HDFC ERGO has more than 10,000 network hospitals across India where policyholders can get cashless treatment. If we talk about HDFC ERGO Network Hospitals in Mumbai, the number stands at 279. HDFC ERGO policyholders can get the required treatment at any of these hospitals in Mumbai without having to pay for the same.

So, if you have an HDFC ERGO Health Insurance plan and are searching for its network hospitals in Mumbai, we are here to show you the same. Apart from HDFC ERGO Network Hospitals in Mumbai, this article will also tell you the steps to file a cashless claim in case of a medical emergency.

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List of HDFC ERGO Network Hospitals in Mumbai

The below table can give you the necessary information about HDFC ERGO Network Hospitals in Mumbai with their addresses. Please check!

Hospital NameHospital Address
Apex HospitalsVaishali Heights A Wing Chandavirkar Road Mumbai, 400092
Abhishek Nursing HomeJagruti Chs, Bhatwadi, Bhatwadi, Ghatkopar West Jagruti CHS Bhatwadi Mumbai, 400084
Vivek Maternity & Nursing HomeSai Darshan Asalfa Ghatkopar (W) Mumbai, 400084
Kolekar Nursing HomeN. G. Aachorya Morg Ghatla Chembur Mumbai, 400071
Shiv Polyclinic & Nursing Home16/1 Prem Niwas Laxmi Colony Mahol Road Mumbai, 400074
Bhargava Nursing HomeGopal Bhuvan Tagore Road Gopal Bhuvan Tagore Road Mumbai, 400054
Bathia Hospital And Eye Clinic#2, 7 Krishna Kunj Off Chandavarkar Road, Mumbai, 400092
Ashwini Hospital & ICCULalan BLDG (Annexe) 1st Floor Mulund (W) Mumbai, 400080
Megha Surgical HospitalAshmi Apartment Ashmi Apartment Malad (E) Mumbai, 400097
Dr. Mekhale's Dhanvantri HospitalKhardeo Nagar N. G. Acharya Marg Mumbai, 400071
Asian Eye Institute & Laser Centre Pvt Ltd10A Satya Narayan Apt Off. M.G. Road Mumbai, 400066
Inlaks General HospitalInlaks Hospital Road Chembur Camp Mumbai, 400074
Sangita Maternity Surgical & Diagnostic Centre174, 3 V Road, 11 Ganga Vihar Mumbai, 400058
Speciality Ear Nose Throat HospitalSatyam Tower, 90 feet Road, Thakur Complex, Kandivali Mumbai, 400101
Namita Polyclinic & Hospital1,2,3 Ganga Sholimar 1, 2,3 Ganga Sholimar Dahisar (E) S V Road Mumbai, 400068
Navjivan Maternity & Surgical Nursing HomeVimal Apartment Nehru Rd Vile Parle E Mumbai, 400057
Krishna Nursing HomeNeha Apts 1st Floor, Bhandupneha Adts, Mumbai, 400078
Holy Spirit HospitalMahakali Road Mahakali Road Mumbai, 400093
Surana Hospital & Research CentreTank Rd Shanker Lane Next To Skywalk Tower Mumbai, 400064
Dr. Bet HospitalBawadi Cross Lane Anita Apartments, Ground Floor Mumbai, 400064
Dr. Shah HospitalSani Shopping Centre Jogeshwari (W ) Mumbai, 400102
Surana Sethia Hospital & Research CentreSuman Nagar Sion Trombley Rd Mumbai, 400071
Puranik HospitalDhanyawad 1st Lane Mamladar Wadi Mumbai, 400064
Mukund Maternity & Surgical Nursing HomeMarol Pipeline Mukund Nagar Andheri Kurla Road Mumbai, 400059
Vardhman ICCU & Nursing HomeA2-A3 Shriji Apartment 61, Ram Chandra Lane Mumbai, 400064

Cashless Claim Process at HDFC ERGO Network Hospitals in Mumbai

‘How to get a cashless claim at HDFC ERGO Network Hospitals in Mumbai?’ — Policyholders ask this question before choosing a health insurance plan from HDFC ERGO. To understand the cashless claim process, you can check the following steps.

Step 1: Get yourself admitted to the nearest or suitable HDFC ERGO Network hospital in Mumbai.

Step 2: After hospitalization, you will need to submit your HDFC ERGO health card and a valid photo ID to initiate your cashless hospitalization process. You can submit any of the following documents as a valid photo ID.

  1. Voter ID Card
  2. PAN Card
  3. Driving Licence
  4. Passport
  5. Aadhar Card

Step 3: Once the network hospital completes the identification process, it will send the pre-authorization form to HDFC ERGO to speed up your cashless claim process.

Step 4: HDFC ERGO or TPA will review the pre-authorization form before approving your claim. At each stage of the cashless claim process, updates will be sent to the policyholder on their registered number or email ID.

Step 5: According to your health insurance plan’s terms and conditions, HDFC ERGO will directly settle the claim with the network hospital. Do remember that the company will not pay for any inadmissible expenses.

What to Do if Your Cashless Claim Gets Rejected at HDFC ERGO Network Hospitals in Mumbai?

If the cashless claim gets rejected at HDFC ERGO Network Hospitals in Mumbai, a reimbursement claim option is available for you. You can only file this claim after getting discharged from the hospital. Pay upfront for the received treatment and submit the following documents to HDFC ERGO to get your reimbursement claim.

  1. Duly-filled claim form along with policy number
  2. Medical certificate
  3. Past treatment documents (if any)
  4. Original Discharge summary or card from the hospital
  5. All bills and receipts incurred towards the treatment
  6. Investigation reports such as X-ray, Blood reports, etc.
  7. First Information Report (FIR) or Medico-Legal Certificate (In case of an accidental injury)
  8. NEFT details for payments

HDFC ERGO will review these documents and approve the claim only after successful verification. Post-approval, the reimbursement amount will be transferred to your bank account within 7 days of the last document received.

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