We reproduce below the circular issued by AIBRF on the above subject.
Source: AIBRF Website
Issue | Our query | UIIC clarification |
Modalities of domiciliary expenses . | What will be the modalities of reimbursing the claim under domiciliary expenses to retirees ? | It can be send to TPA directly or to the nearest Bank office from where it has to be forwarded to zonal office enabling the TPA officer to collect it. |
Format for claiming domiciliary expenses. | Whether you have introduced any prescribed format for claiming domiciliary expenses for retirees ? If yes, please provide us a copy of the same. | Same claim form as being used for hospitalization. Please advise the retiree to write on the top "For domiciliary treatment". |
Nature of expenses admissible. | Please clarify what type/nature of expenses are covered for the treatment of identified 59 ailments. | Same as applicable to employee policy. |
Extension of domiciliary treatment to such retirees, who are not the member at present. | Since the UIICL has introduced option for domiciliary expenses now, whether such retirees who have not become member of the Scheme so far, can join the Medical Insurance Scheme now ? | Only present retirees who are covered in the current policy are allowed to join the renewal policy. |
Switching over from domiciliary expenses benefit to normal renewal (without domiciliary cover) or vice versa. | Please clarify whether a retiree who opts for domiciliary expenses benefit (Option II) now, be allowed to switch over to normal renewal next year or Vice-versa | The final decision would be taken at the time of renewal. |
Source: AIBRF Website
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