Skip to main content

LATEST CHANGES IN GROUP MEDICLAIM

MEDICLAIM POLICY - LATEST CHANGES

Re: Changes in benefits and other policy conditions under Group Mediclaim Policy 2016-17

Group Mediclaim Policy for the year 2016-17 has been issued. Following changes in benefits and other policy conditions have been incorporated in the above policy.

1. Registration/Admission charges and Service Tax/Surcharges are payable.

2. Expenses in respect of claim relating to Physiotherapy shall be limited to actual or maximum of Rs.30,000/- per person per year, whichever is less.

3. Maximum charges payable for Biopsy (Diagnostic Test without hospitalization) per insured has been increased from R.3000/- to Rs.4000/-.

4. One additional Diagnostic Test without hospitalization, i.e. PET Scan has been included for which actual or maximum of Rs.15000/- per insured, whichever is less, shall be reimbursed.

5. Age Related Macular Degeneration (ARMD) and/or treatment for retinal disease by intravitereal/ intraocular injection/intervention are admissible. Actual or maximum of Rs.25000/- per eye per annum for each insured, whichever is less, shall be payable.

6. Robotic surgery for Malignant Cancer/Cancer, Brain and Spine only are payable.

7. Maximum payable ambulance charges per hospitalization has been increased from Rs.2500/- to Rs.5000/-.

8. Artificial limbs will be covered, except the Robotic Limbs which may be paid at the rate of conventional artificial limb.

9. Genetic disorders and stem cell implantation/surgery are not covered. However, treatment for Thalessima, Haemophilia, Sickle Cell Anemia, Hemolytic Anemia, Myeloma, etc requiring hospitalization is covered subject to maximum of 75% of Floater Sum Insured of the family.


Sanjay Gupta
Administrative Officer,
PERSONNEL/ER-A DEPT.,
CENTRAL OFFICE.

Comments

Post a Comment

Your opinions are of interest to us.
We shall be only too receptive when you respond. BTW, comments are subject to moderation.

Popular posts from this blog

"Achyutha,Anantha,Govinda namocharana beshajath nasyanti sakala rohath ,Satyam satyam vadhamyaham"

Appeal by Sridharan G.N 6:02 PM (13 minutes ago) FAITH AND PRAYER  deserve to be considered as one of the weapons to fight the virus menace. It is  not without purpose that even the Westerners believe in the old dictum - 'many things are wrought by prayers'. Gandhiji said that the tenets of Hindu religion and faith has universal application .Our ancient texts do prescribe prayers as a panacea for all human ailments. For instance in Mahabharata - vide Dwadasa nama pancharam an appendix to Vishnu Sahasranamam - a sloka in the words of Bishma pitamah runs as follows: "Achyutha,Anantha,Govinda namocharana beshajath nasyanti sakala rohath ,Satyam satyam vadhamyaham" That is, he swears that uttering the various names of the Lord will cure a person  of  ALL his diseases.In another sloka it is said that even water from holy Ganga can be good enough a medicine (oushadam) if only we believe the Lord (sriman Narayana) as the doctor.(vaidy

Swami Sarvapriyananda | Guided Yoga Nidra ( Yogic Sleep ). MUST TRY !!!

SELF DECLARATION BY CLAIMANTS IN CASE OF HOSPITALISATION (DOCUMENTS TO BE UPLOADED TOO) IRDA DECISION.