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    Virtusa Policy Benefit1

    Uploaded by

    Venkatesh Kumar
    The document provides instructions for completing the enrolment process for renewal of the GMC policy for 2023-24. It outlines 3 steps: 1) add, delete, or modify dependent details and select "Top Up" if desired, 2) agree to terms and conditions and submit, 3) receive a confirmation email once submitted with no further changes allowed after the renewal window closes. It also lists policy terms, including covered family members, pre-existing disease benefits, sum insured amounts for base and top up policies, room rent amounts, and voluntary OPD policy coverage amounts.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Virtusa Policy Benefit1

    Uploaded by

    Venkatesh Kumar
    16 views1 page
    The document provides instructions for completing the enrolment process for renewal of the GMC policy for 2023-24. It outlines 3 steps: 1) add, delete, or modify dependent details and select "Top Up" if desired, 2) agree to terms and conditions and submit, 3) receive a confirmation email once submitted with no further changes allowed after the renewal window closes. It also lists policy terms, including covered family members, pre-existing disease benefits, sum insured amounts for base and top up policies, room rent amounts, and voluntary OPD policy coverage amounts.

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    Virtusa_Policy_Benefit1

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    The document provides instructions for completing the enrolment process for renewal of the GMC policy for 2023-24. It outlines 3 steps: 1) add, delete, or modify dependent details and select "Top Up" if desired, 2) agree to terms and conditions and submit, 3) receive a confirmation email once submitted with no further changes allowed after the renewal window closes. It also lists policy terms, including covered family members, pre-existing disease benefits, sum insured amounts for base and top up policies, room rent amounts, and voluntary OPD policy coverage amounts.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views1 page

    Virtusa Policy Benefit1

    Uploaded by

    Venkatesh Kumar
    The document provides instructions for completing the enrolment process for renewal of the GMC policy for 2023-24. It outlines 3 steps: 1) add, delete, or modify dependent details and select "Top Up" if desired, 2) agree to terms and conditions and submit, 3) receive a confirmation email once submitted with no further changes allowed after the renewal window closes. It also lists policy terms, including covered family members, pre-existing disease benefits, sum insured amounts for base and top up policies, room rent amounts, and voluntary OPD policy coverage amounts.

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    © All Rights Reserved
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    Enrolment Process

    ***Kind Attention Please!!!***


    You are entering the enrolment page of renewal of GMC policy 2023-24. Kindly follow the below steps to complete your enrolment process in the portal.

    Kindly note: The renewal window period will be only for existing employees to add or remove your dependents to the insurance coverage. Beyond this, no
    changes can be made to the coverage except in case of a newly married spouse and new-born baby (both within 30 days from the date of event.)

    Step – 1: Add, Delete or Modify your dependent details in accordance with the policy terms and conditions. Please click check box of “Top Up” for Base members.

    Step – 2: After completion of the above step, please click on the “I Agree…” check box and click “Submit” button.

    Step – 3: A caution dialog box will pop up on the screen. If you click “Cancel”, you will be directed back to the enrolment page, and you still will be able to edit your
    charges until the renewal window closes. If you click “OK”, the portal will get saved. You will get an auto generated email from Medi Assist team confirming that
    you and your dependents are enrolled in the GMC policy of 24th Sept 2023 to 23rd Sept 2024 along with the premium details, based on your submission. No
    further changes are allowed post enrolment period gets closed.

    Policy Terms and Conditions

     Premium for GMC base policy will be sponsored by Virtusa.


     Base policy coverage include cover for Self + Spouse + 2 Children + 2 Parents / Parent in Laws (Cross
    Group Member Cover (GMC) Combinations between Parents and Parents in Laws is not allowed)
     Disable Children – Up to 2 Financially dependent children to be Covered
     Third & Fourth Child – Covered in case of Multiple births (Twins / Triplets)

     Pre-Existing Disease (PED) waiting Period: Waived for Employee, Spouse and Children
     For Parents: if employee is less than 2 years with Virtusa, then for PED waiver, employee to pay INR 1000
    Pre-Existing Disease (PED) Benefit: per parent.
     More than 2 years, PED is waived OFF

    Sum Insured SI – 2 Lakhs SI – 3 Lakhs SI – 5 Lakhs SI – 7 Lakhs


    Eligible Members As per Group Medical Policy
    Maternity INR 25,000 additional maternity coverage if opted for Top up policy
    Room Rent INR 3000 1% of Base SI 1% of Base SI 1% of Base SI
    (Normal) and ICU (Normal) and ICU (Normal) and ICU (Normal) and ICU
    Actuals Actuals Actuals Actuals
    Voluntary Top up: Sum Insured SI – 10 Lakhs SI – 15 Lakhs SI – 20 Lakhs
    Eligible Members As per Group Medical Policy
    Room Rent +3000 (Normal) and Single AC Single AC
    ICU Actuals accommodations and accommodations and
    ICU Actuals ICU Actuals
    Co-pay 10% FLAT Co-pay for 5% FLAT Co-pay for 5% FLAT Co-pay for
    ESCP / PIL ESCP / PIL ESCP / PIL
    Other Coverage As per Group Medical Policy except cover for Capped ailment

    Voluntary OPD POLICY


    COVERAGE OPTION 1 OPTION 2 OPTION 3 OPTION 4 OPTION 5
    Family description Emp only ESC ESC ESCP / PIL ESCP / PIL
    Sum Insured 10,000 15,000 20,000 25,000 50,000
    SUB-LIMIT per Benefit
    General Physician / Specialist Consultation (in person and virtual) 7,500 11,250 15,000 18,750 37,500
    Prescribed Diagnostics tests 3,500 5,250 7,000 10,000 20,000
    Prescribed Pharmacy expenses 2,500 3,750 5,000 6,250 12,500
    Annual Health Check-up for 1 member in the family on cashless basis 3,000 4,500 4,500 5,000 5,000
    WHO approved Vaccinations and immunizations(Adult & Child also includes cervical 5,000 7,500 10,000 12,500 25,000
    cancer vaccine)
    Vision check-up done by optometrist /optician & Prescribed glasses/lens 3,000 4,500 4,500 5,000 5,000
    Dental Examination/ X ray/ Fluoride treatment/ Filling / Prophylaxis / Root Canal
    treatment/ Extractions / Oral Surgery / Re cementation/ Medication / Restoration / 3,000 4,500 4,500 5,000 5,000
    Crowning /implant (Non cosmetic in nature)

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