Member Benefit Compensation Claim Methodology

Membership

  1. Membership must be active for the relevant year


  2. Additional Inquiries if any, pertaining to your claim should be directed to the Administration Council office via any of the following communication channels.
    1. Telephone : 074-1200 585 / 074-1200 577
    2. Email : info@cyrilpereratrustfund.org
  3. Claim documents should be forwarded to the Administration Council office via any of the following communication channels.
    1. E mail: info@cyrilpereratrustfund.org
    2. Post: Sri Nandarama Purana Viharaya, Balagalla, Rassapana, Baduragoda
  4. Web claim form should be filled in all instances of claiming and should be forwarded along with other relevant documents
  5. Documents required to scrutinize and approve a claim and the time frame within which these documents should be submitted as per ‘C’ above are listed below according to nature of claim
  1. If you have incurred medical expenses at a Government hospital or a government or private Ayurvedic hospital as an in-house patient:

    1. within 7 days of discharge from hospital you should forward,
      1. Original receipts of drugs and investigation reports
      2. Doctor’s prescription for above
      3. Diagnosis card
      4. Claim form duly filled
  2. If services of a private nurse during hospitalization utilized

    within 7 days of discharge from hospital, forward,
    1. Letter from hospital confirming private nursing care
    2. Claim form duly filled
  3. If you are getting admitted to a registered private hospital as an in- house patient for a surgery or any surgical procedure, you should:

    1. Notify the administration council office prior to or on the day of admission
    2. Obtain relevant approval of the administration council in writing
    3. Obtain relevant approval of the administration council in writing
      1. Detail Invoice of the hospital
      2. Diagnosis card
      3. Claim form duly filled
    4. Payment will be made direct to the hospital to the extent agreed. . Trust shall not be liable for amounts in excess which is the sole responsibility of the claimant.
  4. If physical or mental incapacity necessitating medical treatment at resident becomes necessary:
    1. Following documents should be forwarded.
      1. Medical reports
      2. Prescriptions if any
      3. Claim form duly filled
    2. If claim approved, payment will be made on a monthly basis at end of each calendar month
    3. Prior to end of each month, you should forward,
      1. Medical bills
      2. Relevant prescriptions from a registered (MBBS/ specialized) doctor
      3. Letter from senior most monk certifying nursing care
  5. If you intend buying a medical equipment prescribed by a doctor: (MBBS/ specialized)
    1. You should forward,
      1. Rrelevant prescriptions from a registered (MBBS/specialized) doctor
      2. Claim form duly filled
      3. Receipt for medical equipment purchased
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