Tag Archives: airbiopf

Pension Calculator for RBI Pensioners (Feb16 to July 16)

5 Feb

Violations by IFFCO TOKIO General Insurance Co. Ltd.-Group Mediclaim Policy 2015-16

3 Feb

We have come to know from the retired  members of MAFS that the present Insurance company -IFFCO Tokio- with whom the GMP contract for the period 2015/16  has been renewed-  has initiated  restrictive practices regarding settlement of their pre-authorisation  bills with Network Hospitals. Some other  unauthorised practices have also been observed in cases relating to   planned hospitalisation such as, Cataract Surgery and other procedures where  hospitalisation under a package  are agreed to  by the retiree members. In this connection, we emailed  to central office members’  concern in the matter. Some extracts form the emailed letter are given below.

“Earlier where treatment of cataract surgery was planned, the TPA
(under United India Insurance co.) used to provide for the entire admissible  amount in one instalment capped at  RS 40000/- on submission of the required case papers  by the  hospital…”

“Our  members who have undergone cataract surgery in the  network hospitals have reported  that the amount estimated  by the hospitals is not being released by the TPA in one go as was being done by the same TPA under  earlier Insurance company. In a recent case (details in Annexure I), where the TPA (Medi Assist, Noida) approved the pre estimated amount as conveyed to them in 3 instalments, that too 60% of the amount claimed by the hospital. The balance amount was sanctioned 5 hours after the surgery was performed. Till then the  patient remained stuck in the hospital. He was thus  forced to expose himself to the avoidable risk of aggravation/infection. It is well known in Health Care Industry that  the cataract treatment is a fixed package where the cost of lens and surgery charges, as a rule, are pre-fixed, and there is little  scope for  any subsequent changes in the estimates.”

We have also reports and papers which prove that United India Insurance is a better rated company by the Health Care Industry and enjoys a higher credit limit than the present insurance company.Our members are also at a loss to  understand  the favour bestowed upon a Company in Private Sector and all love lost for Public sector Company owned by the nation, when  generally the beneficiary employees were satisfied by the implementation of the policy by the Public sector Company since the inception of the scheme. 

As per the  guidelines issued by Insurance company to TPA, under the pretext of  Package System, TPA has reduced the Cashless Facility and the Hospitalisation limit of the retirees to a farce . In fact,  by  disallowing  the genuine claims of the retiree including that of medicines and investigation charges etc. the Insurance company is  violating  the provisions in the policy. Who has authorised the company to  sanction the pre-authorisation amount  on the basis of  the room rent below the  eligibility of the member concerned?

The difference in the amount between the eligible amount and actual paid amount for Room Rent/ICU/ICCU is also payable by Regional Office in accordance with the para.No.7 of C.O. Circular C.O.HRDD.No.G.100/4241/18.03.00/2010-11 dated November 1, 2010.

However, We have come across many cases where the members have not claimed the room rent difference from the Bank as they are not aware of the same. The instructions relating to retirees  are not well circulated, although central office invariably advises regional offices to bring the contents of such  circulars to the retirees’ associations. It is not being done as no retirees’ association is on the mailing list of  the Bank. Instructions remain  confined to a few in the Bank and the Medical Desk.

Or some times, the members who are coping with the prolonged  sickness are required to approach bank at different times  for settlement of the bills and  trivial objections involved.  Some consider it better to  avoid the hassles in representing and then fearing for the negative response.  They thank God for whatever amount is paid by the Insurance company. But this approach makes the Insurance company richer due to  their grace rather than God’s.

In the circumstances, retiree members who have undergone hospitalisation may note to  first  obtain the full itemised details of rejections along with reasons /summary of the settlement from the TPA. TPA is bound to provide the same as per Regulatory Authority’s guidelines. Then they should  represent each and every deduction /wrong settlement of their bills first to the TPA, and if rejected or not replied to within 3 weeks , to Central Office through their local office. We should also bring all such information about MAFS to the notice of  retirees in Class IV and Class III who are  already suffering due to very low room rent admissible to them.

 

 

 

DR rates for RBI Pensioners-Feb 12 to July 16

2 Feb

The dearness relief rates for family pensioners are same as
applicable to those who retired on 1-11-2007.
DR rates for ex-gratia recipients: 928.62% of ex-gratia

17000 RBI staff to go on mass casual leave on 19th Nov. 15

14 Nov

United forum of Reserve Bank Officers and Employees has issued a press statement calling for mass casual leave by 17000 RBI staff, including very senior officers on 19th November 15, to protest against the government moves to cripple functions and working of RBI. The protest is also aimed at the  dilatory tactics being used by the Ministry of Finance  regarding  revision of Pension in respect of RBI Retirees .

Unions in RBI have long been pursuing for reasonable  improvements in pension, as the basic pension once fixed in RBI is never revised, although the pension scheme  in RBI is analogous to Pension Scheme in Central Government. In respect of  about 50 lakh Central Government pensioners , the periodic revision is done with every pay revision.  Moreover, the Pension in RBI was once  revised by Central Board and implemented for pre-2002 retirees, but was later withdrawn on account of unjustified and unilateral orders by M/o finance. Retirees concerned  had to approach Mumbai High court to get the unilateral orders stayed. The  issue of not updating pension is hanging for about a decade and ministry is keeping the employees genuine demands in limbo. Fed up with the Government’s  tactics, the present RBI Governor  included the problem with Government in para x.28 of the RBI Annual report 2015, which no earlier governor  liked to do.
The proposed protest is also to Save RBI from the transparent  agenda of GOI to cripple RBI, despite cautionary signals from the economists of fame. Rigidity by M/o Finance in the above issues is a matter of deep concern for the RBI staff. ” If very reasonable demand of improvement in  Pension is not met as  demanded by the staff, the agitation will be further escalated in the coming days”  says the press release.

AIRBIOPF fully supports the demands of the retirees and working employees and advises all the members to participate in the programme on 19th November 15 at their offices of RBI.

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