Mediclaim related issues 17.2.23

NATIONAL ORGANISATION OF INSURANCE PENSIONERS

Regn No.PN 4769 (Regd under Indian T U Act, 1926)

(Affiliated to Bharateeya Mazdoor Sangh)

BMS Office, Vishwakarma Bhavan, 185, Shaniwar Peth, Pune 411030. 

 President: T.C. Gunesh Kumar Working President: Vilas V. Purkar General Secretary: Ashok J. Joshi

 Mob No: 9880683639 Mob No: 9922166599 Mob No: 9561084182 & 9945104570 

Date: 17-02-2023

Shri.S.Mohanty,

Managing Director,

L I C of India, Central Office,

YOGAKSHEMA, MUMBAI

Dear Sir,

Re: Mediclaim related issues

This is further to our physical meeting with you on 19-10-2022 in your chamber, wherein we discussed 

various issues confronting the retirees including Mediclaim related issues. You were so kind enough and 

concerned about our welfare. We were overwhelmed with your warmth.

We regret to inform that the issues raised by us, especially regarding Mediclaim, still continue to be 

unresolved. They are briefed hereinbelow for your kind information and necessary action.

1) a) TPA MDIndia is still continuing to harass the claimants especially seniors. For all 

reimbursement (not cashless hospitalization) cases, they are insisting on KYC details. It is to be 

noted that LIC reimburses the claim amount after getting credit from the TPA. LIC maintains the 

KYC details of all the retirees and credits the reimbursement amount to the bank account of 

retirees. As such, we fail to understand, as to why MDIndia TPA insists KYC in each case before 

releasing the claim amount to LIC. We request your intervention in the matter and advise the 

TPA not to insist on KYC.

 b) Secondly, TPA MDIndia has been playing a mischief regarding cash receipts of medicines 

bought. Though all the original bills are attached with the claim papers, either they deduct the 

amount of medicines bought or they call for original bills though they are sent already with the 

claim papers. This is nothing but willful harassment of the seniors, giving them mental torture.

Please find the letter of one such recent claimant, Shri. Sanjay Ramdasi (who happens to be our 

all-India office bearer) which makes our point clear to you.

2) One more option to be given to all, to join the Mediclaim scheme, since this opportunity is not 

given ever since 2012.

3) Those who resign due to self ill health, to be continued to be covered under the scheme without 

any cut-off date.

4) Free medical check up be offered to the retirees, every year.

5) One more group Mediclaim policy be offered to cover OPD expenses including dental treatment 

or substantial amount of Cash Medical Benefit be given.

6) Minimum compulsory cover be increased substantially due to ever rising inflation.

In addition to the above, the other improvements requested by us, vide our letter dtd.15-01-2023

addressed to the ED (Personnel), (since enclosed) may please be considered favourably.

Expecting your positive response,

With thanks and regards,

Encl: As above

 Yours Sincerely,

 General Secretary