To cover OPD expenses of pensioners of age 70+, Bank has decided to extend the GMP-OPD policy with M/s New India Assurance Co. Ltd. for three months from January 01, 2022 to March 31, 2022.
The terms and conditions / coverages of the policy for the extended period remain the same with following exceptions.
During the extended period, prorate sum insured limit shall be applicable.
The grade wise and age wise limits for the above extended period are mentioned here.
Members can continue submitting claims to the existing TPAs -TPAs (Medi Assist and HITPA).
The contact details of the TPAs are here.
View details of M/s Global Insurance Brokers, newly empanelled brokers for the
policy.
Important guidelines:
i) All bills / claims dated between January 01, 2022 to March 31, 2022 can be claimed under
the extended policy and will be settled within the new sum insured limits only.
ii) All bills / claims incurred by the member during the period from January 01, 2021 –
December 31, 2021, will be settled as per the full eligibility or as per balance sum insured
available in the existing active policy.
iii) Members are expected to submit all such pending claims pertaining to the 2021 policy at the earliest on or before December 31, 2021 to the respective Third-Party Administrators (TPA) for settlement.
Any bills / claims that were rejected or not settled in the 2021 policy due to the sum insured
being completely exhausted cannot be claimed under this extended policy.
Wishing a Happy New Year to all members!
August 12, 2023 at 8:52 am
When a policy is extended do I get new sum insured. For example if I have used the balance of policy dated from 1st Jan 2022 to 31st Dec 2022 and policy got extended from 1st Jan 2023 to 31st March 2023 , so will I get new sum insured or my claims won’t be settled because my balance was over .
August 16, 2023 at 12:36 pm
So far as OPD to Pensioners 70+ is concerned, it was extended once for the period January 1,22 to March 31,22 on pro rata basis. https://airbiopf.wordpress.com/2021/12/30/group-mediclaim-policy-for-opd-to-pensioners-70/
All bills / claims dated between January 01,2022 to March 31,2022 were to be claimed under the extended policy and have already been settled within the new sum insured limits only.
Thereafter its (OPD to Pensioners 70+) period is valid from April 1 22 to March 31,23; and April 1, 23 to March 31,24. All reimbursements are done within the prescribed grade wise limits.
GMP (MAFS) is a separate policy for treatment in Hospital as detailed in the post. Please carefully go through the posts.