FINANCE [Salaries] DEPARTMENTThe Governor’s Secretariat, Raj Bhavan, Guindy, Chennai-600 032. All Heads of Departments. All Public Sector Undertakings and Statutory Boards. All District
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MEDICAL AID – New Health Insurance Scheme, 2016 – Provision of Health Care Assistance to the Employees of Government Departments, Organisations covered under this Scheme and their eligible Family members through the United India Insurance Company Limited, Chennai -
In the Government Order read above, orders have been issued for the implementation of the New Health Insurance Scheme, 2016 to provide for health care assistance to the Employees of Government Departments, State Public Sector Undertakings, Statutory Boards, Local Bodies, State Government Universities and their eligible family members after the selection of a suitable Public Sector Insurance Company through National Competitive Bidding as in the case of New Health Insurance Scheme, 2012.
2. Accordingly, the Notice Inviting Tender, dated 13-06-2016 has been issued. The Official Committee, which is the Tender Accepting Authority, after invoking due procedure as per the Tamil Nadu Transparency in
Tenders Act, 1998 and the Tamil Nadu Transparency in Tenders Rules, 2000, submitted it’s report on 23-06-2016 to select the United India Insurance Company Limited, Chennai for implementing the New Health Insurance Scheme, 2016.
3. The recommendation of the Tender Accepting Authority has been considered and the tender has been awarded to the United India Insurance Company Limited, Chennai. The said Company has executed an agreement with the Government of Tamil Nadu for the implementation of the New Health Insurance Scheme, 2016.
4. The Government after careful consideration directs that:-
(i) The New Health Insurance Scheme, 2016 (NHIS) sanctioned in the Government Order read above be implemented through the United India Insurance Company Limited, Chennai invoking the implementation procedures as detailed in the Annexure-I to this order;
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(ii) The Director of Treasuries and Accounts shall be the administrator of the New Health Insurance Scheme, 2016;
(iii) The enrolment under New Health Insurance Scheme, 2016 shall be compulsory to the employees and their eligible family members as detailed in para 2 and 4 of Annexure-I to this order;
(iv) The employees and their eligible family members covered under the scheme shall avail assistance upto the limit of Rupees Four Lakh in a block of four years commencing from 1-7-2016 as a CASHLESS model for the approved treatments/surgeries listed in the Annexure-II to this order, in the hospitals approved by the United India Insurance Company/Third Party Administrator and listed in the Annexure-III to this order;
(a) However, the assistance shall be upto Rupees Seven Lakh and Fifty Thousand for illnesses listed out in Annexure II-A to the order;
(b) The upper limit of medical assistance for cataract surgery shall be Rs.25,000/- per eye. In respect of Hysterectomy (uterus removal surgery) the upper limit of medical assistance shall be Rs.45,000/-.
(c) The overall limit of assistance, in any case shall not exceed Rupees Seven Lakh and Fifty Thousand for a family in a block of four years under this scheme.
(v) The coverage of medical assistance under the scheme shall be extended to accident cases where the patient got approved treatment/undergone surgery in a non-network hospital;
(vi) The payment of premium shall be regulated as per the terms and conditions of the agreement between the United India Insurance Company and the Government. The annual premium payable by the Government to the United India Insurance Company Limited, shall be Rs. 2,100/- (plus Service Tax as applicable from time to time) per employee, per annum for the block period of four year from 01.07.2016 to 30-06-2020.
(vii) The annual premium initially paid by the Government shall be recovered from the employee @ Rs.180/- per month by deduction in monthly salary from the month of July, 2016.
(a) The excess of premium over and above the amount recovered shall be borne by the employer. In respect of Government employees and employees of Government aided educational institutions, the excess premium shall be borne by the Government.
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(viii) Eventhough the legal spouse is covered under the term ‘Employee’, the total assistance for the Family will be limited to Rupees Four Lakh only in respect of diseases covered in Annexure-II and Rupees Seven Lakh and Fifty Thousand per family for specified illnesses listed in Annexure-II A. The overall limit of assistance shall not exceed Rupees Seven Lakh and Fifty Thousand per family in a block of four years. In such cases, the employee’s contribution shall be recovered from only one of the employees i.e. from the younger of the two.
5. The Government also direct that the monthly subscription of the Employees of Government Departments be credited to the following Revenue Receipt Heads of Account:
Government Employees in the Standard Scales of Pay
“0075.00. OTHER MISCELLANEOUS GENERAL SERVICES
800. Other Receipts
BM. Subscription of Government Employees towards New Health Insurance Scheme (NHIS)
(D.P.C. 0075 00 800 BM 0000)”
Employees drawing Pay under Non-Standard Scales of Pay
“0075.00. OTHER MISCELLANEOUS GENERAL SERVICES
800. Other Receipts
BQ. Subscription of Employees in Non-Standard Scales of Pay towards New Health Insurance Scheme (NHIS)
(D.P.C. 0075 00 800 BQ 0008)”
6. The Government further direct that the Annual Premium plus Service Tax as applicable in respect of employees of the State Public Sector Undertakings, Statutory Boards, Local Bodies, State Government Universities, Willing State Government Organisations / Institutions registered under the Tamil Nadu Registration of Societies Act, 1975 and the Tamil Nadu Hindu Religious and Charitable Endowments Board be remitted into the State Government Account within one month from 1-7-2016 for the first year and before 31st July for the second, third and fourth year without fail. The excess of premium over and above the employee contribution shall be borne by the respective organisation.
7. The Chief Executive Officers / Managing Directors of State Public Sector Undertakings and Statutory Boards, Registrars of State Government Universities, the Director of Rural Development, the Director of Municipal Administration and the Commissioner of Hindu Religious and Charitable Endowment Administration shall make necessary arrangements for recovery of the employee contribution at Rs.180/- per month by deduction in the monthly salary from July, 2016 and remittance of Annual Premium
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(including Service Tax as applicable from time to time) to the following heads of account at the appropriate time mentioned in para 6 above.
Employees of State Government Universities
“0075.00. OTHER MISCELLANEOUS GENERAL SERVICES
800. Other Receipts
BP. Subscription of Employees of State Government Universities towards New Health Insurance
Scheme (NHIS)
(D.P.C. 0075 00 800 BP 0006)”
Employees of Local Bodies
[Corporations, Municipalities, Town Panchayat, Panchayat Unions and
Village Panchayat, etc.]
