Document #:

Title: Policy for Medical Benefits

Policy for Medical Benefits

NAME DESIGNATION DATE

WRITTEN BY: HR Head 26 February 2009

Head of Operations 26 February 2009

REVIEWED BY:
CEO 26 February 2009
APPROVED BY:

REVISION NO.: 004005

DATE OF ISSUE: 2 March 2009

COPY TO
NAME DESIGNATION

1st Copy : Senior Vice President – Professional Services

2nd Copy : Senior Vice President – Business Development

3rd Copy : Vice President – Development

4th Copy :

5th Copy : Manager Finance

6th Copy : Manager Quality Management

CONFIDENTIAL, UNPUBLISHED PROPERTY OF XXXX

This document and the information herein are the property of XXXX and all unauthorized use and reproduction is
prohibited.
 Document #:
Title: Policy for Medical Benefits

DISTRIBUTION LIST

COPY # NAME DESIGNATION DATE

1. All Employees of ABC All Designations included 2-Mar-2009

2.
<Job Title>

3.
<Job Title>

4.
<Job Title>

CONFIDENTIAL, UNPUBLISHED PROPERTY OF XXXX

This document and the information herein are the property of XXXX and all unauthorized use and reproduction is
prohibited.
 Document #:
Title: Policy for Medical Benefits

AMENDMENT SHEET

REV. # DATE INITIATED BY PAGE # SECTION NATURE OF AMENDMENT DONE BY

CONFIDENTIAL, UNPUBLISHED PROPERTY OF XXXX

This document and the information herein are the property of XXXX and all unauthorized use and reproduction is
prohibited.
 Document #:
Title: Policy for Medical Benefits

TABLE OF CONTENTS

1. Scope...................................................................................................... 5
2. Purpose................................................................................................... 5
3. Exclusion.................................................................................................. 5
4. Policy..................................................................................................... 5
4.1 General................................................................................................... 5
4.2 ELIGIBILITY................................................................................................. 5
4.3 CLAIM PROCEDURE..........................................................................................6
4.4 EXECUTIVE CHECKUP.......................................................................................6

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 Document #:
Title: Policy for Medical Benefits

1. SCOPE
This policy is applicable to all departments and following employees of the company

2. PURPOSE
The purpose of this Policy Document is to describe Policy and Procedures relating to
Outpatient Medical Facility provided by the Company to its employees

3. EXCLUSION
This policy is not applicable to the temporary / project based employees of the company.

4. POLICY

4.1 GENERAL
4.1.1 The purpose of outpatient medical benefit is to encourage healthy and
productive workforce by providing financial cover up to a certain limit
4.1.2 The outpatient limit is structured in accordance with the employee’s grade
4.1.3 OPD Limits lapse at the end of the year (July – June cycle). No Carry Forward or
Accumulation is allowed
4.1.4 Medical expenses related to spouse, children and parents will be covered under
this policy for all permanent employees
4.1.5 Medical expenses should be claimed within the same year. Any claims
submitted after July 1st will be rejected. Only exception is the expense
incurred within the month of June of the preceding year which can be claimed
in July of the subsequent year
4.1.6 After August, no medical expenses for the last year will be entertained
4.1.7 Permanent part-time employees will be eligible for 50% of their Annual
outpatient entitlement
4.1.8 In case of termination of employment, employee will be eligible to claim his /
her outpatient entitlement on pro-rated bases only
4.1.9 In case the employee has exceeded his/her OPD limit for which he/she will be
eligible on pro-rata basis, the same will be adjusted against the final
settlement of the employee
4.1.10 In case of termination of employment, employee has to serve the entire month
to claim OPD for that month on pro-rata basis
4.1.11 Any claim without proper receipts and evidence will not be entertained

4.2 ELIGIBILITY
4.2.1 All the confirmed and full-time employees with their
dependants (spouse, children and parents)
4.2.2 All the contractual /permanent part-time employees with
their dependants (spouse, children and parents)
4.2.3 The Outpatient entitlements are as follows:
Structure for Outpatient Limit

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 Document #:
Title: Policy for Medical Benefits

Level Annual OPD Entitlement (July to June)

Single Married
Contractual, Peons, Drivers 3,000
1-3 7,500 12,500
4 11,250 18,750
5 15,000 22,500
6 18,750 26,250
VP 22,500 30,000
SVP 30,000 37,500
EVP 30,000 37,500
COO, CMO 50,000

4.3 CLAIM PROCEDURE

4.3.1 Request for reimbursement should be submitted within 30
days of the expense incurred. Failure to provide the information within 30 days
may cancel the reimbursement of expense
4.3.2 Employees need to ensure the submission of following
original documents with the “Expense SheetPortal”:-
a. Doctor’s prescription
b. Receipt of medicines purchased
c. Consultation receipt
4.3.3 The claims should be submitted to Finance department for
verification of reimbursement limit
4.4 EXECUTIVE CHECKUP
4.4.1 Employees of Level XXXX and ABC and above are entitled for
an Executive Checkup once in a year.
4.4.2 The entitled employees can avail the Executive Checkup
facility only from XXXX.
4.4.3 All the employees are eligible for only Package “A” Executive
Checkups
4.4.4 Any additional tests, treatment and medicines will not be the
part of the Executive Checkup and the cost of the same will be born by the
employee which can be claimed from the outpatient limit
4.4.5 The Executive Checkup fee will be separate from the
employee’s annual outpatient entitlement

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