Process for IBA New Healthcare Policy for Bank Employees : – Indian Bankers Association (IBA) has introduced the new medical scheme for the employees of Government banks starting from 01st October 2015. The procedure and process for availing facilities are listed here below :
Under this scheme IBA has instructed the member banks wherein they have proposed for introducing a scheme for reimbursement of hospitalization expenses /domiciliary treatment to the employees and dependents by way of a master policy to be issued by M/s United India Insurance Company.
The said Medical Insurance Scheme for the serving Officers/Employees of IBA Member Banks in lieu of the existing Hospitalisation Scheme is hereby implemented with effect from 1st October 2015. The total sum insured for self and dependents in respect of hospitalization & domiciliary treatment coverage as defined in the scheme per annum is:
Officers : Rs.4.00 Lakhs
Award Staff: Rs. 3.00 Lakhs
Any hospitalisation claim where the Date of Admission is on or after 01/10/2015 will be covered under the aforementioned New Medical Insurance Scheme. Kindly note that only those Hospitalisation/Domiciliary claims prior to 01/10/2015 should be entered and sanctioned in Bank.
Third Party Administrators (TPA), the primary responsibility of M/s Vidal Health TPA will be:
Issuance of ID cards
Provide cashless facility through our empanelled hospitals
Process reimbursement claims as per policy terms and conditions
Procedure of Generating Health e Card by M/S Vidal Health TPA :
Each employee has been assigned with an ID by the TPA which is called ‘Vidal Health TPA ID’. Until the ID card issued by the TPA, they have made arrangements for issue of e-cards to all the employees.
The process to log in to generate the e –card
The TPA has communicated to all the network hospitals that, until such time the TPA ID cards are issued, the employees may avail cashless facility at the hospitals by producing the Bank Photo ID Card along with the TPA-e card. Likewise, until such time ID cards are issued for dependents, the Branch/Office may issue a tie up letter to enable the dependents to avail the cashless hospitalization facility.
With respect to hospitalization in non-network hospitals, please ensure that the TPA is informed in writing (by mail) on admission, mentioning the Vidal Health TPA Card Number, nature of illness, name & address of the hospital/nursing home, attending doctor etc. The claim should be submitted to the TPA in the below mentioned address in Claim form-Part A, Claim form-Part B & ECS Mandate which is appended.
The detailed procedure and the documents to be submitted for claiming reimbursement for treatment in non-network hospitals is furnished
Vidal Health TPA Pvt.Ltd.
Tower 2, 1st Floor, SJR I Park
Plot No.13,14,15
EPIP Area, Whitefield Bangalore 560066
Toll Free Number – 1800 -425 –9510
With respect to domiciliary treatment, claims from the month of October 2015 should be submitted in Claim form part A, Domiciliary Statement & ECS Mandatealong, with the original medicine bills and original of the latest prescription/medical certificate to the above mentioned address of TPA before 10th of the following month. For eg: Domiciliary claim for the month of October 2015 should be submitted to Your Head Office before 10th of November 2015.
In case of any queries branches/offices may contact the aforesaid TPA through their Toll Free Number of 1800 -425 –9510