“0075.00. OTHER MISCELLANEOUS GENERAL SERVICES
800. Other Receipts
BN. Subscription of Employees of Local Bodies
towards New Health Insurance Scheme (NHIS)
(D.P.C. 0075 00 800 BN 0002)”
State Government Organisations / Institutions registered under Tamil Nadu Registration of Societies Act, 1975
“0075.00. OTHER MISCELLANEOUS GENERAL SERVICES
800. Other Receipts
BT. Subscription of Employees of Organisations registered under the Tamil Nadu Registration of Societies Act, 1975 towards New Health Insurance Scheme (NHIS)
(D.P.C. 0075 00 800 BT 0004)”
8. The employees of State Government Organisations / Institutions
registered under the Tamil Nadu Registration of Societies Act, 1975 which are willing and capable of bearing the employer share of the premium without financial liability befalling on the State Budget may also be enrolled under the New Health Insurance Scheme, 2016, subject to adherence of the terms and conditions including the remittance of the annual premium to the Government at the appropriate time as mentioned in para 6 above. The
Employees of State Public Sector Undertakings and
Statutory Boards
“0075.00. OTHER MISCELLANEOUS GENERAL SERVICES
800. Other Receipts
BO. Subscription of Employees of Public Sector Undertakings and Statutory Boards towards New Health Insurance Scheme (NHIS)
(D.P.C. 0075 00 800 BO 0004)”
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orders to cover the willing State Government Organisations / Institutions under this scheme shall be issued by the Government in Finance Department.
9. The insurance premium on behalf of all the employees will be paid by the Government as per the terms and conditions of the agreement based on the proposals from the Director of Treasuries and Accounts. The expenditure on payment of insurance premium shall be debited to the following Head of Account under Demand No.16. Finance Department [HoD Code 1602]:
10. The Nodal Officers of the United India Insurance Company Limited situated in the District Headquarters and Toll Free Helpline Number are listed in the Annexure-IV. The lists of approved treatments and surgeries, approved hospitals and the addresses of the Offices situated in the District Headquarters will be hosted in the websites of Government of Tamil Nadu in Finance Department (www.tn.gov.in/departments/finance.html), Treasuries and Accounts Department (www.tn.gov.in/karuvoolam) and the United India
Insurance Company Limited, Chennai / Third Party Administrator (www.mdindiaonline.com). The additional list of approved hospitals treatments /surgeries to be included and the list of deleted hospitals, treatments /surgeries if any covered in this Scheme will also be updated and hosted in the above websites for ready reference from time to time, based on the recommendation of the Accreditation Committee.
11. The Drawing and Disbursing Officers in Government Departments/Pay Drawing Officers in the other Organisations shall furnish the details of the employees and their eligible family members as per the Guidelines Regarding Identity Cards in Annexure-V to this order.
12. The Director of Treasuries and Accounts shall submit proposals to Government for sanction of insurance premium at the appropriate time as per the terms and conditions of the agreement.
(BY ORDER OF THE GOVERNOR)
K.SHANMUGAM ADDITIONAL CHIEFADDITIONAL CHIEFADDITIONAL CHIEFADDITIONAL CHIEF SECRETARY TO GOVERNMENT.SECRETARY TO GOVERNMENT.SECRETARY TO GOVERNMENT.SECRETARY TO GOVERNMENT.
To All Secretaries to Government, Chennai-600 009. All Departments of Secretariat (OP/Bills), Chennai-600 009. The Secretary, Legislative Assembly Secretariat, Chennai-600 009. The Secretary to the Governor, Chennai-600 032. The Comptroller, Governor’s Household, Raj Bhavan, Chennai-600 032.
“2075.00. MISCELLANEOUS GENERAL SERVICES
800. Other Expenditure
HG. Payment of Premium to the Insurance Company for implementing New Health Insurance Scheme
10. Contributions
2. Insurance Premium
(DPC 2075 00 800 HG 1029)”
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The Governor’s Secretariat, Raj Bhavan, Guindy, Chennai-600 032. All Heads of Departments. All Public Sector Undertakings and Statutory Boards. All District Collectors / All District Judges / All Chief Judicial Magistrates. The Accountant General (A&E) Chennai-600 018. The Accountant General (Audit-I) Chennai-600 018. The Accountant General (Audit-II) Chennai-600 018. The Accountant General (CAB) Chennai-9 / Madurai. All Chief Educational Officers / All District Elementary Educational Officers. All Pay and Accounts Officers / All Treasury Officers / Sub-Treasury Officers. The Director of Treasuries and Accounts,Chennai-15. The Chief Internal Auditor and Chief Auditor of Statutory Boards,807, Chennai-2. The Secretary, Tamil Nadu Public Service Commission, Chennai-600 002. The Registrar General, High Court, Chennai-600 108. All Commissioners of Tribunal for Disciplinary Proceedings. The Registrars of all Universities. The Project Co-ordinator, Tamil Nadu Integrated Nutrition Project, Chennai. The Commissioners, Corporation of Chennai, Coimbatore, Madurai, Trichy,
Tirunelveli, Salem, Tiruppur and Erode. All Municipalities. / The Tamil Nadu Science and Technology Centre, Chennai-25. The Anna Institute of Management, Chennai-600 028. The International Institute of Tamil Studies, Chennai-600 113. The Tamil Nadu Energy Development Agency, Chennai. The United India Insurance Company Limited, Divisional Office: 010600, PLA Rathna Towers, 5th Floor 212, Anna Salai, Chennai-600 006. The Managing Director, Tamil Nadu Road Sector Company Limited, Chennai-600 008. The Managing Director, IT Expressway Limited, Chennai-600 008.
Copy to:
The Secretary to the Chief Minister, Chennai-600 009. The Chief Minister’s Office, Chennai-600 009. The Private Secretary to the Chief Secretary to Government, Chennai-600 009. The Special Personal Assistant to Finance Minister, Chennai – 600 009. The Senior Private Secretary to the Additional Chief Secretary to Government, Finance Department, Chennai-600 009. All Officers in Finance Department, Chennai-600 009. All Sections in Finance Department, Chennai-600 009. All Recognised Associations. Stock File / Spare Copies.
-/ Forwarded : By Order /-
UNDER SECRETARY TO GOVERNMENT.
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Annexure-I
IMPLEMENTATION PROCEDURES FOR NEW HEALTH INSURANCE SCHEME, 2016.
The New Health Insurance Scheme, 2016 shall be implemented by the Director of Treasuries and Accounts, Chennai-15 through the United India Insurance Company Limited, Chennai-600 006 / Third Party Administrator under the control of United India Insurance Company Limited, Chennai for a block period of four years commencing from 1-7-2016.
2. The following employees and their eligible family members are covered under the New Health Insurance Scheme, 2016:-
(a) The employees of Government Departments drawing pay in regular time scale of pay including Teaching and Non-Teaching Staff of Aided Educational Institutions.
(b) The employees of Local Bodies, State Public Sector Undertakings, Statutory Boards and State Government Universities, unless and otherwise specifically ordered to be
excluded from the coverage of the scheme.
(c) The employees of willing Organisations / Institutions registered under the Tamil Nadu Registration of Societies Act, 1975 covered under the New Health Insurance Scheme 2012.
(d) The employees of the Tamil Nadu Hindu Religious & Charitable Endowments Board drawing pay in regular time scale of pay.
3. The employees appointed on (a) Consolidated Pay / Fixed Pay / Honorarium, (b) Daily Wage, (c) Contract basis, (d) Re-employment, (e) Temporary basis under Rule 10(a)(i) of the Tamil Nadu State and Subordinate Services through Employment Exchange and (f) Outsourcing are not covered under this Scheme.
