Prof. Jarugu Narasimha Moorthy, Director, Indian Institute of Science Education and Research Thiruvananthapuram (IISER TVM) inaugurating the blood donation camp in our New Health Centre on 03-04-2019
The New Health Centre
Institute Health Centre. Credit: Ankush Kumar Garg
Health Centre Staff
Dr Hemalatha Goldwin M
Medical Officer
mo.hemalatha[at]iisertvm[dot]ac[dot]in
Dr Thiraviam P
Medical Officer
mo.thiraviam[at]iisertvm[dot]ac[dot]in
Mr Jins Joseph
Nurse
jinsjm[at]iisertvm[dot]ac[dot]in
Mrs. Athulya Thomas
Nurse
athulyathomas[at]iisertvm[dot]ac[dot]in
User Committee For Health Centre
| 1 | Dr. Jishy Varghese | (SoB) | Member |
| 2 | Dr. R S Swathi | (SoC) | Member |
| 3 | Mr. Sudin B Babu | DR (P&S) | Member |
| 4 | Ms. Pooja. S | Female-Hostel Affairs | Member |
| 5 | Ms. FathimaSherin | Secretary Welfare Council | Member |
| 6 | Dr. Goldwin Hemalatha | Medical officer | Member & Convenor |
| 7 | Dr. Thiraviam P | Medical Officer | Member & Convenor |
The individual users of Health Centre can send their suggestions and grievances ,if any to any of the above listed UCHC members by email. You can be rest assured that they will positively be taken up during the periodic or emergency meetings of UCHC called as per needs and discussed thread bare .Every effort will be made to arrive at best possible solutions and the same will be put up for implementation.
A Brief on Health Centre
HEALTHY LIVING
Counselling Centre
Please visit the website of the IISER Thiruvananthapuram Counselling Centre for more information about Counselling services.
Ambulance Protocol
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How to Request Ambulance Services:
- Dial 0471 2778144 to request ambulance services.
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Share the following information with the Health Centre desk
- Patient’s Details (Name, Age, etc.)
- Location (Pick-up location)
- Contact Number (For follow-up)
- Patient’s Condition (Brief description of the medical issue)
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Important Guidelines
- Ambulance services are available strictly for emergencies and not for OPD visits.
- Referral to Higher Centers: The ambulance may be used to transport patients to higher medical centers, but only as directed by the duty Medical Officer.
- Limited Wait Time at Higher Centers: The ambulance will not remain stationed at higher centers for extended hours unless it is a real-time emergency.
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The ambulance will be stationed only for the following institute events:
- Convocation
- Republic Day
- Independence Day
Adherence to these protocols ensures efficient use of ambulance services for those in critical need.
Guidelines for Medical Certificate
Miscellaneous
A ) CHSS Claims-General guidelines
The CHSS claims, for both outpatient and inpatient treatment i.e for self and eligible dependants should be submitted in relevant filled up forms- downloadable from campus mate IISER tvm website within six months from date of availing treatment /investigation to Medical officers of the Institute for Scrutiny. Submission in person is not required. They can simply be sent to Health Centre and it will be then received, recorded ,undergo scrutiny and forwarded to Institute Finance Dept at the earliest.
Original bills along with Prescription, Requisition for Investigations ,discharge summary (inpatient treatment) etc should be attached to Claim forms during submission. If Original Prescription/discharge summary is required for future reference by claimant, One can submit self attested copies of the same along with claim forms.
Cosmetic treatment in general is not reimbursable under CHSS.
The CHSS publishes guidelines periodically (once in every 3 or more years ) along with applicable reimbursable amounts for different treatments. It also lists package rates allowed for reimbursement for almost all common medical and surgical ailments in all specialities .The published rates are different for different regions and cities of India. Various medical and surgical investigations and interventions also have individual rates listed for reimbursement which are published periodically for CHSS by Govt of India.
Claims for treatment availed from specialists in Ayurveda, Homeopathy and other systems of medicine also have relevant published CHSS guidelines . CHSS Claims relevant to these systems submitted for reimbursement will dealt with as per CHSS norms.
In general, the cost of consumables like IV drip sets , syringes etc and nutritional supplements are not reimbursable under CHSS . Whenever official Package rates are available, only the published and listed amount for particular treatments under CHSS irrespective of money spent or cost mentioned in attached bills, even if it is a significantly higher amount , only the maximum permissible published/listed amount for reimbursement is allowable as per CHSS norms.
