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):

  1. Any Gazetted Officer
  2. Registered Medical Practitioner (with Registration No.)
  3. Bank Manager with Seal
  4. EPFO Digital Life Certificate (DLC)
  5. From local HR representative
  6.  To Download Existence Certificate/Life Certificate (Self)
  7.  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:-

 

 

 How to claim your OPD reimbursement through PRMS Portal

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.

 

CIRCULAR REGARDING ONLINE PRMS MODULE

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
D.K. House, T-93, 3rd  Floor, Gautam Nagar,
Near Green park metro station Gate no 2,
New Delhi 110049

 

CALL CENTER 1800-102-9919/ 1860-425-3232 or e-mail on crm.delhi@ghpltpa.com

IPD reimbursement form

 

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.