4. The following family members of the employee shall be covered under the New Health Insurance Scheme, 2016:
(i) Legal Spouse of the Employee;
(ii) Children of the Employee - till they get employed or married or attain the age of 25 years whichever is earlier and dependent on the Employee;
(iii) Parents of the Employee, in the case of unmarried employee until the Employee get married; and
(iv) Physically Challenged and Mentally Retarded children of the employee without any age restriction, subject to the minimum of the handicap to the extent of 40% as certified by the District Disability Welfare / Rehabilitation Officer and wholly dependent on the employee.
5. (a) The Diseases, Treatments and Surgeries under the Broad Based Specialties approved under the New Health Insurance Scheme, 2016 are listed in the Annexure-II and Annexure II-A to this order and the scope of
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the scheme shall be to provide coverage for the eligible expenses incurred by the employee on behalf of himself / herself or any eligible his / her family members on such treatments and surgeries. The coverage will include the cost of medicines, laparoscopic or open surgeries, doctor and attendant fees, room charges, diagnostic charges, dietary charges availed in the approved hospitals. The coverage shall also include pre-existing illnesses which have been included in the above said list. The Transport Charges shall be excluded.
(b) Claims relating to treatment / surgery included in the approved list undergone in non-network hospital consequent on accidents shall be
covered under NHIS, 2016 and settlement made through a suitable mechanism.
(c) Cap on ceiling of assistance in respect of cataract surgery shall not exceed Rs.25,000/- per eye and cap on ceiling of assistance in respect of Hysterectomy (uterus removal surgery) shall not exceed Rs.45,000/-.
6. The hospitals already accredited for New Health Insurance Scheme, 2012 with the approval of the Insurance Company / Third Party Administrator and listed out in the Annexure-III to the Government Order shall be applicable to the New Health Insurance Scheme, 2016. The employees and/or their family members eligible for assistance shall get admitted in any one of the approved hospitals, by production of the Identity
Card issued by the Insurance Company or by production of the Certificate as in the Annexure-VI issued by the Drawing and Disbursing Officers in Government Department / Pay Drawing Officers in other Organisations covered under this Scheme which will be valid till the New Identity Cards are issued by the Insurance Company. During the interim period of preparation
and distribution of the New Identity Cards, the Insurance Company / Third Party Administrator shall authorise acceptance of the Identity Cards already issued under the New Health Insurance Scheme, 2012.
7. The additional lists of approved hospitals, treatments/surgeries to be included and deletion of approved hospitals, treatments/surgeries if any, shall be issued from time to time on report of the Accreditation Committee. The updated list of approved hospitals, treatments/surgeries may be verified with the websites of the Government of Tamil Nadu in Finance Department and the United India Insurance Company Limited, Chennai / Third Party Administrator under the control of United India Insurance Company Limited, Chennai. The Accreditation Committee for empanelment of network hospitals and to monitor the quality of treatment etc., constituted in G.O.Ms.No.309, Finance (Salaries) Department, dated 14-08-2012 for New Health Insurance Scheme, 2012 shall be continued for the implementation of New Health Insurance Scheme, 2016.
8. The Insurance Company / Third Party Administrator shall arrange to issue the new Identity Cards to the employees covered under this scheme with the details of eligible family members within a period of 90 days from 1-7-2016. The Insurance Company / Third Party Administrator shall also arrange to issue the Identity Cards to the employees newly recruited or absorbed in service as the case may be as and when the details of the employees are furnished to the Insurance Company / Third Party Administrator. The Drawing and Disbursing Officers in Government Departments / Pay Drawing Officers in other Organisations covered under
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this Scheme shall be responsible to arrange to furnish data in the prescribed format well within the stipulated time and get Identity Cards for their employees. They shall also be responsible to surrender the Identity Cards to the Insurance Company in respect of such employees who retire on superannuation, die in harness or otherwise cease to be in service. The Identity Cards in such cases shall be surrendered by the Employee or their family member to the Drawing and Disbursing Officers in Government Departments and Pay Drawing Officers in other Organisations covered under this scheme.
9. The Director of Treasuries and Accounts, Chennai-15 shall monitor
the progress of the work of the Insurance Company / Third Party Administrator for issuance of new Identity Cards to the employees. The guidelines regarding Identity Cards as in the Annexure-V shall be followed by the employees, the Drawing and Disbursing Officers in Government Departments / Pay Drawing Officers in other Organisations covered under this scheme, the Insurance Company/Third Party Administrator and the Director of Treasuries and Accounts as the case may be. The Insurance Company / Third Party Administrator shall arrange to issue the Identity Cards to the employees within the stipulated time.
10. The Insurance Company / Third Party Administrator shall ensure that the patient i.e. employees and their family members who are eligible under this Scheme are given coverage for approved treatments / surgeries including pre-existing illnesses in the approved hospitals for this purpose upto the limit of Rupees Four Lakh in respect of diseases covered in Annexure-II and Rupees Seven lakh and Fifty Thousand in respect of diseases covered in Annexure-II-A over a period of four years commencing from 1-7-2016. The benefit will be on floater basis i.e. the total coverage, as applicable can be availed of individually or collectively by the Employees and their eligible family members during the said block period with no restriction on the number of times of availing. The over all limit of assistance in any case shall not exceed Rupees Seven Lakh and Fifty Thousand for a family during the block period of four years from 1-7-2016.
11. The employee and their eligible family members under this scheme shall not be required to make any payment for the approved cost to
the hospitals upto the eligible limit. The hospitals approved by the Insurance Company / Third Party Administrator under this Scheme shall extend treatment to the employees and their eligible family members on a CASHLESS model.
12. The procedure to be followed at the time of admitting employees
and / or their eligible family members for approved treatments/ surgeries are as follows:
(a) The hospitals approved by the Insurance Company/Third Party Administrator under this scheme alone should be approached for availing assistance;
(b) The approved Hospitals, the Liaison Officers of the United India Insurance Company Limited / Third Party Administrator and the Toll Free Helpline No.1800 233 5666 of Insurance Company / Third Party Administrator shall be informed for the approved treatments / surgeries to be undertaken so that
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pre-authorisation is given by the Insurance Company / Third Party Administrator under the control of the United India Insurance Company Limited, Chennai. In case of emergency only, the approval of the Insurance Company / Third Party Administrator for the accredited treatments / surgeries undertaken in the approved hospitals shall be obtained for settlement on CASHLESS basis during the period commencing from the date of admission in the approved hospitals as in-patient to the date before discharge from the hospital.
(c) The Identity Card of the Employee issued by the Insurance
Company / Third Party Administrator or the Certificate in lieu of Identity Card as in the Annexure-VI to this order shall be produced to the approved hospitals for the approved treatments / surgeries. This arrangement of Certificate in lieu of Identity Card will be applicable only for such interim period, till the Identity Cards are issued. During the interim period of preparation and
distribution of the New Identity Cards, the Insurance Company/ Third Party Administrator shall authorise acceptance of the existing Identity Cards already issued under the New Health Insurance Scheme, 2012 for time being i.e. upto 30-09-2016.
(d) This Scheme is on CASHLESS basis and no payment for approved cost need to be made by the employee or their eligible family members to the approved Hospitals.
