Tattapani, Himachal Pradesh Healing through Naturopathy, Ayurveda and Yoga
NABH Accredited
NABH Accredited
CGHS Empanelled Center
CGHS Empanelled Center
CGHS and insurance assistance at Sandhya Hot Spring Healthcare
Treatment Support & Guidance

CGHS & Insurance Support Made Simple

Get clear guidance regarding CGHS eligibility, insurance reimbursement, required documents and treatment-related assistance from our team.

CGHS & Insurance Support

Clear Guidance for a Smoother Wellness Stay

Our team helps eligible guests understand the documents, approvals and coordination required for CGHS and health insurance support.

Assistance may include document review, treatment estimates, pre-authorisation coordination and reimbursement guidance. Final eligibility, approval and claim settlement remain subject to CGHS rules or the terms of the guest’s insurance policy.

For Eligible Beneficiaries

CGHS Assistance

Guidance for beneficiary verification, referrals, permission documents, estimates and applicable reimbursement procedures.

Subject to Policy Approval

Insurance Coordination

Support for reimbursement documentation and cashless or pre-authorisation coordination where permitted by the insurer.

01
Step One Share Your Details

Send your CGHS or insurance information and medical documents.

02
Step Two Review & Guidance

Our team reviews the documents and explains the applicable process.

03
Step Three Plan Your Stay

Treatment, accommodation and support are coordinated before arrival.

Understand Your Claim Route

Cashless or Reimbursement— Know What Applies to You

The applicable route depends on your insurer, policy terms, treatment approval and the documents available at the time of admission.

Option One

Cashless Coordination

Pre-approval Required

In a cashless route, the insurer or TPA reviews the treatment request before or during admission and communicates the approved amount.

How it works Pre-authorisation is submitted to the insurer or TPA for review.
Payment timing Approved expenses may be settled directly, while exclusions are paid by the guest.
What you need Policy card, identity proof, medical records and approval-related documents.
Important Cashless treatment is subject to insurer or TPA approval and applicable network conditions.
Option Two

Reimbursement Support

Claim After Treatment

In a reimbursement route, the guest pays the treatment and stay expenses first, then submits the required documents to the insurer or department.

How it works Treatment is completed and the claim file is submitted afterward.
Payment timing The guest pays first and receives reimbursement after claim assessment.
What you need Original bills, receipts, discharge summary, prescriptions and medical reports.
Important Reimbursement depends on policy limits, exclusions and final claim approval.
Need Help Choosing the Right Route? Share your CGHS or insurance details before booking your stay.

Our team can review the information available and guide you on the next practical step. Final approval always remains with the concerned authority, insurer or TPA.

Coverage at a Glance

What May Be Included in Your Approved Claim

Coverage varies by CGHS rules, insurer, TPA, policy limits and the approval issued for your case. The points below are intended to help you understand what usually requires review before admission.

Subject to Approval

May Be Considered

Approved Treatments & Therapies

Therapies specifically mentioned in the treatment plan or approval may be considered within the sanctioned amount.

Eligible Room Category

Accommodation may be considered according to the room entitlement or category approved by the authority.

Consultation & Clinical Records

Consultation, treatment notes and discharge documentation may form part of the approved care package.

Approved Investigations or Medicines

These may be considered only when prescribed, medically required and allowed under the applicable approval.

Check Before Booking

Usually Needs Confirmation

Room Upgrades

Any room category above the approved entitlement may require payment of the difference by the guest.

Attendant or Companion Expenses

Companion accommodation, meals and personal expenses may not be included unless clearly approved.

Non-Medical or Personal Purchases

Travel, personal products, convenience items and unrelated services commonly require separate payment.

Additional or Extended Treatment

Any service or stay beyond the approved duration may require fresh permission or direct payment.

Before Confirming Your Stay Send Us Your Approval Letter or Policy Details

Our team can help you compare the approval with the proposed treatment and accommodation plan. Final coverage and settlement remain subject to the concerned authority, insurer or TPA.

Share Documents on WhatsApp

Frequently Asked Questions

Clear Answers Before You Plan Your Stay

Find general guidance about eligibility, documentation, cashless coordination and reimbursement support. Every case is reviewed individually according to the applicable approval, policy and treatment plan.

Need Case-Specific Guidance? Share your documents with our support team.

Send your approval letter, beneficiary details or policy information before confirming your booking.

Ask on WhatsApp
01 How do I know whether CGHS or insurance support applies to my case?

Eligibility depends on your beneficiary status, policy terms, medical requirement, referral or approval documents and the rules of the concerned authority, insurer or TPA. Share your documents with our team before booking so the available information can be reviewed.

02 Is cashless treatment guaranteed?

No. Cashless treatment is subject to pre-authorisation, policy conditions, network requirements and approval from the insurer or TPA. Any amount not approved, excluded or above the sanctioned limit may need to be paid directly by the guest.

03 Can I apply for reimbursement after completing treatment?

Reimbursement may be possible when permitted under the applicable CGHS rules or insurance policy. The guest generally pays the treatment expenses first and later submits the required claim documents to the concerned authority or insurer for assessment.

04 Which documents should I keep ready?

Commonly requested documents include a valid beneficiary or insurance card, government photo identification, referral or permission letter where applicable, policy information, medical reports, prescriptions and previous treatment records. Additional documents may be requested for a specific case.

05 Should I send my documents before booking?

Yes. Sharing clear copies before booking allows the support team to compare the available approval or policy information with the proposed treatment and accommodation plan. This does not replace final approval from the concerned authority, insurer or TPA.

06 Are accommodation and meals covered?

Coverage depends on the approved room entitlement, package terms and policy conditions. Room upgrades, special meals or services outside the approved plan may require separate payment.

07 Are attendant or companion expenses included?

Companion accommodation, meals, travel and personal expenses are not automatically included. They should be confirmed separately against the approval or policy before arrival.

08 What happens if the final bill is higher than the approved amount?

Any amount above the sanctioned limit, along with excluded, non-medical or unapproved expenses, may need to be paid directly by the guest. Additional approval may be required when treatment or stay extends beyond the original sanction.

09 How long does approval usually take?

Approval timelines vary according to the authority, insurer, TPA, completeness of documents and the nature of the case. Guests should avoid relying on a fixed timeline and begin the process before their planned travel date.

10 Can treatment begin before approval is received?

Beginning treatment before the required approval may affect cashless eligibility or reimbursement. Confirm the applicable process with the concerned authority, insurer or TPA and discuss the available options with our support team before admission.

The information above is general guidance and does not guarantee eligibility, cashless approval or reimbursement. Final decisions are made by the applicable government authority, insurer or TPA according to its current rules and the documents submitted.

Personal Assistance Before Booking

Let Us Review Your CGHS or Insurance Documents

Share your beneficiary details, approval letter, policy information or medical records with our support team. We will guide you through the available process before you confirm your treatment and stay.

Document and eligibility guidance before booking

Support for cashless or reimbursement coordination

Treatment and accommodation planning before arrival

Final eligibility, cashless approval and reimbursement decisions are made by the concerned government authority, insurer or TPA.

Sandhya Hot Spring Health Care wellness property
What to Share Approval Letter, Policy Details & Medical Records

Clear document copies help our team guide you more accurately.

Guidance Before Booking