• Buffer The competent authority has decided with immediate effect that utilization of “corporate buffer” beyond Sum Insured of Rs. 3 lacs would be strictly on reimbursement basis and not on cashless. The reimbursement claim beyond Sum Insured has to be filed by Insured Person to MDIndia TPA with-in 15 days of discharge from hospital. Please note that reimbursement claim from corporate buffer would be paid as PGI-Chandigarh rates/Schedule of Charges.The empanelled hospitals are advised to take declaration of the same from patient/insured as & when the situation arises. In the event the hospital fails to obtain such declaration from patient and collects the due payment from the patient, the difference between hospital rates & PGI Chandigarh rates would be borne by the empanelled hospital.
• Suspension of Hospitals Pragma Hospital , Bhatinda – The competent authority has decided with immediate effect that the Cashless facility for this hospital has been suspended temporarily till further notice.