(e) The eligible charges which are entitled to under this Scheme should be ascertained for the approved treatments / surgeries and the hospitals approved by the Insurance Company / Third Party Administrator shall not be allowed to charge any excess amount.
(f) Any claim for reimbursement made in deviation of the above procedure shall be rejected.
(g) Information, Education, Communication (IEC) activities for creation of awareness among employees with reference to addition and deletion of hospitals, specialties, etc., to be carried out by Insurance Company.
13. The Insurance Company shall submit Weekly / Monthly / Quarterly / Annual report to the Government of Tamil Nadu with Head of Department / organization-wise details of the number subscribers enrolled, number of claims received, and the total amount disbursed - diseases, treatments and surgeries-wise. Moreover, heads of department / organization-wise monthly report detailing the opening balance of number of employees of the month, additions and deletions during the month shall be furnished. Similarly, heads of department / organization - wise monthly report shall reveal the opening balance of number of Identity Cards, number of Identity Cards issued during the month and balance yet to be issued.
14. Eventhough the legal spouse is covered under the term ‘Employee’, the total financial assistance for the family will be limited to Rupees Four Lakh in respect of diseases, treatments and surgeries listed in the Annexure-II and Rupees Seven Lakh and Fifty Thousand in respect of
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diseases specified illnesses listed in the Annexure-II A. However, the total assistance per family shall not in any case exceed Rupees Seven Lakh and Fifty Thousand per four year block period. In such cases, the employee’s contribution towards premium shall be recovered from the younger of the two.
15. Any grievance /complaint about difficulty in availing treatments, non-availability of facilities, availing of bogus treatment for ineligible individuals etc., shall be submitted to the Joint Director of Medical and Rural Health Services of the District concerned for placing before District Level Empowered Committee for redressal. The District Level Empowered Committee is headed by the District Collector, with the Joint Director of
Medical and Rural Health Services, the District Treasury Officer and a representative of the Insurance Company as members.
16. An appeal against the decision of the District Level Empowered Committee may be preferred before the State Level Empowered Committee headed by the Director of Treasuries and Accounts with the Director of Medical and Rural Health Services as Member Secretary and an Official representative nominated by the Insurance Company as member. The appeals shall be filed with the Director of Medical and Rural Health Services, the Member Secretary of the State Level Committee who shall place the appeals for a decision of the said Committee.
17. Any grievance / dispute arising out of the implementation of the scheme remaining unresolved by the State Level Empowered Committee shall be referred within fifteen days to the High Level Committee, comprising of the Secretary to Government, Finance Department, Secretary to Government, Health and Family Welfare Department and a representative nominated by the Insurance Company.
18. The Civil Courts situated in Chennai shall have exclusive jurisdiction over any grievance / dispute, remaining unresolved after following the above said procedures and nothing aforesaid, shall prejudice the rights of the Government of Tamil Nadu to approach any other forum for dispute resolution permissible under Law.
-/ True Copy /-
UNDER SECRETARY TO GOVERNMENT.
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Annexure-II
LIST OF DISEASES, TREATMENTS AND SURGERIES CLASSIFIED UNDER THE BROAD BASED SPECIALITIES
Sl. No.
Name of Diseases, Treatments and Surgeries
I. CARDIOLOGY AND CARDIO THORACIC SURGERY
Heart Surgery including
1. (a) Coronary By-Pass Surgery (CABG)
2. (b) Valve Replacement and Other Valvulo Plastics
3. (c) Correction of all Congenital Heart Diseases
4. (d) Angioplasty and PTCA Stent
5. (e) Baloon Valvuloplasty
6. (f) Permanent and Temporary Pacemaker Implantation
7. (g) Embolectomies for Peripheral Artery Embolism
044-26641777 General Medicine-Medical Care, General Surgery, Gynaecology, Orthopaedic Surgery, Urology Cardiology, Cardio-Thoracic Surgery, ENT, Neuro Surgery, Nephrology.
24. CANCER INSTITUTE [W.I.A] Canal Bank Road, Adayar, Chennai - 600 020.
044-24910754, 22350241
Oncology.
25. CHENNAI EYE CARE HOSPITAL No-6,12th Cross Street, Dhandeeswaram Nagar, Velachery (Near Tansi Nagar Bus Stop), Chennai-600 042.
044-22435300 Ophthalmology.
26. CHETTINAD HOSPITAL Chettinad Health City, Rajiv Gandhi Salai, Kelambakkam-603 103.
044-47411042, 47411060 47411000, 47428455
General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
27. CSI RAINY MULTISPECIALITY HOSPITAL45, G.A Road, Near
Kalmandapam, Chennai – 600 021.
044-40405050 General Surgery, Gynaecology.
28. DEEPAM EYE HOSPITAL No:72, Medavakkam Tank Road, Kilpauk, Chennai - 600 010.
044-25321515, 65415450
Ophthalmology.
29. DEEPAM HOSPITAL (P) LTD. 327, Muthurangan Road, West Tambaram, Chennai - 600 045.
044-22261317, 044-3973201
General Medicine - Medical Care, General Surgery, Gynaecology , Orthopaedic Surgery.
32. DR. AGARWAL'S EYE HOSPITAL LTD. 19, Cathedral Road, Chennai - 600 086.
044-28112811 / 2592 / 2358 / 3704/3141205
Ophthalmology.
33. DR. AGARWAL'S EYE HOSPITAL 3, 1st, Floor, Main Road, Kamarajar Nagar, Avadi, Chennai - 600 071.
044-28112811 /2592/2358/ 3704/ 43141205
Ophthalmology.
34. DR. AGARWAL'S EYE HOSPITAL 49, Arcot Road, Porur, Chennai - 600 116.
044-28112811 / 2592 / 2358 / 3704 / 43141205
Ophthalmology.
35. DR. AGARWAL'S EYE HOSPITAL AC-15, 2nd Avenue, Anna Nagar, Chennai - 600 040.
044-28112811 / 2592 / 2358 / 3704 / 43141205
Ophthalmology.
36. DR. AGARWAL'S EYE HOSPITAL No:27, 100 Feet Road, Baby Nagar, Velachery, Chennai - 600 042.
044-28112811 / 2592 / 2358 / 3704 / 43141205
Ophthalmology.
37. DR. AGARWAL'S EYE HOSPITAL No:729, T.H. Road, Old Tamil Nadu Theater, New Washermenpet, Chennai - 600 081.
044-28112811 / 2592 / 2358 / 3704 / 43141205
Ophthalmology.
38. DR. AGARWAL'S EYE HOSPITAL Old No.20, New No.33, 7th Avenue, Near G.R.T. School, Ashok Nagar, Chennai - 600 083.
044-28112811 / 2592 / 2358 / 3704 / 044-43141205
Ophthalmology.
39. DR. AGARWAL'S EYE HOSPITAL The Federation Square, B-63, Siva Elango Salai, (70 Feet Road), Periyar Nagar, Chennai - 600 082.
044-28112811 / 2592 / 2358 / 3704 / 43141205
Ophthalmology.
