Get E Meditek Card

This guide provides clear and supportive instructions for users on how to fill out the E Meditek Card online. Each component of the form is explained step-by-step to assist you in completing the document accurately.

Follow the steps to fill out the E Meditek Card accurately.

1. Click ‘Get Form’ button to obtain the E Meditek Card and open it in your preferred document editor.
2. In the details of the third party administrator section, enter the TPA name as 'E-Meditek (TPA) Services Limited', along with the toll-free phone number '1800 102 3242' and fax number '0124 - 4466677'. Ensure that this information is filled in block letters.
3. For the section to be filled by the insured/patient, provide the name of the patient, gender, age, and date of birth. Enter contact numbers as required.
4. Fill in the ID number, policy number or corporate name, and employee ID. Indicate whether you have any other Mediclaim or health insurance by selecting 'Yes' or 'No', and provide details if applicable.
5. If applicable, indicate if you have a family physician by selecting 'Yes' or 'No', and enter their name and contact number.
6. In the section for the treating doctor/hospital, include the name of the treating doctor and their contact number, as well as relevant clinical findings, nature of illness, duration of the ailment, and provisional diagnosis.
7. Provide details on the proposed line of treatment, whether it involves medical management, surgical management, or intensive care. Specify if investigations or surgeries will be necessary and include any relevant details.
8. Indicate how the injury occurred and whether it involved a road traffic accident. If applicable, note down the date of injury and related information.
9. Complete all mandatory sections, including past medical history, expected costs for hospitalization, and per day room rent charges.
10. At the end of the form, ensure to read the declaration carefully. Confirm that the treating doctor and patient signature sections are duly filled.
11. Once all sections are completed, save your changes. You can then download, print, or share the E Meditek Card as needed.

Complete your E Meditek Card online today to ensure a smooth process for your cashless hospitalization.