Category: FAQs
News & Events
What happens if I do not get all the drugs prescribed at the hospital or one pharmacy?
The pharmacist will cross out the drugs supplied on the prescription form Run photocopy of the original prescription You will be given a copy of the prescription form which would enable you take the remaining drugs on the prescription. In case you are given a photocopied prescription, ensure that it is endorsed by the Pharmacist/pharmacy … Continued
How to file for refund
Fill NMI Claim Form. Click here Attach original copies of prescription or lab request form and receipts covering payment made. Receipt for drugs Should be accompanied by a valid prescription (prescription with the beneficiary’s name, date, clinical information, doctor’s signature, doctor’s name and stamp) Receipts for Labs and diagnosis Should be accompanied by a valid … Continued
What happens when I exceed my benefit limit?
This rarely happens but your medical cover ends immediately. NMI notifies member(s) who exceed 70% of their utilization. Members are encouraged to restrict medical expenses wherever possible to reasonable limits, so as to accumulate enough reserves for emergencies or sudden life threatening medical conditions.
Card replacement
Fill card replacement form. Click here Ensure company HR endorses form All card replacement comes at a fee
Can I change my benefit package after enrollment?
Yes, moving from one plan to another is allowed .However upgrade can only be done within the first quarter [3 months] of the policy period /benefit year Upgrades are subject to conditions [contact your Relationship Manager for further details]
Can another person use my card to access healthcare?
The card covers only the person insured [the person whose details are on the membership card]. Health insurance benefits are not transferrable.
If I had an accident and damaged my tooth will the insurance pay for crowns?
Generally, artificial tooth and crown are exclusions.
If I don’t use my benefit this year, can I use it when I renew?
No, benefits are not transferrable
Can I use my card to buy over-the-counter [OTC] drugs at the pharmacy?
Over the counter treatment and self medication are not allowed. You can only have access to prescribed medication or diagnostic investigation after undergoing through medical consultation with a Medical officer/ Health Professional.
After payment, how long does it take to start benefiting?
After paying the initial 3 months premium, you will get your card within a week and you can start benefiting.