NEW HOSPITALISATION SCHEME- PNB-
Xth BI- PARTITE SETTLEMENT:-
Xth BI- PARTITE SETTLEMENT:-
We
were quite worried about the implementation of the new Hospitalisation
Scheme as it was a new concept adopted on duel platform of cashless
through insurance and payment through corporate buffer.
But GM HRMD and MD & CEO took a calculated pragmatic approach by increasing payment from corporate buffer 3 times.
On hospitalisation one can avail cashless facility upto 4 lacs or 5 lac on 9 critical illness cases. If estimated expenses are upto 16 lacs or 18 lacs in case of critical indented illness, then advance/ reimbursement can be as under:
Other than critical cases: cashless 4 lacs & from corporate buffer 4x3=12 lacs (total 16 lacs)
For critical cases: Cashless 5 lacs & from corporate buffer 5+4+4=13 lacs ( total 18 lacs)
If expenses are still more then near the end of the policy year balance can be paid.
Entire bill & receipts has to be submitted to TPA.
Recently in one case of liver transplant the officer from kolkata has spent near 29 lacs and earlier got 5+5 lacs & recently got 4+4 lacs totalling 18 lacs.
TAHIR ALI
N.C.B.E
But GM HRMD and MD & CEO took a calculated pragmatic approach by increasing payment from corporate buffer 3 times.
On hospitalisation one can avail cashless facility upto 4 lacs or 5 lac on 9 critical illness cases. If estimated expenses are upto 16 lacs or 18 lacs in case of critical indented illness, then advance/ reimbursement can be as under:
Other than critical cases: cashless 4 lacs & from corporate buffer 4x3=12 lacs (total 16 lacs)
For critical cases: Cashless 5 lacs & from corporate buffer 5+4+4=13 lacs ( total 18 lacs)
If expenses are still more then near the end of the policy year balance can be paid.
Entire bill & receipts has to be submitted to TPA.
Recently in one case of liver transplant the officer from kolkata has spent near 29 lacs and earlier got 5+5 lacs & recently got 4+4 lacs totalling 18 lacs.
TAHIR ALI
N.C.B.E
Regards,
E.R.Iyer
No comments:
Post a Comment