INSURANCE BACKED CASHLESS MEDICAL SCHEME
| 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. |
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| 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 |
