY)

✔ Ex-Servicemen Contributory Health Scheme (ECHS)

Ayushman Bharat – PM-JAY (Cashless Treatment for Eligible Families)

Sarkar Hospital, Agra is empanelled under Ayushman Bharat – PM-JAY, India’s largest Government health assurance scheme, offering cashless treatment up to ₹5 lakh per family per year.

What Ayushman Bharat Covers:

Patients can avail cashless treatment for a wide range of medical conditions and procedures including:

  • Emergency & trauma care

  • Orthopaedic surgeries (fracture fixation, joint replacement, ACL/PCL surgeries, etc.)

  • General & laparoscopic surgeries

  • Urology & kidney stone surgeries

  • Gynecology & obstetric procedures

  • ENT, ophthalmology & general medicine care

  • Intensive care, diagnostics & treatment packages

Eligibility Requirements

  • Patient’s family must appear in the PM-JAY beneficiary list.

  • Verification done using Aadhaar Card, ration card or Ayushman Card.

Documents Required

  • Ayushman Bharat (PM-JAY) Card

  • Aadhaar Card (original + photocopy)

  • Doctor’s prescription or diagnosis report

  • Any previous medical records

Ayushman Helpdesk Services

Our Ayushman Desk assists with:

  • Eligibility checking

  • Document verification

  • Pre-authorization approval

  • Cashless claim processing

  • Guidance on package coverage

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ECHS (Ex-Servicemen Contributory Health Scheme)

Sarkar Hospital is proud to serve India’s veterans and their families through ECHS Cashless Services.

ECHS Benefits at Sarkar Hospital

  • Cashless treatment for all approved procedures

  • Dedicated ECHS helpdesk

  • Fast-track admission for emergency cases

  • Full compliance with ECHS treatment and billing guidelines

Eligibility

  • Ex-servicemen and dependents with a valid ECHS Smart Card

Insurance & TPA Empanelments (Private Sector)

Sarkar Hospital is empanelled with leading Insurance Providers and ** TPAs** to offer cashless hospitalization for both planned and emergency treatments.

Our TPA Desk assists with:

  • Insurance verification

  • Pre-authorization submissions

  • Query resolution from insurers

  • Claim settlement guidance

  • Real-time updates for patients & attendants

Documents Required for Cashless Approvals

To ensure quick processing, patients are advised to carry:

  • Insurance Policy Card / TPA Card / Corporate Health Card

  • Aadhaar Card & PAN Card

  • Doctor’s prescription & previous medical records

  • Referral letter (for ESIC/CGHS/ECHS, if required)

  • Ayushman Card (for PM-JAY beneficiaries)

Cashless Hospitalization Process at Sarkar Hospital
  1. Verification of policy/scheme

  2. Submission of treatment estimate

  3. Pre-authorization to insurer/TPA/scheme

  4. Approval received

  5. Patient admitted for treatment

  6. Final claim submitted

  7. Discharge after insurer confirmation

This ensures total transparency and a stress-free experience for the patient and family.

Contact – Cashless & TPA Helpdesk

For any assistance regarding government schemes, TPAs, or insurance approvals:

📞 TPA & Insurance Desk: [Add Hospital Contact]
📞 Ayushman / ECHS / CGHS / ESIC Desk: [Add Hospital Contact]
📧 Email: [Hospital Email]
🕒 Timings: 10:00 AM – 6:00 PM (Monday to Saturday)

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