Amma Medical

Reimbursement Procedure

File:Re_ Reimbursement claim _ Policy Number _ OG-24-2401-8403-00000055 _ ID Card No _ GMC-24240130055-98139D.zip

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Dear Sir, 
Please find the attached claim form and check list. Also please note, KYC means Pan and Adhaar copy of employee is mandatory. 
All original documents submit in this below address.  


Address:

Tithi Mukherjee
Address-164, Maniktala Main Road, Mani square, 6th Floor, Kolkata-700054


Thanks & Regards,
Dipika Roy


Health Administration Team
Bajaj Allianz General Insurance Co. Ltd.
Ph.No: 9073614543
Add-164, Maniktala Main Road, Manisquare, 6th Floor, Kolkata-700054

Claim Status on WhatsApp -        Just type “Hi” on - 9156191111
Claim Status Link https://general.bajajallianz.com/BagicNxt/InHouseSP/hm/externalUserCC.jsp

Policy

• Policy No: OG-25-2401-8403-00000055
• Login I.D. : 98139@itcparents.in
• Password: K54TP1S9

Medical Insurance

SPOC 1 : Dipika Ray, Dipika.Roy@bajajallianz.co.in. 9830303309
Escalation Level 1 : Anjan Das, anjan.das07@bajajallianz.co.in, 9903999847


Warm Regards,
Bajaj Allianz General Insurance Company Ltd.
Email -health@bajajallianz.co.in
Call Center: 1800 103 2529 (Toll Free) & (020) 3030 5858

2024-25

• ecard | File:GMC-25240130055-98139E.pdf
• URL : https://ecard.bajajallianz.com/hCard/Health_Ecard/hlth_cardlogin.jsp | 98139@itcparents.in | violA!!1 |
• Application | File:Medical parents 2024-25.pdf

2023-24

• File:GMC-24240130031-98139E.pdf

Your Company welcomes you to the award winning Bajaj Allianz General Insurance Company’s group health policy! For our esteemed corporate customers we have a unique E-Card Module. Now, you can download your E-cards, directly from this module by following below steps.

Policy No: OG-24-2401-8403-00000031 Login I.D. : 98139@ITCparents.com Password: OG278NEM Log on https://ecard.bajajallianz.com/hCard/Health_Ecard/hlth_cardlogin.jsp and enter your log in details in Login Area.

OCT 2023 -to- SEP 2024

Policy

Key Features

Medical Isues

• Expenses | Google Sheet

Curret Policy DOC

• File:78556019 PROFORMA.pdf
• File:78556019 RECEIPT DOC.pdf
• File:78556019 80D CERTIFICATE.pdf
• File:78556019 CLAIM FORM.pdf
• File:78556019 HEALTH CARD.pdf
• File:78556019 POLICY CLAUSE.pdf
• File:78556019 POLICY DOC.pdf

Issues

EYE Diagnosis 11 JULY 2020

• Medical ID: 1490489
• Multiple tests were done
• Prescription:
  • Fat growth in eye - Medicines were given
  • Cataract - Advanced stage - Needs immediate surgery
• Phone: 080-66121643
• Saturday: 8.30am (24th October)

Cleaning and Vaccum dressing

• Admission No: MH00753122
• Starting DATE: 18 JUNE 2020
• Hospital: MS Ramaiah Memorial Hospital
• Surgery date: 20 June 2020
• Vacuum dressing: 21 June 2020

Gangrene

• Hospital: MS Ramaiah Memorial Hospital

• 

• Diagnosis: Gangrene
• Date of Admission: 2 June 2020
• Date of Surgery: June 2020

Diabetes

• Hospital: DIALIFE
• Doctor: Dr. Guruprasad Udupi
• Diagnosis: High / Fluctuating Sugar
• Date of Admission: 20 May 2020

Uterus removal

• Hospital: G. Kuppuswamy Naidu Memorial Hospital
• Diagnosis:
• Date of Admission:
• Date of Surgery: 15-Mar 2020

Open Heart Surgery

• Diagnosis: 3 blocks
• Date of Admission:
• Date of Surgery: 14-Jan-20

Cancerous growth

• Diagnosis: Sheela Hospital Coimbatore
• Date of Admission:

