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Synopsis of Our Mediclaim Policy (2020-21) with particular reference to treatment of Covid-19

 Synopsis of Our Mediclaim Policy (2020-21) with particular reference to treatment of Covid-19 

 

Like earlier years our Health Insurance Policy, popularly known as Mediclaim Policy, for the existing /retired employees and their dependents, has been renewed this year too with effect from 01.04.2020 with New India Assurance Company Ltd for one year for a total premium of Rs512,12,00,000/-(including GST). 

COVERAGE 

A) “NOW THIS POLICY WITNESSES that subject to the terms, conditions, exclusions and definitions contained herein or endorsed or otherwise expressed here on the Company undertakes that if during the period stated in the Schedule or during the continuance of this policy by renewal any Insured Person shall contract any Illness (herein defined) or sustain any Injury (herein defined) and if such Injury shall require any such Insured Person, upon the advice of a duly qualified Medical practitioner (herein defined) or a surgeon to incur Medical Expenses/Surgery at any Hospital / Day Care Center (herein defined) in India as an Inpatient, the Company will pay to the Insured Person the amount of such expenses as good fall under different heads mentioned below, and as are Reasonably and Customarily, and Medically Necessarily incurred thereof by or on behalf of such Insured Person.” (copied from policy Bond for future reference) 

 

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no Description Details of benefit 

1 Policy No for WZO and CO Area 12070034200400000001 

Policy No for CZO Area 12070034200400000002 

Policy No for NZO Area 12070034200400000003 

Policy No for NCZO Area 12070034200400000004 

Policy No for ECZO Area 12070034200400000005 

Policy No for EZO Area 12070034200400000006 

Policy No for SCZO Area 12070034200400000007 

Policy No for SZO Area 12070034200400000008 

2 Name of the Insured LICI, CO. YOGAKSHEMA, Mumbai-400021 

3 Name of the Insurer The New India Assurance Company LTD 

4 Location of the Insured Persons Anywhere in India 

5 Policy period 01.04.2020-31.03.2021 

6 Basic floater Sum Insured 5.0L,6.0L,10.0L 

7 Optional SA on Floater Basis 6.0,8.0,10.0,12.0,15.0,20.0,25.0,30.0,40.0, and 

50.0 LAKHS 

8 TPA  for WZO & CO 

  MD India Health care services (TPA) Pvt.Ltd, Web 

site:www.mdindiaonline.com, email:customercare@mdindia.com, 

Toll free Tel no (dedicated for LIC):18002335588 

Toll free Tel nos:18002331166 & 18002334505 

Fax No 020-25300003, Tele No 020-25300000 


TPA for CZO Health India Insurance TPA Services Pvt Ltd 

Web site: www.healthindiatpa.com 

Toll free No: 1800 220 102/1800 226 970 

E mail id: lic@healthindiatpa.com 

For Cash less crm@healthindiatpa.com 

Telephone No: Ms Sheela Pednekar  9769274124 

Sheela.pednekar@healthindiatpa.com 

TPA for NZO Good Health Insurance TPA Ltd 

Toll free No(Dedicated for LIC) 1800 103 9919 

Toll free No                                   1800 425 3232 

                                                        1860 425 3232 

Email id :LICcare@ghpltpa.com                  customercare@ghpltpa.com Telephone No Mr. Ajit Pratap,  

                          Chief General  Manager 

                         +919650844011 

 Email id   ajit.pratap@ghltpa.com 

Web site: www.ghpltpa.com 

TPA  for NCZO Raksha TPA Pvt. Ltd. 

Web site:www.rakshatpa.com email:jyotiawasthi@rakshatpa.com  

Toll free Tel no (dedicated for LIC):18001039533 

Toll free Tel no: 18001801444 

Tel no.0129-4289999, FAX: Cashless 08881673411, 

011-66173411,011-45823411 

TPA  for EZO  Heritage Heallth TPA Pvt.Ltd. 

Web site: www.heritagehealthservice.com email: lic.heritagehealth@bajoria.in 

Toll free Tel no (dedicated for LIC): 18001024547 

Toll free Tel no: 18003453477 

Tel no:033-40334141, Fax:033-22100837 

TPA for ECZO VIPUL MEDCORP INSURANCE TPA PVT LTD 

Web Site: www.vipulmedcorp.com 

Email id: rajeevagarwal@vipulmedcorp.com 

                patna@vipulmedcorp.com                 bihar@vipulmedcorp.com                 abusalim@vipulmedcorp.com                 arup@vipulmedcorp.com                 deepika@vipulmedcorp.com 

Toll free No: 1800 108 7477 

                        1800 102 7477 

Telephone No: Mr Rajeev Agarwal, Branch Head 

 Mobile No:  9931107825 

TPA  for SCZO Medi Assist India TPA Pvt.Ltd. 

