Group Mediclaim Policy for OPD to Pensioners for the period April 01, 2023, to March 31, 2024 has been placed with New India Assurance Co. Ltd.–Bank’s letter
The salient features of the policy are given in Annex I.
OPD expenses incurred by members will be reimbursed by the Insurance Company up to their respective grade wise sum insured amount.
| Sr. No. | Grade | Sum Insured (in ₹) Age 70 and above | Sum Insured (in ₹) Age 75 and above |
| 1 | Class IV | 20,000 | 30,000 |
| 2 | Class III | 30,000 | 45,000 |
| 3 | Grade A | 40,000 | 60,000 |
| 4 | Grade B | 50,000 | 75,000 |
| 5 | Grade C | 60,000 | 90,000 |
| 6 | Grade D | 70,000 | 105,000 |
| 7 | Grade E | 80,000 | 120,000 |
| 8 | Grade F & ED | 1,00,000 | 150,000 |
This policy will also cover those dependent children of the retired employee (pensioner of 70 years of age and above) who have permanent or temporary physical / mental disability as defined under Rights of Persons with Disabilities Act 2016 and are incapable of being gainfully employed, under the combined sum insured. The Bank shall confirm the eligibility of such cases.
The insurance policy will be administered by Third Party Administrators (TPAs) at all centers. All claims pertaining to pensioners attached to respective offices will be settled by the designated TPAs, irrespective of the place where the treatment is taken. Contact details of location wise relationship managers of TPAs, insurance company and the broker are in links given below.:
Claim is to be lodged with TPA within a period of 60 days from the date of treatment/procedure taken by the pensioner or spouse or dependent children (as defined in para 4 above), by submitting original documents (except where exempted).
Pensioners attaining the age of 70 years during a particular month will be added in the Group Mediclaim Policy from the first of the succeeding month and in the event of death of a pensioner, his/her spouse will continue to be covered.
Allotment of TPAs
Names of designated TPAs for the policy and Offices/Departments allotted to them are as under:
| Name of the TPA | Offices/Departments allotted | |
| 1 | Medi Assist Insurance TPA Pvt. Ltd. | Ahmedabad Bengaluru Bhopal CAB-Pune Chennai Hyderabad Kochi Mumbai (Central Office/MRO/Belapur) Nagpur Panaji Thiruvananthapuram |
| 2 | Health Insurance TPA of India Ltd. | Agartala Aizawl Bhubaneswar Chandigarh Dehradun New Delhi Gangtok Guwahati Imphal Jaipur Jammu/Srinagar Kanpur Kolkata Lucknow Patna Raipur Ranchi Shimla Shillong |
Click the links below to view the details——||
All India RBI Oers Pensioners Forum 
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