Insurance & TPA Services

Cashless treatment facility with all major insurance providers and TPAs. Making quality healthcare accessible and affordable.

Government Health Schemes

We are empanelled with major government health insurance schemes

Swasthya Sathi Scheme

Coverage: ₹5 Lakh per family per year

Paperless, cashless, and smart card-based health coverage for secondary and tertiary care

Eligibility: All residents of West Bengal

Key Features

  • No cap on family size
  • Includes parents from both spouses and dependent physically challenged persons
  • All pre-existing diseases covered
  • Entire cost borne by State Government
  • 100% online pre-authorization within 24 hours
  • 24x7 toll-free Call Centre: 18003455384

ESI (Employee State Insurance)

Coverage: Comprehensive medical care

Full medical care including outpatient, specialist consultation, hospitalization, and specialized services

Eligibility: ESI cardholders earning up to ₹21,000/month

Key Features

  • Full medical care for IPs and family members
  • Free supply of drugs, dressings, artificial limbs and aids
  • Imaging and laboratory services at no cost
  • Ambulance service or conveyance reimbursement
  • Medical certification and family welfare programs
  • Specialist consultation in 20+ specialties

Hospital Empanelment Details

Baromaa Multispeciality Hospital - Authorized Healthcare Provider

Hospital Information

Hospital Type:Private Multispeciality
Total Bed Capacity:351 Beds
Critical Care Beds:84 Beds (ICU/ICCU/ITU/HDU)
Location:Purba Medinipur, WB
ESI Empanelment:Provisionally Empanelled
Service Area:7 Districts

Medical Team

In-house Doctors:13
Visiting Consultants:12
In-house Specialists:9
Nursing Staff:40

Available Specialties & Services

General Medicine
General Surgery
Obstetrics and Gynecology
Maternity Services
Paediatrics
Orthopedics Surgery (including arthroscopic surgery and Joint Replacement)
ENT
Ophthalmology
Dermatology
Psychiatry
Dental
Cardiology (including Pacemakers)
Cardiovascular and Cardiothoracic Surgery
Urology (including Dialysis)
General/Laparoscopic/Pediatric/Minimal Access/Plastic Surgery
Nephrology (24-hour Dialysis)

ESI Scheme - Comprehensive Coverage

Complete medical care with specialist consultation across multiple specialties

Broad Specialities

General Medicine
General Surgery
Pulmonary Medicine
Obstetrics and Gynaecology
Pathology, Microbiology & Biochemistry
Paediatrics
Eye (Ophthalmology)
Ear, Nose and Throat (ENT)
Skin and STD (Dermatology)
Radiology
Orthopaedics & Rehabilitation
Dental
Psychiatry
Anaesthesiology

Super Specialities

Cardiology
Neurology
Urology and Nephrology
Gastro-enterology
Endocrinology
Oncology & Onco Surgery
Burns and Plastic Surgery
Cardio Thoracic Surgery
Neurosurgery
Occupational Medicine
Critical Care Services
Blood Transfusion Services

Free Artificial Limbs, Aids & Appliances

ESI beneficiaries receive these items at no cost as part of medical care

Artificial Limbs
Hearing Aids
Spectacles (for IPs only)
Artificial Dentures/Teeth (for IPs only)
Artificial Eye (for IPs only)
Wigs (for female beneficiaries only)
Cardiac Pacemakers
Wheelchairs/Tricycles
Spinal Supports, Cervical Collars
Crutches, Walking Callipers, Surgical Boots
Hip Prosthesis, Intra Ocular Lenses (IOL)

Free Imaging Services

CT Scan, MRI, Echocardiography and all lab investigations at no cost

Ambulance Service

Free ambulance or conveyance charge reimbursement for medical visits

Family Coverage

Full medical care including hospitalization for family members

Benefits for Retired Insured Persons

Retired IPs and their spouse can continue receiving medical benefits by paying ₹120 per year (₹10/month) if they:

  • Retire due to superannuation
  • Take Voluntary Retirement Scheme (VRS) or pre-mature retirement
  • Have been insured for at least 5 years
  • Cease employment due to permanent disablement from employment injury (free coverage)

Swasthya Sathi Insurance Partners

Empanelled with authorized insurance companies for seamless cashless treatment

National Insurance Company

Cluster-I (6 Districts)

Primary Insurance Partner

Oriental Insurance Company

Cluster-II (9 Districts)

Primary Insurance Partner

United India Insurance

Cluster-III (8 Districts)

Primary Insurance Partner

Swasthya Sathi Helpline

(Toll-Free, Available 24x7)

Cashless Treatment Process

Simple and hassle-free process with 100% online pre-authorization within 24 hours

1

Admission

Visit hospital with insurance card, ID proof, and policy documents

2

Verification

Our team verifies your insurance eligibility with TPA/Insurance company

3

Pre-Authorization

Hospital sends pre-authorization request to insurance company

4

Approval

Insurance company approves and sends authorization within 2-4 hours

5

Treatment

Start your treatment without any payment worries

6

Settlement

Hospital directly settles bill with insurance company

Digital Management System Features

Paperless, cashless, and Smart Card-based system
100% online pre-authorization within 24 hours
Real-time uploading of E-health records upon discharge
Online fraud detection and grievance monitoring
Claim reimbursement within 30 days
Swasthya Sathi Mobile App for tracking

Required Documents for Cashless Admission

Please carry these documents for smooth cashless processing

Swasthya Sathi Smart Card (for Swasthya Sathi beneficiaries)
Photo ID Proof (Aadhar/Voter ID/Driving License)
Doctor's Prescription & Medical Reports
Emergency Certificate (for emergency admissions)
Pre-Authorization Form (for planned procedures)
ESI/Other Insurance Card (if applicable)

Important Notes

  • For Swasthya Sathi: Carry your Smart Card and biometric verification will be done
  • Pre-authorization is done 100% online within 24 hours for Swasthya Sathi scheme
  • In case of emergency, intimation to insurance company within 24 hours is mandatory
  • All pre-existing diseases are covered under Swasthya Sathi with no waiting period
  • No cap on family size - includes parents from both spouses and dependent physically challenged persons

Need Help with Insurance?

Our insurance desk team is here to assist you

Insurance Desk

+91 9775112960

Available

24/7

All days

Location

Ground Floor

Near Reception

Swasthya Sathi State Helpline

(Toll-Free, Available 24x7)

For Swasthya Sathi related queries and grievances