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INSURANCE BACKED CASHLESS MEDICAL SCHEME

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The Insurance Backed Cashless Medical Scheme for the period 29-07-2021 to 28-07-2022 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 (29-07-2021 to 28-07-2022)
1. Insurance Backed Cashless Medical Scheme (IBCMS) for the medical policy
year w.e.f. 29-07-2021 to 28-07-2022 and the use of buffer funds - regd.
Download
2. Renewal of Insurance Backed Cashless Medical Scheme (IBCMS),
the Accidental Insurance Cover for the policy year 29-07-2021 to 28-07-2022 and Option for self financed Family Floater through payment of additional premium
Download
3. Instructions related to the Insurance Scheme Download
4. Amendment in Part 4(3) of APAR - Annual Health Check Up in respect of DSIIDC employees aged forty years and above Download
5. Verification of the Insurance Backed Cashless Medical Scheme (IBCMS) beneficiary details Download
6. Renewal of Insurance Backed Cashless Medical Scheme Download
7. Enrolment under the Insurance Backed Cashless Medical Scheme (IBCMS) Download
8. Reimbursement of "unsettled expenses" under the Insurance Backed Cashless Medical Scheme policy year 2020-2021 Download
9. Updation/verificfation of the medical policy beneficiary details of ex-employees and their dependants Download
10. Prolonged Medical Facility (22-08-02016) Download
11. Medical Check-up of Officers drawing Grade Pay of Rs. 7600/- and above. (16-09-2015) 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

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