Insurance Samadhan and AmeriHealth Homecare, a dedicated home healthcare provider focused on delivering personalized medical services to seniors, have announced a strategic partnership to support senior citizens and critically ill patients in navigating the complexities of health insurance for home-based medical care. The goal of this partnership is to provide patients with easy access to quality healthcare at home, while also giving them the ability to access the benefits they have paid for under their insurance plan.
AmeriHealth Homecare’s area of focus is home health care, offering a wide range of services in the home including skilled medical/nursing, therapy and personal care services, 24 hours a day, 7 days a week. The second focus area of this partnership is Insurance Samadhan’s backend expertise in managing insurance claims and resolving any issues associated with insured individuals who need assistance navigating their claims process. Together, these two organizations will help eliminate one of the major barriers that many families face in accessing their rightful insurance benefits, which is the confusion surrounding coverage and denied claims.
In addition to streamlining claims for home healthcare, this partnership specifically addresses the needs of senior citizens who often face multiple hospitalizations and claim filings within a single year. Because many elderly patients struggle with the technical aspects of modern insurance platforms, the collaboration provides hands-on assistance to help them understand their policy coverages and navigate the complexities of pre- and post-hospitalization filing. By simplifying these administrative hurdles, the partnership aims to build a robust support model that can be expanded to other elder care organizations in the future.
By integrating their services, AmeriHealth Homecare now acts as a primary resource for patients to understand their “domiciliary” coverage. AmeriHealth’s team provides support to families, helping them find out what services can be reimbursed, and assisting them to collect accurate medical documentation needed to meet insurer requirements. Once care is provided, Insurance Samadhan takes over from there, managing claims in order to avoid delays or denial of the claims of insureds who are senior citizens.
“Our core goal at AmeriHealth is to make sure patients can heal with dignity in a familiar environment,” said Sonal Jawa, Head of Operations at AmeriHealth Homecare. “ Dealing with a medical condition is hard enough without having to worry about how to deal with the insurance company. By collaborating with Insurance Samadhan, we will provide an easier way to provide clinical and administrative support to our families in order to make healthcare easier. We want to ensure that insurance never stands as a barrier to the care a patient rightfully deserves”.
The relationship establishes new ways to automate and simplify the management of individual coverage. Shilpa Arora, COO and Co-founder of Insurance Samadhan, stated that partnering with AmeriHealth gives users the necessary tools to manage their policies effectively. “Working together, we create a whole new support system for our customers, ensuring they understand their coverage completely,” said Arora. She stressed that this collaboration gives individuals the ability to manage their own insurance experiences by providing straightforward ways to understand their policies and resolve any difficulties with them. Additionally, both companies will conduct joint educational campaigns aimed at informing consumers about other policy benefits, like vaccinations or health tests performed every year, that commonly get missed. This proactive strategy will help caregivers acquire the information necessary to better help their loved ones with financial and medical decisions.
These two companies’ partnership marks a change in India towards a more transparent and supportive home health care model, allowing families complete control of both their insurance rights and the way they recover.
What is AmeriHealth Homecare?
America’s Healthcare Service Company (AHSC) is an experienced provider of home-based medical services designed specifically for senior citizens and those recovering from surgery or chronic illness. AHSC specializes in connecting the healthcare system through a network of qualified, 24/7 available staff. We are committed to providing quality care in the patient’s home by closing the gap between discharge from an acute care facility and home recovery.
What is Insurance Samadhan?
Insurance Samadhan established in August 2018, is a trusted support network for insurance policyholders across India. With more than 20,000+ insurance-related grievances being resolved to date, IS has assisted more than 15,000 policyholders with over ₹260+ crore of rightful insurance claims. In January 2024, IS improved the speed of complaint resolution by launching the Polifyx app, which reduced the average timeframe to resolve complaints from an average of 60 to 26 days — a 55% reduction in the total number of days for resolution. The majority of complaints made to IS (69%) relate to health insurance followed by life insurance (25%) and general insurance (6%). The number of inquiries about insurance increased by 40% in 2024, indicating a growing awareness of consumers concerning insurance products and services, and the ongoing problems being experienced by policyholders. Insurance Samadhan will continue to help consumers become more empowered through technology, information, and fairness, and to promote transparency in the Indian Insurance Industry.