Presentation on Group Mediclaim Insurance Scheme for Retired
- Slides: 8
Presentation on Group Mediclaim Insurance Scheme for Retired Employees Human Resources Department Damodar Valley Corporation
Group Mediclaim Insurance Policy • Mediclaim insurance scheme for pensioners and a few existing employees and their spouses (and family pensioners) launched from 01. 2014. • Coverage amount : Executives= Rs 7. 5 lakhs p. a , Non. Executives = 5 lakhs p. a • The premium would be deducted from the pension in one go in a given financial year according to the age profile. • Admission to medical network facilities can either be planned or on emergency both being cashless. • Admission in any other medical facility outside tie up will be on reimbursement basis. • All preexisting diseases is covered from day one.
Annual Premium payable by beneficiaries. S. No Category 60 -65 yrs 66 -75 yrs 76 – 90 yrs 1 Executive Rs 983 Rs 1124 Rs 1180 2 Non-Executive Rs 843 Rs 983 Rs 1039 Important Information ( available in DVC website) 1. 2. 3. 4. 5. 6. List of hospitals List of beneficiaries and amount of premium. Contact details of M/s United India Insurance Co. Ltd Contact details of TPA (Third Party Administrator) Contact details of Portfolio Management Services Different forms
Process Flow Beneficiary can also download e-card from TPA website Help Desk at DVC Towers (3 rd Floor) Medical Card is sent to beneficiary PAN India list of hospitals is available on DVC website Beneficiary must carry photo ID proof like voters card/ PPO etc. Toll Free number for queries Beneficiary can avail indoor cashless treatment in any tie up medical facility
Login process for E-Card • Go to www. fhpl. net • Click login and then click e-card Type the following : Corporate ID: 1522 Username : PPO Number Password : PPO Number
Important Contact numbers HELPDESK & Emergency support: 9230101753 Email: cshelpdeskkolkata@fhpl. net
Enrollment for new pensioners • Employees retiring every month to fill Form M (GMIP). • Respective Office/Administrative Officer/HR Officer to send a copy of the duly filled up Form to the Senior Manager (HR)-IR, DVC HQs. • A time of 30 -45 days would be taken after allotment of PPO Number for coverage under the scheme.
Points to remember a) Beneficiaries must carry photo ID proof along with medical card for indoor treatment. b) Beneficiaries who forget to carry medical card can download electronic card from TPA website. Link of TPA is available in DVC website. (TPA- Third Party Administrator) c) Beneficiaries can choose to continue existing Mediclaim Policy/Health Insurance and can use its benefits once DVC GMIS is exhausted. d) All relevant forms are available on the DVC website. (www. dvcindia. org)
