The hospital is listed as empanelled but refused to admit me under the scheme. What now?

Contact your HealAssistant straight away, from the hospital if you can. An empanelment can be out of date, the hospital’s scheme desk may need the pre-authorisation raised differently, or the refusal may be about your paperwork rather than the empanelment. Your HealAssistant will take it up with the hospital directly.

Can HealAssist tell me how many scheme beds are free at a hospital?

No — HealAssist does not track scheme bed or slot numbers, and any figure claiming to would be invented. What HealAssist does instead is real: before your booking is confirmed, a coordinator contacts the hospital and confirms they can take your case under your scheme.

The hospital I want is not empanelled with my scheme. What are my options?

Your scheme will not pay there, so you would be paying privately. Speak to your HealAssistant before you decide — they can show you empanelled hospitals for the same procedure, and explain what the treatment would cost you at each.

Getting admitted under a government scheme

Last reviewed 13 July 2026

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Quick answer

Only an empanelled hospital can bill your scheme. Before your booking is confirmed, your HealAssist coordinator contacts the hospital to confirm they can take your case under your scheme, and prepares the paperwork with you. If you are still turned away, tell your HealAssistant immediately — do not pay and hope to claim it back.

A government scheme only pays at a hospital that is empanelled with it. Empanelment is an agreement between the hospital and the scheme, and it is the single most important thing to establish before you travel anywhere for treatment.

What does "empanelled" actually mean?

It means the hospital has an agreement with your scheme and can bill it. HealAssist records that agreement per hospital, including whether it covers cashless treatment, reimbursement, or both — and that difference decides who pays on the day.

Under a cashless empanelment the hospital bills the scheme directly for covered items. Under a reimbursement-only empanelment you pay the hospital and claim the money back afterwards. A hospital being "empanelled" is therefore not the same as your treatment there being cashless.

What HealAssist does before your admission

Your coordinator contacts the hospital
Before your booking is confirmed, your HealAssist coordinator contacts the hospital to confirm they can take your case under your scheme. This is a phone call to a human being, not a lookup on a screen.
Your paperwork is prepared with you
Your HealAssistant works through the scheme paperwork with you — your scheme card or beneficiary id, photo id, and any referral the scheme requires — so nothing is missing at the desk.
Pre-authorisation is raised where the scheme needs it
Many scheme admissions need a pre-authorisation from the scheme before surgery. The hospital’s scheme desk raises it, and your HealAssistant follows it through.

If a hospital turns you away, tell your HealAssistant before you pay

Do not pay the bill yourself and hope to recover it later — that turns a scheme admission into a reimbursement claim you may not win. Call your HealAssistant from the hospital. HealAssist resolves complaints within one day, and the fastest resolution is always the one that happens while you are still at the counter.

HealAssist coordinates the admission — it cannot overrule the hospital

Your HealAssistant will verify the empanelment, confirm with the hospital and push the paperwork through. What HealAssist cannot do is compel a hospital to admit you: the decision to admit is the hospital’s and your treating doctor’s. This is a promise of work done on your behalf, not a guarantee of the outcome.

Scheme admission questions

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Getting admitted under a government scheme

What does "empanelled" actually mean?

What HealAssist does before your admission

Scheme admission questions

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