Web site: www.mediassistindia.net-Click email: lic@mediassistindia.com; Fax:18004259559  

Toll free Tel no (dedicated for LIC): 18004191154 

Toll free Tel nos:18004259449,18004191160 

 

TPA  for SZO Vidal Health TPA Pvt.Ltd. 

Web site: www.vidalhealthtpa.com email: lic@vidalhealthtpa.com 


Toll free no/ Kerala (dedicated for LIC): 18004256268 

Toll free no/ Tamilnadu (dedicated for 

LIC):18004257595    

Toll free no- Central  (dedicated for 

LIC):18004258565 

Tel No: Kerala 044-28159930,  

Tamil Nadu:0484-2357133 

Fax No Kerala 1800-425-6262; Tamil Nadu 1800425-0112 

9. List of Hospitals covered under network of TPA Available on respective TPA’s website and LIC’s intranet. 

10 Procedure for availing CASHLESS facility i) Cashless hospitalization can be available only at TPA’s network of hospitals. 

ii) Pre admission authorization to the Hospital/NH by TPA is essential. 

iii) In case of change of residence outside Zone original TPA will provide services based on PAN India’s network hospital. 

iv) 

  In case CASHLESS decision is declined by TPA for any reason, their decision is final.Claim for reimbursement can be made as per rules. 

However, in case of treatment of covid-19 there is a instruction from IRDAI for consideration of cashless treatment vide circular 

IRDAI/HLT/MISC/CIR/189/07/2020 

dated 14.07.2020 to the policyholders( Copy enclosed) 

11 Documents required i) E-Card of patient issued by TPA & any photo identity card such as employee ID Card, PAN, Driving License, Voter ID, Passport, Aadhar Card, School/College ID Card or any other photo ID Card by State/Central Government. 

ii) In absence of TPA ID Card Certificate by respective OS Deptt will do. 

12 Room Rent / Boarding Expenses limit 1.5% of total SI (Basic+ Additional) per day subject to maximum Rs7, 500/- for A Class cities; Rs 6,000/- for B Class cities; Rs4, 000/- for C class cities. (Reimbursement will be reduced proportionately in case limit exceeds). In case of Floater SA 40.L & 50.L max. Room rent is allowed 

10,000/- for A class cities. However in case of 

ICU/CCU there is no capping/ ceiling on ICU/ICCU Expenses. Registration / Admission charges and Service Tax / surcharges are payable. 


13 Expenses relating to Diagnostics Tests without hospitalizations. 

 

Restrictive conditions:- 

1) The Maximum limit 75,000/- for the family during the Policy Year 

2) MD or EQUIVALENT Doctor must advice for the same 

3) In case of prescription by Govt Hospital, the above condition can be waived. 

4) Allowed for only once per insured in a policy year 

5) Reimbursement is restricted for the mentioned tests only. No equivalent test will be considered. 

  Diagnostics Tests            Maximum amt payable 

MRI Charges                    Rs8000/- each insured 

CT Scan Charges             Rs6000/-  each insured 

Sonogram                        Rs2000/- each insured 

Biopsy                               Rs4000/- each insured  

Tread Mill Test                Rs2000/- each insured 

Echo                                  Rs2000/- each insured 

Gastroscopy                     Rs5000/- each insured 

Colonoscopy                    Rs7000/- each insured 

EEG                                    Rs1000/- each insured 

EMG                                  Rs2000/- each insured 

Holter Monitor                Rs5000/- each insured 

PAP SMEAR                      Rs750/-   each insured 

PSA(Prostate Specific     Rs750/-   each insured         Antigen) 

Mammography               Rs5000/- each insured 

PET Scan                           Rs20000/- each insured.  

14 ORGAN TRANSPLANT Hospitalization expenses (excluding the cost of the organ) during the course of organ transplant to the insured person. Expenses on donor and the recipient shall be limited to the insured sum.  

15 LASIK LASER TREATMENT Maximum amount payable 

Rs.35000/- per eye.  

 

 

 

16. Robotic Surgery For Malignant cancer/ cancer, Brain, and Spine only are payable. 

 

 

17 MATERNITY BENEFIT Maximum 65000/- for Normal 

Delivery 

Maximum 125000/- for Caesarean section Delivery 

Lawful Medical Termination of pregnancy included. 

