Network Hospital List: Why it is Important While Choosing a Group Health Insurance Policy
While you are choosing the group health insurance for your employees, check the network hospital list.
Pazcare Team
10 mins
Updated on:
March 17, 2025
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When selecting a group health insurance policy to protect your employees, it's important to consider the list of network hospitals. Network hospitals are healthcare facilities that have partnered with certain insurance providers to offer cashless treatments for policyholders. However, this does not mean that treatment cannot be obtained at a non-network hospital. It is crucial for employees to understand this distinction, so they can take appropriate action when necessary.
What is Network Hospital?
A network hospital is a healthcare facility that has partnered with an insurance provider to offer cashless medical treatment. This means every insurer has partnered with hospitals or medical facilities in your state, city in a form of a contract. This means that instead of paying out of pocket and later filing for reimbursement, your insurer directly settles the bill with the hospital, as per the terms of your policy.
What is a Non-Network Hospital?
Non-Network Hospitals are nothing but the ones that are not listed in the network hospital list of the insurer. This does not mean that the treatment cannot be done in these hospitals. But, it comes with a catch. The cashless facility cannot be availed in such cases. Not all hospitals can be part of the network hospital list, but, most of the top care centres.
To understand how a network hospital functions, let’s take an example.
Amit has health insurance with XYZ Insurance, which has a tie-up with ABC Hospital. When he requires surgery, he chooses ABC Hospital for treatment. At the hospital, he presents his insurance card, and the hospital requests pre-authorization from XYZ Insurance. Once the approval is received, Amit undergoes treatment without making any upfront payments, except for any exclusions in the policy. Since ABC Hospital was part of the network hospital list provided by Amit's employer, the insurance company settles the bill with the hospital, ensuring a hassle-free experience for Amit.
This process eliminates financial stress and makes hospitalization seamless.
Benefits of Choosing a Network Hospital
Opting for a network hospital offers multiple advantages, including:
Cashless Treatment – No need to arrange large sums of money during emergencies.
Lower Medical Costs – Insurers negotiate pre-fixed rates, making healthcare more affordable.
Hassle-Free Claims – Avoid lengthy paperwork and reimbursement delays.
Quality Healthcare – Insurance companies conduct thorough evaluations before adding hospitals to their network.
How to Find a Network Hospital Near You?
Finding a cashless hospital near you is simple. Here’s how:
Check Your Insurer’s Website – Most insurance providers maintain an updated list of network hospitals online.
Use Medi Assist’s Network Search – This platform helps you find network hospitals based on location.
Try Mobile Apps – Apps like MediBuddy allow real-time searches and even enable pre-authorization requests.
There are 363 Go Digit network hospitals in Bengaluru, providing extensive coverage for policyholders seeking cashless treatment.
Insurer-wise & TPA-wise Network Hospital Lists: Your Guide to Seamless Healthcare
Navigating health insurance can feel overwhelming, especially when you need cashless hospitalization at a network hospital. Finding the right network hospital list for your insurer or Third-Party Administrator (TPA) can save you time, effort, and unexpected expenses. This guide will help you quickly locate network hospitals so you can access medical care without financial stress.
Insurer-wise Network Hospital Lists
Each insurer partners with hospitals across India to provide cashless treatment. Here’s how you can find network hospitals for major insurers:
TPA-wise Network Hospital Lists
Third-Party Administrators (TPAs) act as intermediaries between insurers and hospitals, ensuring smooth claim settlements. Many TPAs manage their own network hospital search portals for policyholders.
Apollo Hospitals: A Leading Example of Network Partnerships
Apollo Hospitals, a pioneer in India’s healthcare industry, has set benchmarks for excellence in medical services. With an extensive network of hospitals, pharmacies, and diagnostic centers across the country, Apollo is more than just a healthcare provider—it is a leader in forging strategic partnerships with insurers and Third-Party Administrators (TPAs) to streamline cashless treatments. Let’s explore how Apollo’s collaborations are transforming health insurance and patient care.
Apollo’s Network Partnerships with Insurers and TPAs
Apollo Hospitals collaborates with multiple insurers and TPAs to facilitate cashless hospitalization, ensuring that policyholders receive high-quality medical care without worrying about upfront payments.
Insurance Company Partnerships
Apollo has partnered with some of India’s top insurance providers, including:
New India Assurance
National Insurance
United India Insurance
Oriental Insurance
HDFC ERGO (formerly Apollo Munich Health Insurance)
TPA Collaborations
To streamline claim management, Apollo works with leading TPAs such as:
Medi Assist India TPA Pvt. Ltd.
Bajaj Allianz GIC Ltd.
E-Meditek TPA Services Ltd.
Vidal Health TPA Pvt. Ltd.
