Medical Assistance

Instructions for filling the Medical Assistance
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Entries section “A” MUST BE SUPPORTED BY ALL ORIGINAL Bills & Receipts from the respective Hospitals, surgeon / Anesthetist, Physician, Consultant and Cash memos for Medicines / Investigations.
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Part “B” must be signed by the seafarer.
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Part “C” must be completed & signed by the attending Doctor / Hospital.
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Bills of investigation Reports should clearly mention the name of the patient, Date & nature of investigation done.
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Cash memos for medicines purchased from market should clearly indicate the name of patient & name of physician, quantity of medicine etc.
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Application form should be submitted as early as possible, as but not later than 6 (SIX) months from the date of issue.
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Application should not be more than ONE YEAR OLD from the date of discharge from the Hospital.
Following DOCUMENTS should be attached with your CLAIM:
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Photocopy of relevant pages of CDC.
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Please attach passport size photograph of seaman, if seaman has expired, photograph of his wife.
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Photocopy of front page of Bank Passbook and cheque leaf OR if seaman has expired, photocopy of Bank Passbook and cheque leaf of his wife’s bank account. “DO NOT SUBMIT BANK DETAILS OF NRE ACCOUNTS”.
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HOSPITALS bills, Payments Receipts, Discharge Card / Summary, Investigation reports in original duly stamped & signed by the concerned HOSPITAL.
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If application is for dependent child (BELOW 21 Years of Age) photocopy of his / her Birth Certificate.
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If application is for wife, photocopy of marriage certificate or any marriage proof.
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If application made by wife on behalf of deceased seaman, photocopy of death certificate of seaman.
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Please ensure to attach the settlement letter, if you have received any reimbursement from the insurance company.
