RBI-Medical Assistance Fund Scheme (MAFS)-GMP (2018-19) for RBI retirees ( August 15, 2018 – August 14, 2019)
As the earlier cashless GMP policy under MAFS taken from United India Insurance Company Ltd expired on August 14, 2018, the policy has now been renewed for a further period of one year (15-8-18 to 14-8-19) with Bajaj Allianz General Insurance co. Ltd. on the mutually agreed terms and conditions.
As there is a change of Insurance company, new TPA cards will be issued to the members during the year.
Also, there is a slight change in the grade wise limit for ICU, room/bed charges as shown here.
There is no change in the Third Party Administrators (TPAs) View/download the list.
All claims pertaining to the MAF members will be settled by the designated TPA, irrespective of the place where the treatment is taken.
The centers allocated to the TPAs and the new policy will be effective for all hospitalizations commencing on or after August 15, 2018.
The name, contact number and e-mail id of the representatives of the Insurance Consultants are listed here.
There is no change in per hospitalization limit as shown here.
140+ day care surgeries are given in the day care list . Any new advancement in treatment modalities to be covered if it is a part of Day Care.
New additions/enhancements in current Day care list:
Injections for autoimmune disorders/arthritis and ankolysing spondylosis Limit to read as Rs. 25000/-per case with a maximum cap of 3 cases per year per family.
For any guidance/clarification/ feedback etc. relating to the GMP respective TPA representative may be contacted.
In all cases, the members may invariably provide their mobile telephone number for receiving SMS for pre-authorisation sanction and carry their MAF (photo) Card along with the TPA Identity Card for verification at the time of hospitalization, which may be required for identification.
In case of prolonged hospitalization where the claim is on reimbursement basis, the member should inform the designated TPA during the period of hospitalization.
There is no change in the other instructions issued in this regard from time to time.
Your may view complete List of Salient Features / Bank’s forwarding letter dated August 14, 2018.
Aditya Birla Insurance Brokers Limited Communication Matrix as per the Zones and TPA allocation.View