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Tuesday, March 31, 2015

MEDICLAIM POLICY RENEWED WITH CASHLESS FACILITY FOR ALL DISEASES

Dear Sir,
Our Group Mediclaim Policy for the year 2015-16 covering in-service/retired employees and their dependents has been renewed with New India Assurance Co. Ltd. with cashless facility for all diseases and treatments covered under mediclaim policy for the year 2014-15. Cashless facility will be available through TPAs in hospitals covered under their network. In cases where cashless facility is not availed or when there is some balance reimbursable amount to be claimed representatives of TPAs will be collecting the claim papers directly from Divisional Offices.

Following Zone wise TPAs have been appointed for servicing the above policy:
S.No.
Office/Zone
Name of TPA
1
Northern Zone
M/S MDIndia Healthcare Service (TPA) Pvt. Ltd.
2
Western Zone
M/S MDIndia Healthcare Service (TPA) Pvt. Ltd.
3
Central Zone
M/S MDIndia Healthcare Service (TPA) Pvt. Ltd.
4
Central Office
M/S MDIndia Healthcare Service (TPA) Pvt. Ltd.
5
North Central Zone
M/S Raksha TPA Pvt. Ltd.
6
East Central Zone
M/S Heritage Health TPA Pvt. Ltd.
7
Eastern Zone
M/S Heritage Health TPA Pvt. Ltd.
8
South Central Zone
M/S Medi Assist India TPA Pvt. Ltd.
9
Southern Zone
M/S Vidal Health TPA Pvt. Ltd.

Detailed information about premium rates, data collection, List of hospital covered under TPAs network, process, etc will be provided shortly. Till the id cards are issued from TPA existing process for cashless facility will be followed, i.e. cashless request will be processed by TPA on the basis of certificate issued by the OS department of LIC and photo id proof.
Sanjay Gupta
Administrative Officer,
PERSONNEL/ER-A DEPT.,
CENTRAL OFFICE.