40. DR. ARAVIND VISION CARE Old No:61, New No:3, Reddy Palayam Road, Mugappair West, Chennai - 600 037.
044-42605533 Ophthalmology.
41. DR. KAMAKSHI MEMORIAL HOSPITAL1, Radial Road, Pallikaranai, Chennai - 600 100.
044-66300300 General Medicine - Medical Care, General Surgery, Gynaecology , Oncology, Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Vascular Surgery, Plastic & Facio Maxilliary.
42. DR. RAI MEMORIAL MEDICAL CENTRE 562, Anna Salai, Century Plaza, Teynampet, Chennai -600 018.
044-42132054 Oncology.
43. DR. RAVISHANKAR'S EYE CLINIC & NURSING HOME 11, Hunters Road, Vepery, Chennai - 600 112.
044-25323128, 26611530
Ophthalmology.
44. ESWARI NURSING HOME 1/255,10th Street, S.R.P.Colony, Chennai-600 082.
044-25508343, 25508048
General Surgery, Gynaecology.
45. EYE RESEARCH FOUNDATION [VIJAYA] 180 - NSK Salai, Chennai - 600 026.
49. FRONTIER LIFELINE DR. K. M. CHERIAN HEART FOUNDATION
R-30-C, Ambattur Industrial Estate Road, Mogappair, Chennai -600 101.
044-28567200 Cardiology, Cardiothoracic Surgery
50. GAJANAN HOSPITAL (P) LTD. 29, Kannan Street, West Tambaram, Chennai - 600 045.
044-22266550, 22266649
General Medicine - Medical Care, General Surgery, Gynaecology.
51. GLOBAL HOSPITALS & HEALTH CITY 439,Cheran Nagar, Perumbakkam, Chennai-600 100.
044-22777000 General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroentrology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
138. K M HOSPITAL 110-14, Palakad Road, Pollachi, Coimbatore - 642 001.
04259-221921 General Surgery, Gynaecology.
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Sl. No.
Name of Hospitals and their Addresses
Contact Number Specialities Available
(1) (2) (3) (4)
139. K.G.HOSPITAL K.GOVINDASAMY NAIDU MEDICAL TRUST5. Govt. Arts College Road, Coimbatore - 641 018.
0422-2212121,29, 2218001,09
General Medicine - Medical Care, General Surgery, Gynaecology , Neurosurgery, Orthopaedic Surgery, Opthalmology Cardio-Thoracic Surgery ENT, Plastic and Fascio-Maxillary Surgery, Vascular Surgery, Urology, Surgical Oncology.
140. K.G.M. HOSPITAL (P) LTD. R. S. Puram, Coimbatore - 641 002.
0422-2627875 General Surgery, General Medicine - Medical Care, Gynaecology.
0422-4316000 General Medicine - Medical Care, General Surgery, Gynaecology, Neurosurgery, Orthopaedic Surgery.
147. KOVAI HEART FOUNDATION (P) LTD. 687/1, Trichy Road, Alvernia Convent
Bus Stop, Ramanathapuram Pin- 641 045.
0422-2320789 Cardiology, Cardiothoracic Surgery.
148. KOVAI MEDICAL CENTER & HOSPITAL LTD. Post Box No.3209, Avinashi Road, Coimbatore - 641 014.
0422-4323602,702 General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery, Orthopaedic Surgery.
149. KURINJI HOSPITAL 522/3, Udayampalayam Road, Behind EB Sub Station, Nava India, Sowripalayam Post, Coimbatore. - 641 028.
0422-4327777 General Surgery, General Medicine - Medical Care, Gynaecology.
150. LAKSHMI MEDICAL CENTRE AND HOSPITAL 18/121, MTP Road, Thudiyalur, Coimbatore -641 034.
0422-2644133 General Surgery, General Medicine- Medical Care, Gynaecology , Genitourinary Surgery, ENT.
241. KOVAI MEDICAL CENTER -ERODE 68, Perundurai Road, Erode - 638 011.
0424-2262838, 2264141 2256677
General Medicine - Medical Care, General Surgery, Gynaecology , ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery, Orthopaedic Surgery.
044-27432240 General Medicine - Medical Care, General Surgery, Gynaecology.
264. SRI VENKATESWARA HOSPITAL No.2/27, Gandhi Street, Railway Station Road, Singaperumal Koil - 603 204.
044-27464555 General Medicine - Medical Care, General Surgery, Gynaecology.
: 35 :
Sl. No.
Name of Hospitals and their Addresses
Contact Number Specialities Available
(1) (2) (3) (4)
265. SRM MEDICAL COLLEGE S.R.M Nagar, Kattankulathur-603 203.
044-2745603 General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
04652-232532 General Medicine - Medical Care, General Surgery, Gynaecology.
271. BINU MEDICAL CLINIC Erumbili Junction, Colachal, Ritapuram Post, Kanyakumari - 629 159.
04651-228899 General Medicine - Medical Care, General Surgery, Gynaecology.
272. DR. J.MATHIAS HOSPITAL K.P. Road, Nagercoil - 629 001.
04652-279731, 278137, 279733, 279466
General Surgery, Gynaecology.
273. DR. JAYAHARAN MEMORIAL HOSPITAL 63, Court Road, Nagercoil - 629 001.
04652- 222664 General Medicine - Medical Care, General Surgery, Gynaecology.
274. DR. JAYASEKARAN HOSPITAL AND NURSING HOME K.P. Road, Nagercoil - 629 003.
04652–230019 General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
275. DR.GOPALAPILLAIS JAWAHAR HOSPITAL R.V.Puram, K P Road, Nagercoil-629 001.
04652-223244 General Medicine - Medical Care, General Surgery, Orthopaedic Surgery, Gynaecology.
276. DR.ISAAC BONE & JOINT SPECIALITY HOSPITAL Main Road, Marthandam - 629 165.
04651-272521, 271697 2713101
Orthopaedic Surgery.
277. DR.KUMARSWAMI HEALTH CENTRE 1/4C, Perumal Puram, Kottaram Post, Kanyakumari - 629 703.
04652-271050, 636 General Medicine - Medical Care, General Surgery, Gynaecology.
04652-252253 General Medicine - Medical Care, General Surgery, Gynaecology.
: 37 :
Sl. No.
Name of Hospitals and their Addresses
Contact Number Specialities Available
(1) (2) (3) (4)
298. SREE MOOKAMBIKA INSTITUTE OF MEDICAL SCIENCES Velayuthan Pillai Memorial Hospital Complex, Padailam, Kulasekharam-629 161.
04651-280742; General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
350. MEENAKSHI MISSION HOSPITAL & RESEARCH CENTER Lake Area, Melur Road, Madurai -625 107.
0452-4263034, 2543000, 4263000
General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Orthopaedic Surgery,Vascular Surgery, Oncology.
General Medicine - Medical Care, General Surgery, Gynaecology, Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology,Plastic & Facio Maxilliary, Vascular Surgery.
356. RAJEEV HOSPITAL 47, Anna Nagar, Madurai-625 020.
0452-4395797 General Surgery, General Medicine - Medical Care, Gynaecology .
