Group Mediclaim Policy powered by AIGETOA started for 7766 Executives and Employees of BSNL with total beneficiaries are 35,873

Group Mediclaim Policy powered by AIGETOA started for 7766 Executives and Employees of BSNL with total beneficiaries are 35,873

Dear Colleagues,

With profound thanks, we wish to intimate that much awaited Group Mediclaim Policy initiated by AIGETOA have started functioning with 35,873 beneficiaries in first phase.

We extend our thanks for the faith shown in the health insurance policy powered by AIGETOA. The Group Mediclaim Health Policy has been issued on the name of “All India Graduate Engineers & Telecom Officers association” (AIGETOA), BSNL by New India Assurance Co Ltd (Government of India Undertaking) and Medi Assist as TPA. Despite some uncalled negative campaign by few, people have shown their faith, thereby proving the fact that truth and good works do not have association or union boundaries. AIGETOA CHQ Team backed by dedicated efforts of Circle and advisory leaders of AIGETOA has made this herculean task completed in a time frame to extend helping hands to our members as well as employees of BSNL in this Pandemic. We once again extend our heartfelt thanks to everyone for the successful completion of first phase of the Policy.

Here, we once again clarified that Medical Facility has to be provided by the employer and above mediclaim policy is in addition to the existing BSNL MRS Policy, floated as an interim measure in view of Pandemic. But we are pursuing with the BSNL Management to start similar Mediclaim Policy with coverage of Rs. 10 Lakh for all indoor treatment in place of BSNL MRS indoor and only critical illness beyond the threshold amount should be covered through existing BSNL MRS.

This is to intimate that the E-Card download from Medi Assist for the List-1 has been started and data uploading for the List 2 is in progress. PPL can register and download the E-Card from the given link.

https://me.medibuddy.in/#sign-up

Click the above link and put your HRMS number in the username and click “activate tab” and follow the process to identify and download your e-Card. Use your HR Number for Employee ID.

One can also download the Medibuddy Mobile App of Medi Assist TPA from Play store for using services of the Mediclaim Policy through mobile.

We once again reaffirm our commitment to keep the good work on. We also welcome the negative criticism of few which gives us further energy and motivation to move forward for the welfare of our fraternity.

Following presentation and list has been shared for your ready reference despite of its availability on Medi buddy website in your login.

Click here for the Group Mediclaim Procedure

Click here for the Presentation by Medi Assist

Click here for the List of Network Hospital’s

Click here for the Reimbursement Claim Form

Click here for E-Card Download Process

Group Medi Claim Policy launched by AIGETOA through New India Assurance and Medi Assist TPA becomes operational:

Congratulations !!!

This is to intimate that we have sent the details of first 4939 executives and employees, who were within the threshold limit and their premium has also been paid to New India Assurance.

The people covered in the first lot will receive an SMS about their confirmation of Policy on the registered mobile number.

Accordingly, Group Health Insurance coverage for first lot becomes effective. As it will take around one week time to issue the Policy Number and it’s Document and issuance of Health Insurance E-Card to to every individuals, the facility of coverage will be extended by raising your request on E-mail ID sent to you through SMS on your registered mobile number.

While sending the request, attach a copy of same to aigetoa.ghis@gmail.com

The details of the remaining persons shall be sent once the policy is issued, which is expected to take one week time. We expect their coverage to start by the end of second week of May 2021.

We wish to inform that we have further Negotiated with New India Assurance (NIA) to get some more general exclusions withdrawn and now NIA shall be giving coverage of Lasik Surgery, Cyber Knife Surgery, Artificial Life Support System, Impairment of Intellectual faculties, Trauma Care, Animal Bite Indoor cases etc. Many other general exclusions have been relaxed and such treatments is covered in the policy now. The details of complete coverage shall be provided to all the optees in the GHIS portal.

Friends, we once again reaffirm that we have taken best possible care to ensure a best possible policy for those who have registered for the policy and made the payment.

We are in touch with New India Assurance for opening of another window for registration of those who couldn’t opt for the policy in the first window. We shall be taking all possible efforts to provide one more registration window.

MOST URGENT PLEASE – Update on Group Insurance

Dear CS/CP,

This is once again informed that NO PLAN change request is feasible to entertain. So, kindly reach out to all such person and apprise it and ask them to get their data corrected (by requesting deletion of extra) by sending the correct information on mail ID helpdesk.aigetoa@gmail.com by 11:00 am of 05.05.2021 (WED) else their enrollment will not be included in the final list to be submitted to New India Assurance by afternoon of 05.05.2021.

