INSURANCE BACKED CASHLESS MEDICAL SCHEME
| The Insurance Backed Cashless Medical Scheme for the period 29-07-2017 to 28-07-2018 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 (29.07.2017 to 28.07.2018) | |
|---|---|
| 1. Circular - Enrolment under the Insurance Backed Cashless Medical Scheme (IBCMS) | Download |
| 2. Circular - Verification of the Insurance Backed Cashless Medical Scheme (IBCMS) beneficiary details | Download |
| 3. Renewal of Medical Policy & Contact Numbers | Download |
| 4. Office Order - Option to enhance sum insured limit/family insurance coverage | Download |
| 5. List of employees who opted for additional Insurance Coverage (Self financed) | Download |
| 6. Office Order - Option for enhancement of self financed family floater cover/sum insured under the Insurance Backed Cashless Medical Scheme |
Download |
| 7. Enrolment of the Ex-employees and their dependants under the Insurance Backed Cashless Medical Scheme | Download |
| 8. Salient Features of the Insurance Backed Cashless Medical Scheme | Download |
| 9. Contact Numbers of the TPA for the Insurance Backed Cashless Medical Scheme | Download |
| (B) INSURANCE COVERAGE | |
|---|---|
| 1. Entitlement of Family Floater cover (category wise) | Download |
| 2. Procedure for availing Insurance coverage | 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)--> |
| 5. Download Mobile App of TPA- Steps | Download |
| (D) LIST OF HOSPITALS/DAY CARE SURGERIES/DISCOUNTS | |
|---|---|
| 1. List of Hospitals: empanelled with TPA | 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 Consultation Download d) Discount on OPD Download e) Discount on Pharmacy, Apollo Pharmacy,Medidart, Religare Download f) Discount on Treatment Download g) Discount-Dentist 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 : 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 |
| (G) 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 |
