Yesterday, I had a talk with RMOS, SZO on some
pending matters of pensioners & mainly requesting him to
expedite with CO all modalities of new Cashless
Service covering all illnesses & diseases for
Employees & Pensioners.
RM informed me that CO team was here & they are serious of concluding all formalities with TPA who will really bear the brunt as also shoulder properly, without hassles, implementation of the new Cashless service .When I asked about including Optional SA in ecard of TPA ,RM said it is not so, they don’t want, any cost or fee ,for knowing OSA , hospitals to hike rates etc.But procedures are finalized & have to bear fruit sooner.CO will issue circular after full assessment of all TPAs ,All India as announced in CO Cicular dt 31/3/2015
Today I whetted the above with further talks with SZO Mediclaim AO,The following useful points emerged,indicating some forward movement .We can be alert & pursue further as it seems the ball is set rolling & desire of LIC & TPA to really make cashless service implemented at the earliest in a fruitful manner
TPA has visited some SZ LIC Divisions & the rest also, they will do sooner ,discussing modalities with SDM etc
Format of card may be same,No SA will be shown,to avoid tendency of hike in rates/cost etc. No photo will be there in the card
Id Card of LIC with Photo will have to be shown compulsorily
LIC supplies all data including OSA opted, to TPA for updation in their Records,which shall be the most important & crucial factor for employees,dependants, pensioners etc so that later there should not be difficulty for anybody ,once the process is completed foolproof.It seems TPA adopts this practice for others too & for LIC also same procedure
LIC CO Circular shall be issued with all details,List of Hospitals for cashless service,premium rates,Policy conditions & benefits for 2015-16,procedures etc
All of us must better keep ready,LIC Pension Cell disbursing office Letter ,after receiving our Family Particulars Form, showing OSA covered & persons insured,apart from LIC Id card with Photo
Greetings,
R.B.KISHORE
VP,AIRIEF