Further, if such person doesn’t agree with above line, they may seek thier cancellation of enrollment and refund by sending a mail as apprised above from their registered mail ID by the cut off time as above. The association will arrange the refund in a reasonable time.

Also, any other correction/edit in data will not be entertained beyond 11:00 and the error case will not be included in the final list to be submitted.

Kindly adhere cut off time as given above, else the responsibility of exclusion will fall on the concerned person and Circle will not raise it.

Laxman Banoth ji is the nodal to coordinate it.

Copy to: All enrolled Members if the GHI Policy of AIGETOA

Overwhelming response of executives and employees -GHIS

Dear All,

We humbly place our sincere gratitude to one and all who helped to successfully visualize the concept of Group Health Insurance Policy by AIGETOA from one of the largest Insurer (which is a PSU) i.e. New India Assurance and Industry’s Best TPA i.e. M/S Medi Assist.

It was a mammoth task and overwhelming response of executives and employees further multi-folded the responsibilities. But we are happy to intimate that under matured, composed and dynamic leadership of Shri Ravi Shil Verma AIP and Shri Wasi Ahmad General Secretary, the unbeatable Team AIGETOA once again proved its worthiness and professionalism to handle the responsibilities successfully. Here, we would also like to name few heroes who worked tirelessly behind the curtain to make it possible and they are Shri Pavan Akhand AGS, Shri Yogendra Jharwal FS, Shri Amit Roy Advisor, Shri B Laxman, Chairman, GHI Team Members, all CHQ Members alongwith Circle Team.

We extend our heartfelt thanks to all Employees of BSNL, who have shown faith and opted the policy in the just concluded window by crossing the position, cadre, stream irrespective of the association affiliations. This is one of the basic ethos of United efforts and we stand by this unity.

Hereafter, our responsibilities have increased many fold to scrutiny the data and handover the errorless information to the New India Assurance alongwith the corresponding fund to start the policy at the earliest and ensure a hassle free service.

We assure once again that one more extension window shall be opened for all those, who couldn’t make it due to multiple reasons after start of the Policy. Policy Coverage of all those who were within the threshold window shall start from the first week and for remaining those who got themselves registered and made payment by Midnight of 30th April 2021, the policy Coverage will start from the Second week’ of May 2021.

Further, we once again reaffirm our commitment that providing health services to Employees is the responsibility of the employer (BSNL) and it will be ensured by association. We have already initiated discussion in this regard with the management and they have also shown positive response and assessing the proposal to start Health Insurance for the employees instead of complete dependency on BSNL MRS.

We thank one and all who contributed directly or indirectly in this noble cause.

STAY SAFE..STAY HEALTHY

Update-Group Health Insurance

Dear All,

We are thankful for the overwhelming response to the policy. We wish to inform that the threshold of the Policy Approval has crossed it’s limit now and accordingly it will take some time to complete the procedure for updating the policy for the remaining persons.

The coverage of the persons who are beyond the threshold list shall start in the second week of May, 2021.

The current registration window shall remain open till midnight today but coverage of all such persons will start in second week of May 2021.

We will again OPEN THE REGISTRATION PROCESS subsequently as an extension window for the persons who couldn’t opt for the Policy today.

Team AIGETOA

The Group Mediclaim Health Insurance of AIGETOA goes live

Dear all,

The much awaited Group Health Insurance Policy Powered by AIGETOA is finally live now. It’s our pleasure to inform you that we have brought the largest insurance agency and the largest and number one ranked TPA i.e. Medi Assist together at the lowest premium.

Click here for link

The window for opting will be opened for a limited period and the coverage of the policy will start from the first week of May 2021. Those interested can opt the scheme and avail the facilities, which is one of the best negotiated group policy at a very optimal amount.

We have taken efforts to shape up the policy in best possible way. We welcome the feedback and suggestions at chqaigetoa@gmail.com.

It is requested to kindly fill all the related details properly and correctly of your family like name, Aadhaar Number, Nominee Name etc. Name should be as per your Aadhaar Card. By Filling details correctly it will enable the Insurance company to verify the data easily without error. Further we would like to advise all that before proceeding for payment, verify the details minutely and if any modification is to be made, do it. Only after ascertaining accuracy of all the details filled by you, proceed for payment because after payment you will not be able to modify the data. In case of child below three years, Aadhar number is optional.

