MAFS-Master Circular updated till 4th November 19

Bank has updated the Master Circular about Medical Assistance Fund Scheme (MAFS) in the light of the instructions issued till November 4, 19.
We have split the Master circular in two parts.
Part I – containing the detailed instructions and ,
Part II – containing forms for official use.
Members may view (Part I) here.

Some extracts relevant to retirees are reproduced below.
Group Mediclaim Policy (GMP) for Retired members of MAFS:

7.1 With effect from August 15, 2007, the Bank has switched over to the Group Mediclaim Policy (GMP) for retired/ex-employees who are members of MAFS and their spouse to cover their hospitalization expenses through Insurance Co. The Policy is being administered by TPAs.
7.2 Every retired/ex-employee at the time of ceasing to be in the Bank’s service is given a unique identification number, the name of the Office maintaining his/her account and the name of the dispensary from where he/she can avail of dispensary facilities.
7.3 Help desk will be located in Medical / MAF Section of Offices/CODs to assist the retired members of MAFS. The help desk will coordinate with CO for reporting of details …..
All claims pertaining to the MAF members attached to an Office will be settled by the TPA designated for that Office irrespective of where the treatment is taken.

Eligibility of claims

Claims of members, whose subscriptions are paid up-to-date, are eligible for reimbursement.
Claims relating only to indoor hospitalisation treatment are eligible for consideration under the Scheme.
Maternity claims, claims relating to ailments/treatments which are
outside the purview of the BMFS as also the claims relating to outdoor treatment (not involving hospitalisation) will not be considered.
Expenditure incurred before a retired /ex-employee becomes a member of the Scheme will not qualify for assistance from the Fund.
Claims of the members are required to be submitted to the designated TPA within the stipulated time.
All claims are settled/ reimbursed as per terms and conditions of the GMP operational from time to time.

Significant features of Group Mediclaim Policy are already uploaded here.