RBI-Medical Assistance Fund Scheme (MAFS)-GMP (2015-16) for RBI retirees renewed with IFFCO Tokio GIC Ltd.

17 Aug

As the earlier cashless Medi claim policy taken from United India Insurance Company Ltd expired on August 14, 2015, RBI has ,now, renewed the policy for a period of one year (15-8-15 to 14-8-16)  with IFFCO Tokio General Insurance Company Ltd.- a private sector company.There is no change in the Third Party Administrators (TPAs) View/download the list.

Following enhancements/additions have been made:
i. Service Charge levied by the Hospital is payable within the sum insured.
ii. Psychiatric Treatment on IPO basis up to extent the Sum Insured is payable.
iii. Post hospitalization physiotherapy is to be covered up to 180 days, subject to  applicable per hospitalization ceiling
iv. Inclusion of Ayurvedic treatment for cancer patients at private Ayurveda  hospitals.
v. In case of bilateral knee or hip replacement surgery done during the same hospitalization cashless extended in empanelled hospitals to be made twice the  ceiling applicable.
The names, contact numbers and e-mail id of the designated TPAs and representatives of the Insurance Consultants are listed here.
In view of change in the Insurance Company, new ID cards will be issued to MAF members ‘in due course’. Till such time the existing MAFS ID card issued by the Bank as well as existing ID cards issued by the TPA will be valid for admission to the hospital.
As per our unhappy past experience with the Insurance company and TPAs regarding issue of new ID cards, and as  the Bank has used the phrase “in due course” instead of prescribing a time limit for issue of new ID cards, retirees may remain vigilant, and in case they do not receive new ID cards within 3 weeks, they should contact the Relationship Managers  concerned for immediate issue of ID cards along with details of Hospitals empanelled. It is improper for any Insurance company and against the conduct rules of IRDA to impose the ID cards issued by another company for unreasonably long periods .  
There is no change in the grade-wise limit for ICU, room/bed charges, sum insured per hospitalization as shown here.
The day care list will also be inclusive of day care Medical Treatment undertaken due to advancement of technology. The additions to the current list of 140+ day care treatment are:~ Traumatological Surgery and Orthopaedics – Reduction of dislocation under GA including K-Wire.
~ Other Operations / Procedure
• Carotid Artery Angiography
• Foam sclerotherapy
• Treatment of pemphigus vulgaris by rituximab therapy (injection rituximab)

Your may view complete List of Salient Features /Bank’s forwarding letter dated 14-8-15.

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2 Responses to “RBI-Medical Assistance Fund Scheme (MAFS)-GMP (2015-16) for RBI retirees renewed with IFFCO Tokio GIC Ltd.”

  1. Sarveswara 17/08/2015 at 11:26 pm #

    very useful information. thank you very much for sharing.

    Like

    • P oommen Joseph 14/09/2015 at 1:44 pm #

      Thank you for the information. As I did not receive the new cards I got in touch with the TPA. Soft copies of the renewed identity cards were then sent to my email address. This is for your information

      Like

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