This card is only for identification and is not an authorization to proceed with the
treatment or a guarantee for payment.
In the case of photoless identity cards issued to beneficiaries, acceptable proof of
identity such as Aadhar Card/Passport/Driver License/ Ration Card / Voters IDCard
/ PAN Card should be presented at hospitals.
This non-transferable identification card is valid at selected Network Hospitals &
will enable Card Holder to avail cashless hospitalization only on the basis of
preauthorization by Medi Assist.
Beneficiary: Joydip Mitra For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Validity of the card is subject to the holder being covered under valid policy of
Medi Assist ID: 5100316381 Insurer.
Relation: Self
Primary insured: Joydip Mitra Medi Assist Insurance TPA Pvt Ltd.
Policy holder: Indian Bank Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Nagar, Bengaluru, Karnataka 560029.
Policy No: 251100502410000175
CIN: U85199KA1999PTC025676
Policy Period: 01 Nov 2024 To 31 Oct 2025 Website: www.mediassisttpa.in
Generated On: 05 Nov 2024 22:10
This card is only for identification and is not an authorization to proceed with the
treatment or a guarantee for payment.
In the case of photoless identity cards issued to beneficiaries, acceptable proof of
identity such as Aadhar Card/Passport/Driver License/ Ration Card / Voters IDCard
/ PAN Card should be presented at hospitals.
This non-transferable identification card is valid at selected Network Hospitals &
will enable Card Holder to avail cashless hospitalization only on the basis of
preauthorization by Medi Assist.
Beneficiary: Monali Mitra For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Validity of the card is subject to the holder being covered under valid policy of
Medi Assist ID: 5100316380 Insurer.
Relation: Spouse
Primary insured: Joydip Mitra Medi Assist Insurance TPA Pvt Ltd.
Policy holder: Indian Bank Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Nagar, Bengaluru, Karnataka 560029.
Policy No: 251100502410000175
CIN: U85199KA1999PTC025676
Policy Period: 01 Nov 2024 To 31 Oct 2025 Website: www.mediassisttpa.in
Generated On: 05 Nov 2024 22:10
This card is only for identification and is not an authorization to proceed with the
treatment or a guarantee for payment.
In the case of photoless identity cards issued to beneficiaries, acceptable proof of
identity such as Aadhar Card/Passport/Driver License/ Ration Card / Voters IDCard
/ PAN Card should be presented at hospitals.
This non-transferable identification card is valid at selected Network Hospitals &
will enable Card Holder to avail cashless hospitalization only on the basis of
preauthorization by Medi Assist.
Beneficiary: Jishnu Mitra For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Validity of the card is subject to the holder being covered under valid policy of
Medi Assist ID: 5100316379 Insurer.
Relation: Son
Primary insured: Joydip Mitra Medi Assist Insurance TPA Pvt Ltd.
Policy holder: Indian Bank Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Nagar, Bengaluru, Karnataka 560029.
Policy No: 251100502410000175
CIN: U85199KA1999PTC025676
Policy Period: 01 Nov 2024 To 31 Oct 2025 Website: www.mediassisttpa.in
Generated On: 05 Nov 2024 22:10