357. S.P. HOSPITAL, ORTHOPAEDIC SURGERY AND SURGICAL CENTRE HIG 34, 80 Feet Road, Anna Nagar, Madurai - 625 424.
0452-4395510 General Medicine - Medical Care, General Surgery, Gynaecology , Orthopaedic Surgery.
0452-3040002 General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroentrology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
General Medicine - Medical Care, General Surgery, Gynaecology , Cardiology, Cardiothoracic Surgery, ENT, Gastroenterology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery
370. VASAN EYE CARE HOSPITAL 342, 80 Feet Road, Anna Nagar, Madurai - 625 020.
0452-3989000 Ophthalmology.
371. VELAMMAL MEDICAL COLLEGE HOSPITAL AND RESEARCH INSTITUTE Velammal Village, Madurai-Tutiroin, Anuppanadi, Madurai -625 009.
0452-2510000 General Medicine, General Surgery, Gynaecology, Opthalmology, ENT, Plastic & Facio Maxillary Surgery, Rheumatology, Surgical Gastroenterology, Medical Gastroenterology, Nephrology/Urology,Cardiology, Cardiothoracic Surgery, Neurology, Vascular Surgery.
372. VIKRAM HOSPITAL & NEW VIKRAM HOSPITAL No:3/424, Sivagangai Main Road, Near Ring Road Junction, (Near Pandi Kovil), Madurai - 625 020.
0452-2535445, 2521272, 2534053
General Medicine - Medical Care, General Surgery, Gynaecology , ENT, Gastroentrology, Neurology, Plastic & Facio Maxilliary, Vascular Surgery.
0427-64264101 Orthopaedic Surgery, Plastic & Facio Maxilliary, General Medicine-Medical Care
437. NEURO FOUNDATION Meyyanoor Road, Three Roads, Salem - 636 009.
0427-2777100 General Medicine-Medical Care, Neuro Surgery, Neurology, General Surgery, Orthopaedics, Cardiology, Ent,Nephrology, Urology, Plastic And Facio-Maxillary Surgery, Vascular
Surgery.
438. PRANAV HOSPITAL 108/38, Brindavan Road, Opp New Bus Stand, Salem - 636 007.
0427-2336788 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary
439. R.P.S. HOSPITAL 3/392-C, Trichy Main Road, S.K Nagar, Seelanaickenpatty, Salem - 636 201.
0427-2467644, 2465521
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery
: 46 :
Sl. No.
Name of Hospitals and their Addresses
Contact Number Specialities Available
(1) (2) (3) (4)
440. RAAJAM HOSPITAL Near Kaliamman Koil, Karuppur, Salem - 636 012.
0427-2345589 General Medicine - Medical Care, General Surgery, Gynaecology
442. SALEM MEDICAL CENTRE No.50,Kannankurchi Road, Hasthampatty, Salem-636 007.
0427-2418213 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary.
443. SHANMUGA HOSPITALS & SALEM CANCER CENTER24, Sarada College Road, Salem - 636 007.
0427-2315293, 2319469
General Surgery, General Medicine - Medical Care, Gynaecology , Oncology.
444. SHRI SURAKSHA SPECIALITY MEDICAL CENTRE No.264/48, Cherry Road, Salem - 636 001.
0427-4067575 General Medicine-Medical Care, General Surgery, Gynaecology, Orthopaedic Surgery, Urology.
445. SKS HOSPITALS INDIA PVT. LTD. Alagapuram, Opp New Bus Stand, Salem - 636 004.
0427-4033007, 4033191
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary
446. SREE VASANTHAM HOSPITAL 52/1, Sankagiri Main Road, Opp. Police Commissioner Office, Near Annathapatty Bus Stop, Salem - 636 006.
0427-2465114 General Medicine - Medical Care, General Surgery, Gynaecology
447. SRI GOKULAM HOSPITAL 3/60, Meyyanur Road, Salem - 636 004.
0427-2448171, 76 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary
448. SRI GOKULAM SPECIALITY HOSPITAL 202, Bengaluru Byepass Road, Salem - 636 004.
0427-2448171 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary
449. SRI PALANIANDI MUDALIAR MEMORIAL HOSPITAL No.29, Cuddalore Main Road, Ammapet Bazaar, Salem - 636 003.
0427-2244500 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Cardiology, Cardiothoracic Surgery.
450. SRI SHELLAPPA HOSPITAL 239, Rajaram Nagar, Near Gandhi Stadium, Salem - 636 007.
0427-2421271, 2421266
General Medicine - Medical Care, General Surgery, Gynaecology , Orthopaedic Surgery.
451. TAMIL NADU UROLOGICAL RESEARCH CENTRE PVT LTD. 15, 6th Pulikutti Main Road, Gugai, Salem - 636 006.
0427-23743300 Urology.
452. T.M.S. EYE HOSPITAL 8, L.R.N. Colony, Saradha College Road, Salem - 636 007.
0427-2316955 Ophthalmology.
453. VASAN EYE CARE HOSPITAL F-22, Raman Road, AVK Nager, Opp. New Bus Stand, Salem - 636 004.
0427-3982000 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Cardiology, Cardiothoracic Surgery
XIX. SIVAGANGAI DISTRICT
456. APOLLO HOSPITALS Madurai Main Road, Managiri Street, Karaikudi - 630 307.
04565-232940, 233980
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Cardiology, Cardiothoracic Surgery
0431-2773857 General Medicine - Medical Care, General Surgery, Gynaecology
550. ASSURED BEST CARE HOSPITAL (P) LTD. (ABC HOSPITAL) No 1, Annamalai Nagar , Main Road , Trichy - 620 018.
0431-2760859, 2750238, 2750239, 4077111
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology,Plastic & Facio Maxilliary, Genitourinary Surgery
551. ATLAS HOSPITAL
34/1, V.N Nagar, Near Chathiram Bus Stand, Trichy - 620 002.
0431-2701248 General Medicine - Medical
Care, General Surgery, Gynaecology
: 53 :
Sl. No.
Name of Hospitals and their Addresses
Contact Number Specialities Available
(1) (2) (3) (4)
552. CHENNAI MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE (SRM GROUP) Irungalur, Mannachanallur, Trichy - 621 105.
0431-22011218 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery
553. CHILD JESUS HOSPITAL Post Box No 17, Cantonment, Trichy-620 001.
0431– 2415816 General Medicine - Medical Care, General Surgery, Gynaecology
568. KAVERI MEDICAL CENTRE AND HOSPITAL 1, KC Road, Tennur, Trichy - 620 017.
0431-4022535 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery, Cardiology, Cardiothoracic Surgery
0431-2415665 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery
602. RAMS MULTI SPECIALITY CENTRE 82,Murugapalayam Main Road, Opp. Bharath Petrol Bunk, Avinashi Road, Tiruppur - 641 603.
0421-2200456 General Medicine - Medical Care, General Surgery, Gynaecology , Orthopaedic Surgery
603. REVATHY MEDICAL CENTRE 10, Kumar Nagar(West), Tiruppur--641 603.
0421-4332211 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery
604. SREE SARAN MEDICAL CENTRE Poyampalayam Pirivu, Sneha Nagar, P N Road, Tiruppur - 641 602.
0421-2485455, 2486455.