As per existing and relevant CHSS norms , it is not mandatory to get sanction or referral from institute medical officers for specialist consultation or treatment from Govt or Private consultant / hospital .
As regards Vaccination- as on date ,only the following are eligible for reimbursement.
DPT, Measles, OPV, MMR, Hepatitis B, Typhoid And TT vaccines. On Specialist Advice/Prescription additionally Leprovac vaccine, Influenza vaccine and Anti Rabies Vaccine (Post Exposure ) are eligible for reimbursement.
B ) Student’s Health Insurance -Information in Brief :
The Institute provides health insurance coverage for students under a Group Health Policy facilitated by United India Insurance Company Ltd. This policy is renewed annually, and students are individually listed as beneficiaries in the policy document. Students can access medical services through the network of hospitals/providers listed on the MDIndia website: https://mdindiaonline.com/ProviderList.aspx.
Waiver of waiting periods for pre-existing diseases, initial hospitalization, and specific illnesses. Entitlement to room rent coverage up to ₹1,000 per day for general wards and ₹2,000 per day for ICU stays.
Procedure for availing cashless facility
- Cashless facilities are available only at hospitals within the network or tied-up with the insurer.
- A minimum hospital stay of 24 hours is required to make a health insurance claim.
- When advised to be hospitalized, carry your policy copy, MDIndia ID (e-card), and Aadhaar copy.
- At the time of admission, present your policy copy to the hospital's insurance department. They will coordinate with the TPA (Third Party Administrator).
- Ensure that your hospitalization details are communicated to the TPA and inform your policy servicing representative as well.
- The TPA will send an initial response regarding the cashless claim to the hospital.
- The hospital will then send daily treatment updates to the TPA.
- Upon discharge, the hospital will forward the final bills to the TPA. It typically takes a minimum of 3 hours to process the cashless request.
- Check if there are any pending queries or responses that need to be addressed.
- Notify your servicing representative about your discharge.
- If your bill exceeds the allowed limits (e.g., for room rent, nursing charges, ICU charges), the excess amount must be paid by the patient or insured.
Reimbursement/Claim procedure
- If you are admitted to a hospital that is not part of the network or tie-up list, you can file a reimbursement claim.
- Submit the reimbursement claim form within two weeks of discharge.
- Part B of the claim form must be completed, signed, and sealed by the treating doctor.
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Attach the following documents with the claim form:
- Original discharge summary
- Final bills
- Test reports
- Prescriptions
- X-rays, ECGs, scan reports, etc., all bearing the hospital’s seal
- Include a clear copy of the front page of your bank passbook and your Aadhaar card.
- Once processed, the claim amount will be credited to your bank account.
- If any queries arise during the process, you will be notified via email or SMS.
- Ensure you check your messages and emails regularly to avoid delays.
Contact details of the TPA (Third Party Administrator) for Cashless Approvals & Claims Settlement, etc:
Name of TPA/ID: MDIndia Health Insurance TPA Pvt Ltd / TPA00012
Toll Free number 18002097777(Reimb)/18002097800(Cashless)
Senior Tollfree: 02025300126
www.mdindiaonline.com
Contact Details:
For General Enquiries: 18002097777, customercare@mdindia.com
For Cashless approval: 18002097800, authorisation@mdindia.com
For Claim intimation: 18002097777, customercare@mdindia.com
Contact details of Policy serving advisor:
Gopika S. Phone: 9447833099, gopikagireesam@gmail.com
A copy of the insurance policy is available at the Institute Health Centre. Individuals in need can visit the Health Centre or contact medicalservices[at]iisertvm[dot]ac[dot]in or 0471-2778144 for assistance.
Note: The insurance company independently reviews, processes, and determines the eligibility and amount for reimbursement of claims. Generally, treatment must be availed at the insurer's approved hospitals to be eligible under the policy. Outpatient services, including consultations, minor procedures, and investigations, are typically not reimbursable under the policy, whereas such expenses are often covered for inpatients. For cashless claims, only the hospitals highlighted in the List of Hospitals (approved by United India Insurance/MDIndia) are eligible.
Kindly check in List of Hospitals and look for the highlighted ones which are the only approved Hospitals by United India Insurance ( Policy issuer)for cashless claims.
For more information contact Health center at +91(0) 471-2778144