INSURANCE BACKED CASHLESS MEDICAL SCHEME
| The Insurance Backed Cashless Medical Scheme for the period 29-07-2019 to 28-07-2020 shall be operated through M/s. Oriental Insurance Company Ltd. with M/s. Paramount Health Services Pvt. Ltd.(PHS) as the TPA (service provider) for the same. |
| (A) CURRENT POLICY YEAR (29-07-2019 to 28-07-2020) | |
|---|---|
| 1. Amendment in Part 4(3) of APAR - Annual Health Check Up in respect of DSIIDC employees aged forty years and above | Download |
| 2. Association with Dr. Lal Path Labs for Diagonostic Services at Delhi/NCR network | Download |
| 3. Instructions related to the Insurance Scheme | Download |
| (B) INSURANCE COVERAGE | |
|---|---|
| 1. Entitlement of Family Floater cover (category wise) | Download |
| 2. Group & Accidental Insurance coverage features | Download |
| 3. Advisory | Download |
| 4. Non-payable expenses during hospitalisation as per IRDA Guidelines | Download |
| (C) PARAMOUNT HEALTH SERVICE - TPA | |
|---|---|
| 1. TPA /DSIIDC Helpdesk | Download |
| 2. How to get e-cards- Steps | Download |
| 3. How to Access claim details - Steps | Download (Claim Form) Download (Claim Status) |
| 4. Procedure for Cashless Treatment/Reimbursement - | Download Download (PPT)--> |
| (D) LIST OF HOSPITALS/DAY CARE SURGERIES/DISCOUNTS | |
|---|---|
| 1. List of Hospitals: empanelled with TPA List of Hospitals in Delhi NCR |
Download Download |
| 2. Day Care Surgeries: permissible under Insurance Backed Cashless Medical Scheme | Download |
| 3. Discounts/Services available through Paramount Health Services card | a) Diagnostic Centre discounts Download b) Discount on Consultation Download c) Discount on Investigation Download d) Discount on Dr Lal Path Download e) Discount on Pharmacy, Apollo Pharmacy,Medidart, Religare Download f) Discount on Onquest Download g) Discount-Physiotheraphy Tie Ups Download h) Discount-I Clinic - Diagno Lab Download i) General Health Check Up & Cancer Screening Profiles Download j) Physiotherapy discounts Download k) Acupressure Healing & Training Download l) Nursing Bureau Service Download |
| (E) DOWNLOADS | |
|---|---|
| 1. Mediclaim form: Form for reimbursement /Insurance Claim | Download |
| 2. Application form : For Retired Employee to opt for the Insurance Backed Cashless Medical Scheme | Download |
| 3. Life Certificate form : For retired employees to be submitted compulsorily every year before 15th June | Download |
| 4. Dependant form : For new beneficiary to opt for the Insurance Backed Cashless Medical Scheme | Download |
| (F) CIRCULARS : 2018-2019 | |
|---|---|
| 1. Reimbursement cases under the Insurance Backed Cashless Medical Scheme | Download |
| 2. Circular - Change in the date of distribution of New Medical I.D. Card to employees (including retired employees) of DSIIDC for Insured Backed Cashless Medical Scheme (IBCMS)- Medical Policy Awareness Camp |
Download |
| (G) CIRCULARS : 2016 | |
|---|---|
| 1. Circular - Verification of Employees data/beneficiary details of the Insurance Backed Cashless Medical Scheme (01-08-2017) | Download |
| 2. Enrolment of the Ex-employees and their dependants under the Insurance Backed Cashless Medical Scheme (05-06-2017) | Download |
| 3. Circular - Room Rent/ICU Entitlement of beneficiaries (27-10-2017) | Download |
| 4. Circular - Verification of Employees data/beneficiary details of the Insurance Backed Cashless Medical Scheme (17-05-2017) | Download |
| 5. Prolonged Medical Facility (22-08-02016) | Download |
| 6. Option to enhance sum insured limit/family insurance coverage (20-07-02016) | Download |
| 7. Verification of Employees data/beneficiary data of the Insurance backed cashless medical scheme (Response solicited) (20-07-02016) | Download |
| 8. Notice to remit lump sum contribution towards Insurance backed cashless medical scheme (Attention solicited) (20-07-02016) | Download |
| 9. Option to enhance sum insured limit/family insurance coverage (14-07-02016) | Download |
| 10. Option to enhance sum insured limit/family insurance coverage (13-07-02016) | Download |
| 11. Option to enhance sum insured limit/family insurance coverage (12-07-02016) | Download |
| 12. Renewal of Insurance Backed Cashless Medical Scheme and Reimbursement Cases (20-06-2016) | Download |
| (H) PREVIOUS CIRCULARS | |
|---|---|
| 1. Enrolment of National Institute of Jewellery Design & Technology (NIJ) employees under the Insurance Backed Cashless Medical Scheme of the Corporation (21-09-2015) |
Download |
| 2. Medical Check-up of Officers drawing Grade Pay of Rs. 7600/- and above. (16-09-2015) | Download |
| 3. Renewal of Insurance Backed Cashless Medical Scheme w.e.f. 18-07-2015 to 17-07-2016 (20-07-2015) | Download |
| 4. Insurance Backed Cashless Medical Scheme (01-07-2015) | Download |
| 5. Updation of dependent details for the Insurance Backed Cashless Medical Scheme - Extension in date of submission of Life Certificate (09-06-2015) |
Download |
| 6. Updation of dependent details for the Insurance Backed Cashless Medical Scheme - ( Life Certificate For Ex-employees) (28-05-2015) | Download |
| 7. Reimbursement Cases (28-05-2015) | Download |
| 8. Insurance Backed Cashless Medical Scheme w.e.f. 18-07-2012, (Family Floater Detail-2012) (27-02-2015) | Download |
| 9. Enrolment of the retired officials/voluntary retired officials under the Insurance Backed Cashless Medical Scheme(06-02-2015) | Download |
| 10. Circular - Notifying the TPA (13-01-2015) | Download |
| 11. Circular - Helpdesk awareness camp and distribution of Medical ID Card to employees (including retired employees) (14-08-2014) | Download |
| 12. Cashless Medical scheme introduced in 2012 (30-07-2012) | Download |