New born child is covered from day one within  the family floater limit if the child is declared for insurance and the premium in respect of the child is received by LIC. 

18 Limitation of 24Hrs. hospitalization.  Not applicable for certain surgeries, procedures and eye surgeries. (189 such surgeries/operations have been given in page 45-51 of the original Policy Bond) Annexure- III 

19 Pre and post hospitalization expenses.  30 days and 60 days respectively. The above limitations may be waived in cases of renal failure and/or organ transplantation.  

Cost of Physiotherapy, as a part of Pre and Post hospitalization period will be reimbursed up to Rs.40000/- per person per year, if it is taken at a physiotherapy clinic or at specialized 

physiotherapy treatment centre. Other conditions are also applicable. Please see page no 22 , F(xxiv)  under head Exclusions, of Policy Bond for details.  

20 Surgeon/Anesthetists Payment Restricted to 25% of SI. Payment must be paid by cheque and numbered bill (not receipt on letter head) is required. However fees paid by cash may be reimbursed up to following limit provided numbered bill is obtained. 

Surgeon                             Rs 30,000/- 

Assistant Surgeon            Rs12,000/- Anesthetists                      Rs20,000/- 

21 Limit for payment on cataract Rs60, 000/- for each eye (all inclusive) or actual cost, whichever is less. 

22 Ambulance charges Limited to maximum Rs5, 000/- per trip per hospitalization.  However, in case of Cardiac Cases, if cardiac equipped Ambulance is required the amount may be allowed up to Rs10, 000/- while going to hospital only. 

23. Dental treatment Not allowed, except arising out of accident. 

24 Dependent children Insurance cover is restricted to in-service, Retired employee, spouse, dependent parents/parents-inlaws of in service employees/Retired employees, dependent male children up to 25 years of age, dependent female children ( unmarried, widow and divorcee), residing with the insured parents and having income less than Rs10,530/- per month. Independent female children residing with the Retired employee can continue to be covered till marriage. However after the marriage of unmarried female children or remarriage of widowed/divorced female children, the cover shall remain valid for 3 months or policy expiry date whichever is earlier. 

Please see C.O Circular CO/PER/ER-A/164/2017 dated 23.09.2017 for further clarification. 

25 Submission of claim Must be submitted within 20days from discharge of the Hospital. 

26 Settlement of claim The Insurer must settle the claim, including rejection within 30 days from receipt of the last document. Once claim is settled by TPA fund will be transferred to LICI within seven working days. 

27 Claim intimation forms Claim form, Doctor/consultant’s prescription, Discharge Summary/Discharge card, Bills cash memo and money receipts, pathological test reports, Surgeon’s certificate, attending Doctor’s bill and receipt and claimant’ s details 

28 Exclusions: A) Cost of Non-medical items during hospitalization. 

B) Cosmetic or aesthetic surgery. 

C) Treatment taken outside India 

 

 

 

 

Treatment of Covid-19 patient:- 

Reproduced, here in below, two circulars issued by IRDAI, which shows Covid-19 positive patients are covered under Health Insurance policy and also cashless facility is to be provided to them. Circulars are self explanatory. 

If we consider, the condition mentioned under head COVERAGE at the beginning at A, IRDAI circular dated 04.03.2020 and 14.07.2020 there is no doubt that claims under Corona Virus are covered under our Group Medical Policy. Regarding settlement of claim, matter may be taken up with concerned TPA, Insurer i.e The New India Assurance Company Ltd and also with Life Insurance Corporation of India for further clarification. Since several hospitals have come out with corona virus treatment package, either from home or through Hospital admission, it is suggested to obtain clarification from TPA or Insurer regarding their acceptability on case to case basis. 

By this time most members are aware of precautionary measures to be taken to prevent infection through corona virus. Hence repetition of the same is avoided here. It is always suggested to visit website of Government, World Health Organization and to act as per advice of Doctors to fight Corona Virus. 

Let us hope that, this pandemic be over at the earliest and we can lead happy, healthy and peaceful life.  

 

NB. In case of any doubt/dispute, please refer the original Policy Bond and related circular for clarification 

Enclo:1) IRDAI Circular dated  04.03.2020 Compiled by Partha Chatterjee 

           2) IRDAI Circular dated 14.07.2020 pchatterjee52@gmail.com 

                               Mobile No:-9068634932 

 

   

   

 

 


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