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GMP for OPD expenses introduced for 70+ RBI Pensioners effective January 1, 2018

1. Group Mediclaim Policy from New India Assurance Company Ltd to cover OPD expenses to pensioners of 70 years of age and above which will commence from January 1, 2018 and will be valid up to December 31, 2018 has been introduced by the Bank vide  HRMD circular dated November 10,2017.

2.  The policy will  cover pensioners and their spouses and the sum insured will be on a combined basis, i.e the sum insured will be per pensioner on family floater basis.

3. OPD expenses incurred by members will be reimbursed by the Insurance Company up to the limit of sum insured depending upon the grade of the employee.

4. The policy will be administered by Third Party Administrators (TPAs) at all centers.

5. Contact details of location wise relationship managers of TPAs & insurance brokers will be intimated separately.

6. All the pensioners who are covered under the policy will be issued TPA cards along with welcome letter giving details of the scheme.

7. No intimation of treatment is to be provided by the pensioner. The claim is to be lodged with TPA within a period of 60 days from the date of treatment taken by pensioner or spouse by submitting original documents.

8. Pensioners attaining age of 70 years during the month will be added in Group Mediclaim Policy from the first of the succeeding month and in the event of the death of a pensioner, spouse will continue to be covered.

9. List of coverage / appliances covered.

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3 Comments

  1. Is it in lieu of the existing dispensary facilities or in addition to it. Anyhow augurs well for the pensioners. Hope not it is in lieu of updation of pension or an interim arrangement pending updation.

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