Simplifying

Employee
Benefits
BANSAL PRECISION FORGE
LTD.
Index

Policy Features

Claims Process

Visit App
 Coverages for Employees

Insurer TPA Policy Start Date Policy End Date Family Definition Sum Insured

Magma HDI MD India 25-May-2024 24-May-2025 Employee, Spouse and INR 5 Lacs
Kids

ICU
Mid term addition of Room Maternity Mid term addition of Baby
Charges
existing dependants Rent Coverage new dependants(Newly wed & Coverage
new born baby) of already
Actuals enrolled employee
Not allowed Actuals NA Covered
Not
Allowed
Special Conditions of your
policy

Pre-Existing Disease (PED)

Covered

Robotic Surgery/Bio-absorbabLe Stent/KT Laser Prostate

50% Co Pay

Claim for Lasik Treatment-

Lasik Surgery for power above +/- 7.5

Covid expenses -
Covered on IPD
Basis
Pre & Post Hospitalization
Pre-Hospitalisation Expenses
● If the Insured member is diagnosed with an Illness which results in his/her Hospitalization and
Definition for which the Insurer accepts a claim, the Insurer will also reimburse the Insured Member’s
Pre-hospitalisation Expenses.

Covered ● Yes

Duration ● 30 days

What duration bills can I file for

● 30 Days
reimbursement

Post-Hospitalisation Expenses
● If the Insurer accepts a claim under Hospitalization and immediately following the Insured
Member’s discharge, further medical treatment directly related to the same condition for which
Definition the Insured Member was Hospitalized is required, the Insurer will reimburse the Insured
member’s Post-hospitalisation Expenses.

Covered ● Yes

Duration ● 60 Days

What duration bills can I file for

● 30 Days
reimbursement

Any treatment that requires hospitalization for more than 24 hours is termed as Standard Hospitalization
Ambulance Coverages

Emergency Ambulance Service for Transportation-

The Insurer will pay for Emergency Ambulance & other road
transportation by a licensed ambulance service to the nearest
Hospital where Emergency Health Services can be rendered.
Coverage is only provided in the event of an Emergency.

Amount restriction
for ambulance

Road ambulance charges are covered

up to INR 1000/- per incident in case
of emergency.
Day care
procedures

Hospitalization is mandatory for Listed Day care

procedures.

Procedures - Dialysis, Chemotherapy,

Eye Surgery, Angiography etc.

OPD procedures are not Day care

procedures.
Claims Journey | Cashless

1. Claim Intimation 2. Claim Processing 3. Approval TAT

Documents Required: Intimate claim request to:

3-4 Hours

Prescription

Email id :
KYC
[email protected]

E cards
Claims Journey | Reimbursement

1. Claim Intimation 2. Claim Processing 3. Claim Settlement TAT

Prescription
20-30 working days
Intimate Claim Request on :

KYC
Send details to
Email id :
[email protected]
DS

Hospital
Final Bill

Bank
Details

Claim Form -
A&B
Claim Documents - List for Reimbursement
Provide break-up details including Pharmacy
Completed Claim form with
items, Materials, Investigations even though it is
Signature
there in the main bill

In case the hospital is not registered, please get

Hospital bills in original (with bill no. signed a letter on the Hospital letterhead mentioning
and stamped by the hospital) with all charges the number of beds and availability of doctors
itemized and the original receipts and nurses round the clock.

In a non-network hospital, you may have to get

Discharge Report/Certificate/Card the hospital and doctor’s registration number in
(original) Hospital letterhead and get the same signed
and stamped by the hospital, if required.

Attending Doctors’ bills and receipts and

certificate regarding diagnosis (if separate
from hospital bill)

Original reports or attested copies of Bills and

Receipts for Medicines, Investigations along
with Doctors’ original prescription and
Laboratory

Follow-up advice or letter for line of treatment

after discharge from hospital, from Doctor.
Contact Matrix for Employees
Service Support

Level 1 Customer Support 18005723918 10:00 AM - 07:00 PM

PB Cashless Claims Support

Servicing Vertical Name Contact No Email ID

Level 1 Executive [email protected]

18003094876

Level 2 Supriya Singh 9355827182 [email protected]

Level 3 Dr. Anand - [email protected]

Reimbursement Support

Servicing Vertical Name Contact No Email ID

Level 1 Shivani Singh 9818317239 [email protected]

Level 2 Dr. Kiran - [email protected]

General Exclusions

Vitamins and tonics unless used for

treatment of injury or disease as prescribed Cost of spectacles, contact lenses, hearing aids.
by the Doctor.

Health foods/nutritional supplements. Any cosmetic or plastic surgery except for

correction of injury.

Costs incurred as part of the

membership/subscription to a Clinic or Health
Center.
HIV and AIDS & its related complications.

Non-medical expenses like Hospital

surcharge, telephone bills, cafeteria bills.

Injury or disease caused directly or indirectly

by nuclear weapons.
Visit app process to download the app

STEP 1
Scan QR to Download the Visit
app from Play Store/App Store.

STEP 2
Open the Visit App

STEP 3
Enter your official email ID / Contact Number

STEP 4
Enter the OTP Received on your Phone
Download Visit Application

Apple Users: Android Users:

Click on the below Click on the below

icon to Download icon to Download the
the Visit App on Visit App on your
your Apple phone Android phone
Register On Visit Application

Step 2
Step 1

Tap on Sign up with your

Get Started mobile number
registered with your
People Service Team
Register On Visit Application

Step 3 Step 4
Log in using your Go to the E-Card Tab
work email address to see all your E-card
and click on “I am a and policy benefits
sponsored user”
A program designed to help you lead a
happier, healthier life

Emotional Counselling

Financial Wellness

Buddy Managers
Program

Legal Advice

Nutrition Lifestyle
Management

Meditation & Mindfulness

Sessions
How to access E-Card

Click on the Ecard Tab to view

E-Cards and all the Policy Benefits
Health & Wellness Dashboard
One-click access to Fitness & Wellness Management

Activity, Sleep & Meal Tracking

Digital Video Wellness/Fitness Sessions

Rewards Program - FITCoins

Health Risk Assessment

Health Data Monitor

Guided Meditation Programs & Mindfulness

Podcasts
Unlimited Digital Fitness

Guided Meditation Programs and

Mindfulness Podcasts
Fitness Videos &
Mental Health
Training programs via pre-recorded/live Podcasts
videos

Habit formation through Gamification &

Rewards Programs
 Tele-Medicine | Doctor on Video/Voice/Chat

Step Under the Care tab,

click on My Online
1 Consults

Choose the
Specialist with Step
whom you wish
to consult
2
 Tele-Medicine | Doctor on Video/Voice/Chat

Step Select your

preferred Doctor
3 to consult
You can now
consult the Doctor Step
4
₹0
over chat/call.
THANK
YOU
1