Salient Features (A Bird Eye-View):
1. The Policy has been renewed with M/s United India Insurance Co. & the TPA is M/s E-meditek.
2. Last day for submitting the previous Bills for the period 1st January-31st March 2015 is 30th April 2015.Members may pl. send it to the TPA M/s E-meditek on or before this date.
3. Last date for submission of Mediclaim Membership Renewal Form alongwith the Payment receipt and other documents is 15th May 2015. Members may submit this to the Plant/ Unit from where hey retired.
4. Individual Premium as given in the following Table.
Individual Premium Amounts
| |
Age of Mediclaim Member as on 31.03.2015
|
Renewal Premium Amount per Member, Rs.
|
Below 70 Years
|
3281.00
|
Between 70-80 Years
|
2378.00
|
80 Years & Above
|
1586.00
|
5. Payment options are limited only through SBI Collect www.onlinesbi.com or computer generated challan
6. Coverage :
a) IPD & Cashless: A maximum of Rs. 2.0 lakh separately for each member and spouse with clubbing facility.
b) OPD: No clubbing facility allowed
i. A maximum of Rs. 4000/- separately for each Member and Spouse below 70 years of age (as on 31st March 2015)
ii. A maximum of Rs.8000/- separately for each Member and Spouse above 70 years of age (as on 31st March 2015)
Note 1: The Premium for Renewal has been raised almost by 1.5 times but the quality and service of Healthcare for the Members have been reduced (as if price rise / cost of living has increased for SAIL, the Insurance Co. & the TPA and cost of Healthcare and Hospital charges have decreased for SAIL Retirees in last years??)
Note 2: Overall, the terms and conditions of the Policy is inferior to the previous ones
Advice: Members are advised to read the Policy in detail and follow the details provided there. In case a clarification is required pl. contact the authorised Internal Resource Persons of SAIL Plants/ Units or the TPA or the United India Insurance Co.
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