This is to inform you that SAIL has floated Tender yesterday evening for SAIL Mediclaim Scheme 2021-22 with 16th June as the closing date of the Tender. To the best of our informal communication SAIL Chairman Ms Soma Mondal has taken initiative in deciding all the following important changes that FORSE has been putting up to SAIL on a regular basis, some of them like enhancement in IPD/ Cashless for the last 7 years.. We are thankful to her for her initiative and kind consideration.
A cursory glance of the Tender document reveals the following
changes.
1. IPD / Cashless treatment increased to Rs. 8.00 lakhs: Our
long term demand of IPD/ Cashless treatment has been increased from earlier Rs
4 lakhs to Rs. 8 lakhs with floater facilities.
2. Treatment for age related Macular degeneration with Injection
Avastin/Lucentis/Macugen: Rs.1,00,000
3. Robotic Surgery allowed.
4. Premium for 80+ : Only Rs 100 will be the registration fee for
those who are 80 and above. However, no other changes appear in OPD
premium or coverage.
The following cappings on procedures/ packages, as given below, shall also be applicable:
Disease/ Treatment Cappings
1. Hernia repair including Hernia Mesh: Rs. 40,000
2. Cholecystectomy Rs. 45,000
3. Haemorroidectomy Rs. 25,000
4. Appendicetomy Rs. 35,000
5. Hysterectomy Rs. 45,000
6.Coronary Angiogram/ Angiography : Rs. 16,000
7.Tonsillectomy Rs. 15,000
8. Cataract on one eye (excluding cost of IOL)/Package rate for Cataract
on one eye including IOL
a. Rs. 15,000/
b. Rs. 25,000
9. Knee Implantation-unilateral (excluding cost of implant) :Rs.1,00,000
10. For bed capping cities 1.5% I.e. 6000.00 for state capital 1.25% and
other area 1%.
General:
1. Left out cases will be allowed with normal charges in coming renewal.
After proper detailed study of the Tender document FORSE will decide on the
left out issues and demands. Our other demands which are not considered till
now will be on our priority and our efforts will continue to persuade SAIL to
improve the Scheme further.
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