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Employees Health Care Scheme 2023-24

Department : HRM C&B Division : PS & BS


Notice : HRM – 2023–01-10 Dated : 11th Oct 2023
It is observed that some of the Out-Patient medical bills submitted recently for reimbursement are not
genuine. Such act is not in line with our ‘Code of Conduct / Standing Orders’ and warrants strict
disciplinary action.

Claiming the fake bill is a sort of fraudulent activity that is done intentionally, strict disciplinary action
will be taken on employees, who misuse the medical benefit provided by our HMIL.

Genuine documents to be submitted for Out-patient & In-patient claims for reimbursement process.
As per Insurance norms, the below said documents (Original) are mandatory and only after
investigation / validation, claims will be processed.
1. Doctor consultation fee receipts required with Bill No, GSTIN and Bill date is mandatory. Bill
amount mentioned in Doctor’s prescription in not valid.
2. Doctor’s prescription for medicine bills (with detailed breakup) , investigation (with photo copy
reports) and Master health checkup is mandatory.
3. Online payment receipts duly signed and authorized seal required and online bills & receipts
through mail and mail print out is not valid.
4. Optical bills –Ophthalmologist Prescription is mandatory. Prescription from opticals (optometrist)
is not valid.
5. IP claims submission – Discharge Summary should be in hospital Letter-head (original) with sign
and seal / all investigation reports should be in original / medicines bills breakup / Advance
payment receipts to be submitted / hand written bills and discharge summary is not valid.
Note: Claims submitted without above said requirements for Out-patient & In-patient at medical
insurance helpdesk, shall not be considered for processing and settlement.

Please note that, the following Optical shops are blacklisted by our insurer and bills submitted from
these Opticals will not be processed.
American Optics Ocean optics
Blue Eyes Optical Oglo Eye Optics
Classic Optical S N Optical
Chennai Eye Care Optics Sri Eswaran Optical
New Padi Optical Sri Galaxy Optical
New Sri Durga Optical Sudharsan Optical
My Comfort Optical Praveen Optical
J D S Optical Magi Optical
Chennai & Other Locality
Purple Optical A R Optical
Anou Sai Optic Gallery Drishti Optics
Other Region Vision Eye Solution Vision Eye Plus Opticals
(Delhi , Faridabad , Ghaziabad & Gurgaon)
Glitz Optical

Employees are advised to follow the above guidelines. Please be aware that Strict action will be taken
on employees who submit fake bills.

Sumeet Kharbanda
Domain Head - Human Resources Management
Communication Matrix
Mode of Notice Validity
Cadre Applicability Responsibility
Communication [Notice Board]
EXE a Autoway Notice Self
Issued On Valid Till
HR Coordinator/ 11th Oct 2023 31st December 2023
NEX a Shop Floor Notice
Shift Incharge
Employees Health Care Scheme 2023-24
Department : HRM C&B Division : PS & BS
Notice : HRM – 2023–01-10 Dated : 11th Oct 2023
ekJ epWtdj;jpy; cs;s kUj;Jt fhg;gPlL ; jpl;lj;jpy; rkPg fhyq;fspy;> gzpahsh;fshy; rkh;g;gpf;fg;gl;l> xUrpy
Out-patient gpy;fs;> NghypahfTk;> ek;gfj;jd;ikapd;wpAk; ,Ug;gJ njhpa te;Js;sJ. ,j;jifa nray;fshdJ>
ekJ epWtdj;jpd; epiyahiz tpjpfSf;F vjpuhdjhFk;.

gzpahsh;fs; Ntz;Lnkd;Nw jtwhd / Nghypahd gpy;fis rkh;g;gpj;J> ekJ epWtdj;jpd; kUj;Jtg; fhg;gPl;L
jpl;lj;ij jtwhd Kiwapy; gad;gLj;jp Claim nra;tJ jtwhd nrayhFk;.

Out-patient & In-Patient gpy;fs;> Reimbursement nra;tjw;F Kiwahd Mtzq;fs; Medical Insurance
Jiwaplk; rkh;g;gpf;f Ntz;Lk;. kUj;Jt fhg;gPl;L tpjpfspd;gb> fPNo Fwpg;gplg;gl;Ls;s mry; [Original]
Mtzq;fs; fl;lhak; rkh;g;gpf;f Ntz;Lk;. gzpahsh;fshy; rkh;g;gpf;fg;gl;l Mtzq;fs; Kiwahf rhpghh;j;jg;
gpd;dNu> mk;kUj;Jt gpy;fs; Claim-f;F vLj;J nfhs;sg;gLk;.

