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: Ulhare Santosh Sarjerao
For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Medi Assist ID: 5133554051 Validity of the card is subject to the holder being covered under valid policy of
Insurer.
Relation: Self
Primary insured: Ulhare Santosh Sarjerao Medi Assist Insurance TPA Pvt Ltd.
Brihanmumbai Municipal Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Policy holder:
Corporation Nagar, Bengaluru, Karnataka 560029.
Policy No: 022100/48/24_BMC_EX CIN: U85199KA1999PTC025676
Website: www.mediassisttpa.in
Policy Period: 01 Oct 2024 To 30 Sep 2025
Generated On: 05 Oct 2024 09:26

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: Suvarna Santosh Ulhare
For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Medi Assist ID: 5133554055 Validity of the card is subject to the holder being covered under valid policy of
Insurer.
Relation: Spouse
Primary insured: Ulhare Santosh Sarjerao Medi Assist Insurance TPA Pvt Ltd.
Brihanmumbai Municipal Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Policy holder:
Corporation Nagar, Bengaluru, Karnataka 560029.
Policy No: 022100/48/24_BMC_EX CIN: U85199KA1999PTC025676
Website: www.mediassisttpa.in
Policy Period: 01 Oct 2024 To 30 Sep 2025
Generated On: 05 Oct 2024 09:26

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: Shreyash Santosh Ulhare
For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Medi Assist ID: 5133554053 Validity of the card is subject to the holder being covered under valid policy of
Insurer.
Relation: Son
Primary insured: Ulhare Santosh Sarjerao Medi Assist Insurance TPA Pvt Ltd.
Brihanmumbai Municipal Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Policy holder:
Corporation Nagar, Bengaluru, Karnataka 560029.
Policy No: 022100/48/24_BMC_EX CIN: U85199KA1999PTC025676
Website: www.mediassisttpa.in
Policy Period: 01 Oct 2024 To 30 Sep 2025
Generated On: 05 Oct 2024 09:26

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: Subham Santosh Ulhare
For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Medi Assist ID: 5133554054 Validity of the card is subject to the holder being covered under valid policy of
Insurer.
Relation: Son
Primary insured: Ulhare Santosh Sarjerao Medi Assist Insurance TPA Pvt Ltd.
Brihanmumbai Municipal Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Policy holder:
Corporation Nagar, Bengaluru, Karnataka 560029.
Policy No: 022100/48/24_BMC_EX CIN: U85199KA1999PTC025676
Website: www.mediassisttpa.in
Policy Period: 01 Oct 2024 To 30 Sep 2025
Generated On: 05 Oct 2024 09:26
 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: Vimal Sarjerao Ulhare
For the latest updated Network Hospital list, logon to www.mediassisttpa.in.
Medi Assist ID: 5133554052 Validity of the card is subject to the holder being covered under valid policy of
Insurer.
Relation: Mother
Primary insured: Ulhare Santosh Sarjerao Medi Assist Insurance TPA Pvt Ltd.
Brihanmumbai Municipal Address : Tower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bhavani
Policy holder:
Corporation Nagar, Bengaluru, Karnataka 560029.
Policy No: 022100/48/24_BMC_EX CIN: U85199KA1999PTC025676
Website: www.mediassisttpa.in
Policy Period: 01 Oct 2024 To 30 Sep 2025
Generated On: 05 Oct 2024 09:26