General Medicine-Medical Care, General Surgery, Gynaecology, Orthopaedic Surgery, Urology.
605. SRI KUMARAN HOSPITAL 774,P.N.Road, Near New Bus Stand, Tirupur - 641 602.
0421-4330000 General Medicine - Medical Care, General Surgery, Gynaecology
606. THE EYE FOUNDATION Harvey Road, Tiruppur - 641 602.
0422-4242000 Ophthalmology
607. VASAN EYE CARE HOSPITAL 83, Perumanallur Road, Nesavalar Colony, Opp. to Bharat Petrol Pump, Tiruppur-641 602.
609. CHRISTIAN MEDICAL COLLEGE & HOSPITAL IDA Scudder Road, Vellore - 632 004.
0416-2283174, 2282593, 22820202
General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Genitourinary Surgery.
0471-2225154 General Surgery, General Medicine - Medical Care, Gynaecology , Orthopaedic Surgery, Nephrology, Neurology, Plastic & Facio Maxilliary, Cardiology, Cardiothoracic Surgery
0471-2202598 General Medicine - Medical Care, General Surgery, Gynaecology , Orthopaedic Surgery, Plastic & Facio Maxilliary
NEW DELHI 653. DURGA HOSPITAL (P) LTD.
711, Dr.Mukherjee Nagar, New Delhi - 110 009.
011-45104440 to 47 General Surgery, General
Medicine - Medical Care, Gynaecology
654. GANDHI NURSING HOME C-50 & 51, Om Vihar, Uttam Nagar, New Delhi - 110 059.
011-25335135 / 25335099
General Surgery, General Medicine - Medical Care, Gynaecology
* Additional List of Hospitals approved by the United India Insurance
Company Limited, Chennai / Third Party Administrator under the control of United India Insurance Company Limited under this Scheme will be notified from time to time.
-/ True Copy /-
UNDER SECRETARY TO GOVERNMENT.
: 60 :
Annexure-IV
TOLL FREE HELPLINE NUMBER AND LIST OF THE NODAL OFFICERS OF THE UIIC LTD. SITUATED IN THE DISTRICT
HEADQUARTERS.
UNITED INDIA INSURANCE COMPANY LIMITED Divisional Office: 010600, 5th Floor, PLA Rathna Tower,
212, Anna Salai, Chennai 600 006.
.
Third Party Administrator (Under the control of UIIC Limited)
MDIndia Healthcare Services (TPA) Pvt. Ltd. (New Health Insurance Scheme, 2016 for Employees of Government Departments and
Organisations covered under this Scheme)
Head Project Office
“Guna Complex” #443, Anna salai, Teynampet , Chennai 600 018. (Land mark- Next to SIET College signal)
TOLL FREE (24 Hours) HELPLINE No.
List of Hospitals available on website: www.tnnhis2016.com
1800 233 5666
: 61 :
Nodal Officers of the United India Insurance Company Limited under New Health Insurance Scheme, 2016.
Chief Nodal Officer K Ramakrishnan Divisional Manager 7373703090
S.No District Nodal Officer Designation Contact no
* List of Addresses of the Offices of the United India Insurance Company
Limited / Third Party Administrator at District Headquarters under this Scheme will be notified from time to time.
-/ True Copy /-
UNDER SECRETARY TO GOVERNMENT.
S.No Location TPA Coordinator name CUG
1 Ariyalur Mr. S.Dhavabalan 7373703101
2 Chennai Mr. C.Jeyaraj 7373703102
3 Coimbatore Mr. S.Thangarasu 7373703104
4 Cuddalore Mr. D. Arul Murugan 7373703105
5 Dharmapuri Mr. V.Mahendiran 7373703106
6 Dindigul Mr.S.Bharathiraja 7373703107
7 Erode Mr.M.Manikandan 7373703108
8 Kanchipuram Mr. E.Prabhu 7373703109
9 Kanyakumari Mr.M.Suresh Kumar 7373703110
10 Karur Mr.S. Felix Premelia 7373703112
11 Krishnagiri Mr.GVenkatesan 7373703113
12 Madurai Mr. B.Palani 7373703114
13 Nagapatinam Mr. P. Veeramani 7373703115
14 Namakkal Mr.R. Bakiaraj 7373703116
15 The Nilgiris Mr.C.Lokesh Kumar 7373703117
16 Perambalur Mr.P.Balu 7373703118
17 Pudukkotai Mr.G. Paramaleeshwaran 7373703119
18 Ramnathapuram Mr. N.Usman Ali 7373703123
19 Salem Mr.R.Jameer 7373703124
20 Sivagangai Mr.K. Balaji 7373703125
21 Thanjavur Mr.D. Gopinathan 7373703126
22 Theni Mr. A.Sarfraz 7373703127
23 Thiruvarur Mr. M.Vivekanandhan 7373703136
24 Tirunelveli Mr.M.Ramasamy 7373703132
25 Tiruppur Mr. K.Murugan 7373703133
26 Tiruvallur Mr.S.Sudharsan 7373703128
27 Tiruvanamalai Mr. A.K.Fayaz Ahmed 7373703135
28 Trichy Mr. M.Rajamanickam 7373703180
29 Tuticorin Mr. K.Ukkirapandi 7373703129
30 Vellore Mr. S.VinyagaMoorthy 7373703137
31 Villupuram Mr.D.Raju 7373703138
32 Virudhunagar Mr. J. Rabik Raja 7373703139
33 New Delhi Mr.Gurvinder Nalwa 09313070470
34 Pudhucherry Mr. D. Arul Murugan 07373703105
35 Thiruvananthapuram Mr. Praveen Kumar 09388620100
36 Bangalore Mr.SureshSrinivasan 09342440441
: 63 :
Annexure-V
GUIDELINES REGARDING IDENTITY CARDS
For implementation of the New Health Insurance Scheme, 2016, it is essential that the existing database of the employees and their eligible family members are updated and validated so as to enable the Insurance Company / Third Party Administrator to issue the new Identity Cards for availing benefits in a block period of four years with effect from 1-7-2016 to 30-6-2020.
2. In respect of the employees who are having Identity Card issued under New Health Insurance Scheme, 2012 the new Identity Card shall be issued invoking the following guidelines:-
(a) The existing database available in Government will be provided to
the Insurance Company / Third Party Administrator.
(b) The Insurance Company / Third Party Administrator in turn shall generate the Forms by using the data in the prescribed format as
in the Annexure-VII to this order. The Insurance Company / Third Party Administrator shall send the generated Forms to the respective Drawing and Disbursing Officer / Pay Drawing Officer for updating the details.
(c) The Drawing and Disbursing Officer / Pay Drawing Officer
concerned shall distribute the generated Forms to the employees for updating the details by addition and deletion of eligible family members.
(d) Each employee shall update details with the recent passport size
photographs in the prescribed form distributed to them.
