Required medical reimbursement guideline

This query is : Resolved

Querist : Anonymous

Querist : Anonymous (Querist)

17 June 2014 Hi
can u pl provide guideline for Medical Reimbursement. like which bills are accepted & which not, dental, eye checkup bills are accepted or not

Pl confirm

Regards
Vikram Patil
8983040408.

Querist : Anonymous

Querist : Anonymous (Querist)

04 July 2014 Hi can some one reply pl..

Aashok Kumar Sharma

Aashok Kumar Sharma (Expert)
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21 July 2025 Medical Reimbursement Guidelines
1. Bills Generally Accepted for Medical Reimbursement
Hospitalization Bills:
Inpatient treatment bills with discharge summary, doctor’s prescriptions, and investigations related to the illness.

Consultation Fees:
Doctor’s consultation fees for treatment of illness or injury.

Medicines & Drugs:
Prescribed medicines bought from pharmacy with proper bills and prescription.

Diagnostic Tests:
Bills for tests like blood tests, X-rays, MRI, CT scan, etc., prescribed by the doctor.

Surgical Expenses:
Operation theatre charges, surgeon’s fees, anesthesia, etc.

Ambulance Charges:
If related to hospitalization.

2. Bills Often Not Accepted or Conditional
Dental Treatments:
Usually not reimbursed unless related to accidental injury or medically necessary surgical treatment.

Eye Checkup:
Routine eye checkups, prescription of spectacles or contact lenses are generally not reimbursed unless related to disease treatment or surgery (like cataract operation).

Cosmetic Treatments:
Plastic surgery or cosmetic procedures not related to accidents or medical necessity are typically excluded.

Health Supplements / Vitamins:
Not reimbursed unless prescribed for specific medical conditions.

Preventive Health Checkups:
Often excluded unless your organization’s policy specifically covers it.

3. General Tips
Always submit original bills, prescriptions, and doctor’s certificates.

Bills should clearly mention the patient’s name.

Follow your company’s specific policy as it may have variations.

Get pre-approval for planned treatments if required.

Submit claims within the prescribed time limits.

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