Health India TPA
Innovative Collaborations: The Case of ClaimBuddy
In 2024, Apollo Hospitals partnered with ClaimBuddy, a health insurance claim processing startup, to revolutionize claim approvals. This collaboration leverages ClaimBuddy’s advanced technology to:
Expedite claim processing.
Reduce administrative overheads.
Enhance the overall efficiency of Apollo’s insurance desk operations.
Srinivas, Senior Manager of Revenue Assurance at Apollo Hospitals, highlighted the impact of this partnership:
"ClaimBuddy’s innovative solutions empower us to accelerate claim approvals, reduce paperwork, and improve the efficiency of our insurance desk operations."
This initiative underscores Apollo’s commitment to providing a seamless experience for patients navigating health insurance claims.
How Apollo Facilitates Cashless Hospitalization
Apollo Hospitals has streamlined the process for cashless treatment through its dedicated Insurance Cell. Here’s how it works:
Planned Hospitalization
Consult your doctor and schedule your admission.
Submit a pre-authorization request at least 4–5 days before admission for estimated hospital expenses.
The Insurance Cell coordinates with your insurer or TPA for approval.
Emergency Hospitalization
The Insurance Cell fast-tracks pre-authorization requests.
Approvals are typically received within three hours during working days.
If approval is delayed, patients can pay a deposit and get reimbursed later.
Why Apollo Stands Out in Network Partnerships
Wide Reach: With 71 hospitals, 3,400 pharmacies, and 150 diagnostic centers across India, Apollo ensures easy access to quality healthcare.
Technological Innovation: Collaborations like the one with ClaimBuddy highlight Apollo’s commitment to leveraging technology for a smoother patient experience.
Omnichannel Approach: Through its digital platform, Apollo Healthco Limited, Apollo integrates outpatient services, insurance claims, and payment innovations under one umbrella.
Key Benefits for Patients
Cashless Treatment – No upfront payments, as insurers settle bills directly with Apollo.
Hassle-Free Claims – The Insurance Cell handles all documentation and insurer/TPA coordination.
Comprehensive Coverage – From planned surgeries to emergency care, Apollo’s partnerships ensure seamless medical access.
Apollo Hospitals continues to lead the way in network hospital partnerships, making high-quality healthcare accessible, affordable, and hassle-free for policyholders across India.
How to Use a Network Hospital: A Step-by-Step Guide
Using a network hospital for cashless treatment is a hassle-free way to access medical care without worrying about upfront payments. Here’s a step-by-step guide to making the most of this benefit.
Step 1: Show Your Health Insurance Card or e-Policy
Upon arrival at the network hospital, present your health insurance card or e-policy at the insurance desk. This step notifies the hospital that your treatment is covered under a cashless facility. Ensure you also provide a valid ID proof for verification.
Step 2: Hospital Coordinates with Insurer/TPA for Approval
After submitting your insurance details, the hospital will coordinate with your insurer or Third-Party Administrator (TPA) to obtain pre-authorization for your treatment. This process includes:
Filling out a pre-authorization form with details about your policy.
Providing medical information and estimated treatment costs.
Awaiting approval from your insurer before proceeding with treatment.
Step 3: Get Treated Without Upfront Payment
Once your pre-authorization is approved, you can proceed with treatment without making any upfront payments. The insurer settles the bill directly with the hospital, ensuring a seamless experience. However, expenses not covered under your policy (such as consumables or non-medical items) may need to be paid out of pocket.
Additional Tips for a Smooth Experience
Verify Coverage: Before hospitalization, check your policy details, including sub-limits and exclusions, to avoid surprises.
Notify Your Insurer: For planned hospitalizations, inform your insurer at least 72 hours in advance. In emergencies, notify them within 24 hours.
Keep Records: Maintain documentation of all communications with your insurer in case of any disputes or delays.
How HR Teams Can Promote Cashless Benefits
Workshops and Webinars – Conduct regular sessions to educate employees on cashless hospitalization and network hospital lists.
Digital Resources – Provide easy access to insurer websites, TPA portals, and mobile apps for seamless network hospital searches.
Employee Handbook Updates – Include clear guidelines on how to use cashless benefits, ensuring employees have the information at their fingertips.
By empowering employees with the right knowledge, HR teams can foster a workplace where health and financial security go hand in hand. This not only enhances employee well-being but also strengthens the organization's overall success.
Start educating your team today and witness the transformation in employee satisfaction and workplace productivity!
Conclusion: Empowering Employees with Cashless Benefits
HR teams play a crucial role in educating employees about cashless healthcare benefits, ensuring they maximize their health insurance coverage. When employees understand how to access network hospitals, they can avoid upfront medical expenses, reducing financial stress during emergencies. This, in turn, leads to higher retention rates, as comprehensive health benefits foster a sense of security and loyalty. Additionally, timely medical care without financial burdens enhances productivity by allowing employees to focus on work without health-related worries.