Clarification on procedure to be followed for lodging claims under domiciliary as given by United India Insurance Co Ltd
We reproduce below the circular issued by AIBRF on the above subject.
|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.|