Friends, visualising the current scenario and seeing the situation, AIGETOA has decided to go for a group policy contributed by employees in the best interest of all but we once again reaffirm that we are firmly committed to get the coverage for all employees by the employer that is BSNL and our endeavour for the same will continue.

Together We Can. Together We Will.

Final Rates & Benefits of Group Health Insurance Scheme Proposed By AIGETOA (BSNL) For PAN India:

The Group Mediclaim Policy to be launched by AIGETOA has been finalized. We were under discussion for the best possible quote causing delay by few days but now negotiation has been completed and Letter of Intent has been issued by the Insurer for a five Lakh Mediclaim Policy.

The exclusive premium will be Rs 6100/- plus 18% GST (i.e. Rs 7198/-) uniformly across all age brackets for one Family comprising of self, spouse plus Kids. The quotes for Family with single parent coverage is at 9000+GST@18%, The quotes for Family with both parents coverage is 9600+GST@18%.

Room Rent has been enhanced from earlier 1 percent of SI to 2 percent ie Rs 10,000 per day. ICU expenditure has been enhanced to actual expenses without any capping against earlier quote of 2 percent of SI.

Though Corporate Buffer is available at some minimum extra premium but we have opted for Top Up benefits of 5 lacs and 10 lacs additional to ensure parity amongst all. However, to get this coverage, minimum 20 percent will have to opt for ToP Up..the rates of ToPUP will be dependent upon the number of persons opting for the top up for which we will have another 15 days window. We will try to keep the rates for ToP UP also as minimum as possible through negotiation once the final figure on the same is arrived.

The Customized Terms & Conditions of the policy along with premium for family with parents is enclosed for your ready reference as provided by the insurer, New India assurance.

We will be opening the window to start collection of premium very soon, once payment gateway for the purpose is readied by the bank. The family details will be again captured while making the payment for the said group policy. We once again thank you all for showing patience and it will definitely yield fruitful result when the policy will come into effect in this month for Pan India basis with all coverage from day-1.

Click here for the final rates and benefits of Group Mediclaim Policy

Group Health Insurance Scheme Proposed By AIGETOA for PAN India:

We are in receipt of queries regarding our proposed Group Health Insurance Scheme, which was scheduled to be launched from First April-2021. In this regard, it is apprised to all concerned that the collection of premium for the said policy has not been started in March due to end of financial year and certain compliance related issues especially the issue pertaining to claiming income tax exemption etc.

It has been decided to launch the scheme by 10th April, 2021 and the final policy documents and link for the premium payment will be opened accordingly.

We further extend our heartiest thanks for showing faith in our endeavor. We once again clarify that though we have started our policy on self contributory method owing to requirements of current times but finally association is committed to move towards implementation of this policy by BSNL and we ensure that in future, it is BSNL which will pay the premium and not the employees. We have already initiated discussion in this regard with the management and held extensive deliberation on the topic with the Director (HR), BSNL Board in our meeting on 22.03.2021.

Highlights of Group Health Insurance Policy by AIGETOA

AIGETOA Launches Group Health Insurance Policy for w.e.f. 01.04.2021 in tie up with New India Assurance (NIA)

Thanks for showing overwhelming response for the proposed Group Health Insurance Policy being launched by AIGETOA. After receiving the actual data from all circles and after having extensive discussions with various agencies and getting Feedback from various corners, AIGETOA has finally decided to opt for the New India Assurance Health Insurance Scheme. We have finally sealed the proposal for around 4000 executives and their dependents group. The Final Premium price arrived is Rs. 6630 plus GST @ 18 percent for the coverage of Rs 5 Lakh for one family (Employee+Spouse+ Kids) with facilities from Day-1. Income Tax Benefit for individual optees under section 80 D will also be applicable. The number of Kids allowable as on date is three in the policy, however, in case of third kid born (Except Twins) after start of the policy, coverage for third child will not be applicable. The Policy is aimed to be started from 01.04.2021 and the payment will be started collecting by next week.

