FAQ
The Existence/Life Certificate can be certified by any of the below authorities (please note that the certificate should not be older than 06 months):
- Any Gazetted Officer
- Registered Medical Practitioner (with Registration No.)
- Bank Manager with Seal
- EPFO Digital Life Certificate (DLC)
- From local HR representative
- To Download Existence Certificate/Life Certificate (Self)
- To Download Existence Certificate/Life Certificate (Spouse)
The window for lodging OPD claims for the period Jan - June, 2023 on the PRMS portal shall remain active between 01.07.2023 and 15.08.2023. The steps for lodging OPD claims for existing members are given below:-
For Existing members:
Step 1. User should have a) valid phone number and b) valid E-mail address.
Step 2.Login by entering registered mobile number.
Step 3.OTP shall be generated and will be received on the registered mobile number and email address.
Step 4.Enter the OTP to login.
Step 5.Members will be directed to the profile page, where he/she has to validate their e-mail address via OTP first, only then the member/ user shall be able to view or edit/update bank account details and communication address.
Approach Network hospital of Good Health TPA at the Hospital's Insurance Desk,
Fill pre-auth form & submit copy of employee ID, Patient ID proof & contact Good Health TPA.
For queries related to the policy OR process, you may contact to on below mentioned "ESCALATION MATRIX"
LEVEL |
NAME |
CONTACT/ EMAIL |
LEVEL-1 |
Ms Vinita |
9100065434/ crm.delhi@ghpltpa.com |
LEVEL-2 |
Sh Dinesh Kandpal |
8978380887/ dinesh.kandpal@ghpltpa.com |
PRMS, 2023-24 GMC Policy No 90000034230400000008 IPD reimbursement form Address: Good Health Insurance TPA LTD
CALL CENTER 1800-102-9919/ 1860-425-3232 or e-mail on crm.delhi@ghpltpa.com
|
PRMS stands for Post Retirement Medical Scheme (NFL PRMS), its objective is to extend the medical benefits to the superannuated/retired employees of NFL and their spouses. The policy will cover hospitalisation as Indoor Patient (IPD) only excluding domiciliary treatment and Maternity. For more information please click here
Applicability of the Scheme:
The Scheme will be applicable to:-
a) Who retired/availed VRS after rendering not less than 15 years of continuous service in NFL / other PSUs.
b) The service rendered in the Government shall not be counted for the purpose of computation of total service in a CPSE(s).
c) The spouse of ex-employees, who expired while in service, irrespective of the length of service.
d) Board level appointees retired / retiring from the services of NFL on attaining the age of superannuation / completion of tenure, irrespective of number of years of service, put in NFL.
e) Ex-employees who have not put in 15 years of service prior to superannuation can become member provided that full premium payable by the Company to Insurance Company shall be borne by them. However, they will not be eligible for reimbursement of OPD expenditure under NFL Scheme.
The OPD reimbursement can only be availed by ex-employees of NFL who are members under PRMS scheme, 2023-24.
GROUP |
LEVEL |
Maximum amount reimbursable per annum (Rs.) |
A |
All Workmen (W0-W12) |
12,000/- |
B |
Executives (E0-E5) |
16,500/- |
C |
Executives (E6-E9) |
20,000/- |
D |
Functional Directors/ C& MD |
25,000/- |
Annual health check-up within a ceiling of Rs. 2500/- per person. |