Insurance

• Insurance company: Star Health
• Policy Number: P/700002/01/2020/042065
• Expiry: Jan 2021
• Claimable amount: 2 Lakhs
• TOLL FREE  : 1800 425 2255 /1800 102 4477

Insurance Actual Claims

1. Intimation # CIR/2021/700002/0431751 | Rejected | Left Eye
2. CLI/2021/700002/0338874 | 3037 | Right Eye
3. CLI/2021/700002/0046989 | Cancelled | Uterus removal
4. CLMG/2021/700002/0108941/001 | 0109192: 9024 | Wound clearing
5. CLI/2021/700002/0078101 : 49277 | Gangrene surgery

Claims | Customer care: 1800 425 2255 | 1800-102-4477

Claim # CLMG/2021/700002/0108941/001 | 0109192

• Applied on: 18 June 2020 for cashless
• Policy # P/700002/01/2020/042065
• REimbursed for RS. 9024 on 18 JUN 2020 | File:Authorization CLMG20217000020108941001.pdf

Claim # CLI/2021/700002/0078101

• Applied on: 2 June 2020 for cashless
• Policy # P/700002/01/2020/042065
• Reimbursed: 49277 - 15 JUN 2020

Claim # CLI/2021/700002/0046989 | 0046989

• claims.retail@starhealth.in
  • Documents sent on 20 JUNE 2020
  • ##273302##] Your ticket has been created
• Applied on: 2 May 2020 for cashless |
• Admission date: Mar 15 2020
• CANCELLED | File:IMG 015.pdf

LOG

Couple of updates about Amma

She has been under insulin for the last 20 years. During January, a simple pain in lower stomach which was diagnosed to be stage 1a cancer in uterus. While preparing for surgery to remove the uterus, noticed very low BP, which upon scanning, revealed 3 major blocks in heart. Further suggested to execute open heart surgery immediately and uterus removal later.

During mid Jan, open heart surgery was carried out, grafted two veins, while the other was left due to its smaller size. Due to diabetic, she was further admitted in Diabetic Center to flatten the sugar level, while looking at post-surgery care. During this time, we were preparing her for second surgery, while the cancerous growth moved to stage 1b to almost 4.3cm blob.

During mid-March, the uterus was removed along with the cancerous tissues. Further biopsy of the removed tissues had 30% malignant and 70% benign cell mass. Although the entire totipotent mass were removed, malignant nature has a an ability to re-proliferate again, hence further suggested to go for Radiotherapy (in the pelvic region) followed by chemotherapy.

During the post surgery care, we moved to Bangalore during May, however we could not execute the radio/Chemotherapy due to Home quarantine. Meanwhile we were attempting to monitor the sugar level (with a embedded chip in the body, that measures sugar level every 15 min 24/7 and sends us the data wireless) to sync the right food.

While we were getting ready for radiotherapy, a small inflammation started developing in the leg, which quickly started spreading within two days, and was diagnosed to be Gangrene. The spread of inflammation was fast, hence immediate surgery was suggested. During surgery, Her half of toes were amputated along with fingers to get rid of inflammation (4th June) and further arrest the spread of infection.

While She was being dressed on the wound daily, the wound healing took much longer than expected and pain She went through has been intolerable and very acute even for cleaning and dressing. This has further led to another surgery to deep clean & removed the dead tissues (which is 40%) around the cut-wound and is being planned on 19th June and further suggested to vacuum based dressing (to heal in a faster). In the very recent months, She has become immobile; with continuous pain and multiple surgeries with multiple causes.

On 20 June, the another cleaning surgery was carried out to removed the 20% dead cells. Later it was found that it is reinfection. Further, a vacuum based dressing (a machine attached to leg, which creates a vacuum 24/7 for healing) is in place, while it appeared that it is towards a positive direction. As the time progressed the dressing was carried out with AQUACEL® Foam for 3 months.

During early August, further diagnosed with cataract in eyes and lasic surgery was suggested, which was postpond for complete healing of toe-wond.