(e) The Drawing and Disbursing Officers/Pay Drawing Officers shall collect and verify the forms submitted by the employees. After verification, the forms shall be countersigned and sent to the Insurance Company / Third Party Administrator. Before sending the Forms, the copy of the same shall be maintained by the respective Drawing and Disbursing Officer/Pay Drawing Officer for future reference.
(f) The Insurance Company / Third Party Administrator shall update
the details of each employee and their eligible family members received from the Drawing and Disbursing Officers/Pay Drawing Officers and arrange to issue new Identity Cards within the stipulated time with abstract of employees.
(g) The new Identity Cards will be distributed to the employees
through the respective Drawing and Disbursing Officer/Pay Drawing Officer with due acknowledgement.
: 64 :
3. For the newly recruited or absorbed employees and employees who have not furnished the details of the eligible family members so far, the guidelines detailed below shall be followed for issue of new Identity Cards:-
(a) Each employee shall furnish details of himself/herself and their eligible family members along with the recent Passport size Photographs in the format prescribed in the Annexure-VII to this order immediately to the Drawing and Disbursing Officer/Pay Drawing Officer concerned.
(b) After verification, the forms shall be countersigned and sent to the
Insurance Company / Third Party Administrator. Before sending the Forms, the copy of the same shall be maintained by the Drawing and Disbursing Officers/Pay Drawing Officers for future reference.
(c) The Insurance Company / Third Party Administrator shall
arrange to issue Identity Cards at once to the newly recruited or absorbed employees with abstract details of employees for availing the benefits.
(d) The Identity Cards will be distributed to the employees through
the Drawing and Disbursing Officers/Pay Drawing Officers concerned with due acknowledgement.
4. The Identity Cards shall be issued by the Insurance Company / Third Party Administrator within a period of ninety days from the date of commencement of the Scheme. During the interim period of preparation and
distribution of the new Identity Cards, the Insurance Company / Third Party Administrator shall authorise acceptance of the Identity Cards issued already
under the New Health Insurance Scheme, 2012 for 2012-2016 or a Certificate prescribed in the Annexure-VI authenticated by the Drawing and Disbursing Officers in Government Departments / Pay Drawing Officers in other Organisations covered under this Scheme as valid identity for the purpose of availing benefits under this Scheme. This arrangement will be applicable only for such interim period, till the Identity Cards are made available.
5. The data furnished by the employees shall be the property of the State Government and should not be used for any purpose without the prior permission of the Government of Tamil Nadu.
6. The softcopy of the updated database of Employees and their eligible Family Members shall be handed over to the Government in Finance (Salaries) Department, as and when the data compilations are completed. The data shall also be sent to the Director of Treasuries and Accounts, Chennai-15 on monthly basis for calculation of actual annual premium.
7. The Director of Treasuries and Accounts, Chennai-15 shall coordinate with the Insurance Company / Third Party Administrator to issue Identity Cards to all the employees within the stipulated period and monitor the progress of the works. All Drawing and Disbursing Officers/Pay Drawing Officers shall contact the Director of Treasuries and Accounts, Chennai-15 for any delay in getting Identity Cards to their employees.
: 65 :
8. The following date schedules shall be adhered to in the collection of the details of employees and their eligible family members and to issue new Identity Cards.
(a) For the Employees who are already having Identity Cards issued under New Health Insurance Scheme, 2012 for the previous block period 2012-2016:
Generated forms in the format prescribed in the Annexure-VII to this order with the details of employees and their eligible family members
shall be handed over to the Drawing and Disbursing Officers and Pay Drawing Officers
by the Insurance Company / TPA.
On or Before 20-07-2016
(b) For the Employees who are newly recruited or absorbed employees in service and Employees who have not furnished the details of the eligible Family Members so far:
Forms in the format prescribed in the Annexure-VII to this order shall be provided by
the Drawing and Disbursing Officers and Pay
Drawing Officers to the employees.
On or Before 20-07-2016
(c) Updated / Filled Forms shall be furnished to the Insurance Company / Third Party
Administrator by the Drawing and Disbursing Officers and Pay Drawing Officers.
31-07-2016
(d) New Identity Cards shall be issued to the employees by the Insurance Company / Third
Party Administrator through the Drawing and Disbursing Officers/Pay Drawing Officers
concerned.
30-09-2016
9. All the employees of Government Departments and Organisations covered under this Scheme shall get new Identity Card within the stipulated
time for availing medical assistance on cashless model under this scheme. In case of loss of Identity Card, a duplicate Identity Card can be obtained on payment of Rs.50/- to the Insurance Company / Third Party Administrator.
-/ True Copy /-
UNDER SECRETARY TO GOVERNMENT.
: 66 :
Annexure-VI
CERTIFICATE TO BE ISSUED IN LIEU OF IDENTITY CARD UNDER THE
NEW HEALTH INSURANCE SCHEME, 2016.
CERTIFICATE
(New Health Insurance Scheme, 2016 ordered in
G.O.Ms.No.202, Finance (Salaries) Department Dated:30-06-2016)
NHIS 2012 ID Card No: Date of Birth :
Date of Joining : Date of Retirement:
GPF/TPF/CPS No : Mobile No :
Certified that Thiru/Tmt./Selvi _____________________ is employed as
____________________ in _______________________________________
____________________________________________________________ and his/her
eligible Family Members as detailed below are eligible for treatments /
surgeries covered under the New Health Insurance Scheme, 2016. The
Identity Card under the New Health Insurance Scheme, 2016 is yet to be
supplied by the United India Insurance Company Limited, Chennai / Third
Party Administrator. This certificate is issued to enable the Employee and
their eligible Family Members under the above scheme for availing approved
treatments / surgeries in the empanelled hospitals approved by the
Insurance Company / Third Party Administrator. The approved hospitals
concerned shall provide CASHLESS health care coverage as envisaged under
this Scheme:
: 67 :
Details of the Employee and their Family Members under New Health Insurance Scheme, 2016:
Designation of Drawing & Disbursing Officer & Code
:
14. Pay Drawing Office attached :
[PAO / Treasury / Sub-Treasury with
Address for Govt. Employees]
(Others – Address of the Office)
15. Employee Code :
[GPF/TPF/CPS No. for Govt. Employees] [In case of new applicants, state whether application for enrolment in the Contributory Pension Scheme
has been sent to the Govt. Data Centre with details of reference no. and date. Employee code of other organisations, if any assigned shall be indicated along with the identification of the Organisation]
: 69 :
16. Aadhar No.
Voter ID No.
PAN
:
:
:
17. Details of the Employee and their eligible Family Members under the NHIS, 2016
:
Sl.
No. Name
Date of
Birth
Relationship to the
Employee
Marital Status
Employment Status
Whether Physically
Challenged/ Mentally
Retarded.** (Yes/No)
Passport size Photo
1. Self
2.
3.
4.
5.
** Details of Physically Challenged and Mentally Retarded Children as ordered in
para 4 of Annexure-I of the GO to be furnished.
Signature of the Employee
Certified that the above particulars are verified with the Service Register of the Employee.
Signature of Drawing and Disbursing Officer in Government Departments
Signature of Pay Drawing Officers in Organisations covered under this Scheme.