RBI-Medical Assistance Fund Scheme (MAFS)-GMP (2019-20) for RBI retirees ( August 15, 2019 – August 14, 2020)

As the earlier cashless GMP policy under MAFS taken from Bajaj Allianz General
Insurance Company Ltd. expired on August 14, 2019, the policy has now been placed with New India Assurance company Ltd. for a further period of one year (15-8-19 to 14-8-20) 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.

There is change in the grade-wise per hospitalization limit which is given here. There is no change in room charges and ICU limit.

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, 2019.
The name, contact number and e-mail id of the  representatives of the Insurance Consultants are listed 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.
Cataract operation with a cap of Rs. 40,000/- per eye uniform for all. PPN charges are not applicable for cataract claims and to be processed as per specified limit of Rs. 40,000/-

Investigation charges and medicines charges levied during hospitalization will be reimbursed in full irrespective of room occupied. Pro-rata deduction will not be applicable on investigation charges and medicines.
Cost of intra vitreous injection Avastin/Lucentis/Macugen/Ozurdex etc. upto a ceiling of Rs. 20,000/- which includes full hospitalization cost, per dose/per eye with a maximum of five dosages per eye during policy period. Total sublimit Rs. 100,000/- per eye.

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 13, 2019.

Aditya Birla Insurance Brokers Limited Communication Matrix as per the Zones and TPA allocation.View

Wishing  all members, supporters, friends and their families a Happy Independence Day.-AIRBIOPF