24 Hour Toll Free Number 1800 425 9449

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: Unique ID Card/Passport/Drivers License /Ration Card / Voters ID Card/PAN Card should be presented at hospitals. Subject to the terms & conditions of the underlying insurance policy, this non-transferable identification card is valid at selected hospitals will enable you to avail cashless hospitalization only on the basis of preauthorization by Medi Assist. All preauthorization and/or settlement of claim is subject to the terms and conditions of the relevant policy. For the latest updated hospital list, login to www.mediassistindia.com

Policy No : 120100/34/12/04/00000001 Beneficiary Name : Kapil Upadhyay MediAssist ID : 4009635833 Employee Code :343320 Relation : Self DateofBirth : 01-04-1986 PrimaryInsured : Kapil Upadhyay

MEDI ASSIST INDIA TPA PVT.LTD

No. 45 A,B block,Green Arch Building 1st Main, 3 rd phase, J P nagar,Sarakki Industrial layout Bangalore - 560078

24 Hour Toll Free Number 1800 425 9449

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: Unique ID Card/Passport/Drivers License /Ration Card / Voters ID Card/PAN Card should be presented at hospitals. Subject to the terms & conditions of the underlying insurance policy, this non-transferable identification card is valid at selected hospitals will enable you to avail cashless hospitalization only on the basis of preauthorization by Medi Assist. All preauthorization and/or settlement of claim is subject to the terms and conditions of the relevant policy. For the latest updated hospital list, login to www.mediassistindia.com

Policy No : 120100/34/12/04/00000001 Beneficiary Name : Alankriti Sharma MediAssist ID : 4011446598 Employee Code :343320 Relation : Spouse DateofBirth : 05-12-1984 PrimaryInsured : Kapil Upadhyay

MEDI ASSIST INDIA TPA PVT.LTD

No. 45 A,B block,Green Arch Building 1st Main, 3 rd phase, J P nagar,Sarakki Industrial layout Bangalore - 560078

24 Hour Toll Free Number 1800 425 9449

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: Unique ID Card/Passport/Drivers License /Ration Card / Voters ID Card/PAN Card should be presented at hospitals. Subject to the terms & conditions of the underlying insurance policy, this non-transferable identification card is valid at selected hospitals will enable you to avail cashless hospitalization only on the basis of preauthorization by Medi Assist. All preauthorization and/or settlement of claim is subject to the terms and conditions of the relevant policy. For the latest updated hospital list, login to www.mediassistindia.com

Policy No : 120100/34/12/04/00000001 Beneficiary Name : Girja Shankar Upadhyay MediAssist ID : 4012300937 Employee Code :343320 Relation : Father DateofBirth : 07-05-1957 PrimaryInsured : Kapil Upadhyay

MEDI ASSIST INDIA TPA PVT.LTD

No. 45 A,B block,Green Arch Building 1st Main, 3 rd phase, J P nagar,Sarakki Industrial layout Bangalore - 560078

24 Hour Toll Free Number 1800 425 9449

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: Unique ID Card/Passport/Drivers License /Ration Card / Voters ID Card/PAN Card should be presented at hospitals. Subject to the terms & conditions of the underlying insurance policy, this non-transferable identification card is valid at selected hospitals will enable you to avail cashless hospitalization only on the basis of preauthorization by Medi Assist. All preauthorization and/or settlement of claim is subject to the terms and conditions of the relevant policy. For the latest updated hospital list, login to www.mediassistindia.com

Policy No : 120100/34/12/04/00000001 Beneficiary Name : Saroj Upadhyay MediAssist ID : 4012300938 Employee Code :343320 Relation : Mother DateofBirth : 01-04-1962 PrimaryInsured : Kapil Upadhyay

MEDI ASSIST INDIA TPA PVT.LTD

No. 45 A,B block,Green Arch Building 1st Main, 3 rd phase, J P nagar,Sarakki Industrial layout Bangalore - 560078