Transcript Presentation on Group Mediclaim Insurance Scheme for

Presentation on Group Mediclaim
Insurance Scheme for Retired
Employees
Human Resources Department
Damodar Valley Corporation
Group Mediclaim Insurance Policy
• Mediclaim insurance scheme for pensioners and a few existing
employees and their spouses (and family pensioners) launched
from 01.01.2014.
• Coverage amount : Executives= Rs 7.5 lakhs p.a , Non-Executives
= 5 lakhs p.a
• The premium would be deducted from the pension in one go in
a given financial year according to the age profile.
• Admission to medical network facilities can either be planned or
on emergency both being cashless.
• Admission in any other medical facility outside tie up will be on
reimbursement basis.
• All preexisting diseases is covered from day one.
Annual Premium payable by beneficiariesS.No
Category
60 -65 yrs
66 -75 yrs
76 – 90 yrs
1
Executive
Rs 983
Rs 1124
Rs 1180
2
Non-Executive
Rs 843
Rs 983
Rs 1039
Important Information ( available in DVC website)
1.
2.
3.
4.
5.
6.
List of hospitals
List of beneficiaries and amount of premium.
Contact details of M/s United India Insurance Co.Ltd
Contact details of TPA (Third Party Administrator)
Contact details of Portfolio Management Services
Different forms
Process Flow
Beneficiary can also
download e-card
from TPA website
Help Desk at DVC
Towers (3rd Floor)
Medical Card is
sent to
beneficiary
PAN India list of
hospitals is
available on DVC
website
Beneficiary must
carry photo ID proof
like voters card/ PPO
etc.
Toll Free number
for queries
Beneficiary can
avail indoor
cashless treatment
in any tie up
medical facility
Login process for E-Card
• Go to www.fhpl.net
• Click login and then click e-card
Type the following :
Corporate ID: 1522
Username : PPO Number
Password : PPO Number
Important Contact numbers
HELPDESK & Emergency support:
9230101753
Email: [email protected]
Enrollment for new pensioners
• Employees retiring every month to fill Form M
(GMIP).
• Respective Office/Administrative Officer/HR Officer
to send a copy of the duly filled up Form to the
Senior Manager (HR)-IR, DVC HQs .
• A time of 30-45 days would be taken after allotment
of PPO Number for coverage under the scheme.
Points to remember
a) Beneficiaries must carry photo ID proof along with medical
card for indoor treatment.
b) Beneficiaries who forget to carry medical card can download
electronic card from TPA website. Link of TPA is available in
DVC website. (TPA- Third Party Administrator)
c) Beneficiaries can choose to continue existing Mediclaim
Policy/Health Insurance and can use its benefits once DVC
GMIS is exhausted.
d) All relevant forms are available on the DVC website.
(www.dvcindia.org)