1. kUj;Jthpd; kUe;Jr;rPlb ; y;> gpy; vz;> GSTIN kw;Wk; gpy; Njjp fl;lhak; Fwpg;gplg;gl;bUf;f Ntz;Lk;.
kUj;Jthpd; kUe;Jr;rPlb ; y; MNyhrid fl;lzj;ij Fwpg;gl;bUg;gpd; mj;jifa gpy; nry;yhjitahFk;.
2. kUe;J rPlL ; gpy; (with detailed breakup), Investigation Report (efy;) & Master Health Check-up
Nghd;wtw;wpw;F kUj;Jthpd; ghpe;Jiu rPl;L [Doctor Prescription] fl;lhak; ,Uf;f Ntz;Lk;.
3. Md;iydpy; gzk; nrYj;jpa ,urPjpy;> mq;ff P hpf;fg;gl;l Kj;jpiuAld; ifnaOj;J ,Uf;f Ntz;Lk;.
kpd;dQ;ry; %yk; ngWk; Md;iyd; gpy;fs;;> ,urPJ kw;Wk; kpd;dQ;ry; %yk; vLf;fg;gLk; gpy;fs;
Vw;Wf;nfhs;sg;gl khl;lhJ.
4. Optical Bills reimbursement nra;a Ophthalmologist kUe;JrPl;L fl;lhak; Njit. Optical filapypUe;J
ngwg;gl;l kUe;JrPlL ; nry;yhjitahFk;.
5. IP Claim ngWtjw;F b];rhh;[; rk;khpapy; [Discharge Summary]> kUj;Jtkidapd; Letter Head-y;;> mjw;fhd
ifnaOj;J kw;Wk; Kj;jpiu ,Uf;f Ntz;Lk;. mj;Jld; kUj;Jt mwpf;ifapd; mry; rkh;g;gpf;f Ntz;Lk;.
kUj;Jt gpy;fspd; Breakup / Kd;gzk; nrYj;jpajw;fhd ,urPJ rkh;g;gpf;f Ntz;Lk;. ifapdhy; vOjpa
gpy; kw;Wk; b];rhh;[; rk;khp Vw;Wf; nfhs;sglkhl;lhJ.

Nkw;Fwpg;gplg;gl;Ls;s Mtzq;fs; ,d;wp rkh;g;gpf;fg;gLk; Out-patient & In-Patient gpy;fis> Medical Insurance
Help desk Vw;Wf; nfhs;shJ.

fPof
; z;l Optical shop-fspy; ,Ue;J ngwg;gLk; gpy;fs; / Mtzq;fs; ekJ Insurer-My; Vw;Wf; nfhs;sg;gl
khl;lhJ vd;gij gzpahsh;fs; mwpaTk;.
American Optics Ocean optics
Blue Eyes Optical Oglo Eye Optics
Classic Optical S N Optical
Chennai Eye Care Optics Sri Eswaran Optical
New Padi Optical Sri Galaxy Optical
New Sri Durga Optical Sudharsan Optical
My Comfort Optical Praveen Optical
J D S Optical Magi Optical
Chennai & Other Locality
Purple Optical A R Optical
Anou Sai Optic Gallery Drishti Optics
Other Region
Vision Eye Solution Vision Eye Plus Opticals
(Delhi , Faridabad , Ghaziabad & Gurgaon)
Glitz Optical
Nkw;Fwpg;gpl;Ls;s topfhl;Ljy;fis> gzpahsh;fs; midtUk; Kiwahf gpd;gw;WkhW Nfl;Lf;
nfhs;sg;gLfpwhh;fs; jtWk;gl;rj;jpy; gzpahsh;fspd; kPJ jFe;j xOq;F eltbf;if Nkw;nfhs;sg;gLk;
vd;gijAk; ,e;j mwptpg;gpd; %yk; njhptpj;Jf; nfhs;sg;gLfpwJ.

Sumeet Kharbanda
Domain Head - Human Resources Management
Communication Matrix
Mode of Notice Validity
Cadre Applicability Responsibility
Communication [Notice Board]
EXE a Autoway Notice Self
Issued On Valid Till
HR Coordinator/ 11th Oct 2023 31st December 2023
NEX a Shop Floor Notice
Shift Incharge

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