The salient features are as follows:

  • The annual health coverage will be Rs 5 Lakh for the family.
  • The Annual Premium will be 6630/- per family (Self with Spouse and Kids including 3rd child as on date).
  • Zone wise Policy so Best TPA In A Particular Zone Can Be Selected.
  • The Premium will be uniform across all age groups. However, it is worth to mention that premium amount of the policy envisaged by AIGETOA is less for even the age group of 21-25 years vis-à-vis other similar policies.
  • Instead of opting for a corporate buffer, additional Top-Up of Rs 5 Lakh will be available at a nominal premium amount for those interested to opt it to enhance the coverage.
  • The coverage of Parents can also be included in the Policy by paying additional amount.
  • Policy starts without any formalities except some basic details of the family and payment of premium amount.
  • Domiciliary treatment applicable as per norms
  • Psychiatric treatment and congenital diseases treatment covered as per norms.
  • The facilities will be covered from Day-1 of start of the policy.
  • Standard Policy document will be shared at the time of payment of Premium from next week.
  • Those having individual policy as on date can also be added in the policy either on Pro Rata basis where the policy will be applicable from the date of cessation of previous policy or they can opt for new parallel policy from the day one as additional coverage. The copy of previous policy shall be required to opt for this policy.
  • Facility to claim reimbursement of the balance amount not paid by BSNL subject to fulfillment of documentary requirements.
  • Softcopy of the original policy document along with list of applicants and their payments details shall be provided by the Insurance Agency for claiming Income Tax deduction under section 80D.
  • All Pre-Existing diseases covered from day one.
  • 1st, 2nd ,3rd and 4th Year waived off and no waiting period.
  • Aayush Hospitalization Expenses covered up to the extent of 25% of the sum assured as per norms of the standard policy.
  • In case of single employee, their spouses will be covered without any extra premium in case of marriage during the policy enforcement period. Mid Term inclusion of newly born kid also applicable without any extra premium during policy enforcement period.
  • Room Rent – 1 percent Sum Assured.
  • ICU Rent- 2 percent Sum Assured.
  • All benefits of the continuance shall be extended to the willing employees opting for individual policies post retirement/resignation from BSNL provided they are covered under the policy for the minimum stipulated period to be eligible for exemptions. We are also trying to include the policy in the name of nominee in the case of some misfortune occurs to the opted executive (Matter under deliberation with the agency).
  • Dental Treatment Covered in case of injury due to accident.
  • Covid-19 Hospitalization Treatment Covered.
  • Pre-Hospitalization and Post Hospitalization expenses covered as per standard policy.
  • In case of Non-Network Hospitals, Reimbursement allowed provided treatment is taken in a minimum 15 bedded hospital.
  • Advance medical treatment covered along with their sub limits as defined in the policy.
  • Day care procedures(pre-defined).
  • Cataract limit of 50K or the actual bill whichever is lower per eye, per policy year.
  • Hernia – ₹ 1,00,000/- , or the actual bill, whichever is lower.
  • Hysterectomy – ₹ 1,00,000/- or the actual bill, whichever is lower
  • Maternity benefit scheme not Covered under the policy.
  • Ambulance charges 1% of sum insured subject to maximum 2500/- provided patient is admitted to emergency ward.

All Circle Secretaries and OBs are requested to start awareness campaign about the policy which is a best priced group health policy for the capped amount with PAN India Roll Out. It’s voluntarily in nature but opting of the policy by more and more people will strengthen our claim to force the BSNL Management to extend this facility by employer to its employees. We once again reemphasize that this is a welfare measure taken based on the popular request and the difficulties faced by employees during this critical time.

Group Health Insurance Scheme For BSNL Employees Proposed By AIGETOA CHQ For PAN India Level

AIGETOA thanks one and all for the overwhelming response on the Group Health Insurance proposal. We are now into the process of Final Negotiation with the insurance agency and soon we will be publishing the final proposal which will be at the best rates and best services and benefits.

We are happy to note that employees of almost all cadres across the BSNL have shown their interest on this first Pan India health insurance scheme for BSNL working employees on association platform. This scheme will automatically pave the path to give an insight to management to make indoor treatment in the same manner and Premium to be paid By the employer as done with other corporate organizations.

As assured this scheme will be ready to start by April-2021. This will cover all the major hospitals in the districts across country with cashless claim facilities. Wherever such hospitals are absent, reimbursement shall be applicable provided treatment is taken in 15 or more than 15 bedded hospital. Those who have not submitted their willingness may do so when the link for Final Policy Which shall be opened by AIGETOA.