Q.1. Will ID card be provided to all individuals?
Q.2. Is there any special consideration with regard to the ward facility at the time of hospitalization?
Q.3. In case of migration of insured client abroad, can the same be replaced by another member of the same family?
Q.4. In monastery, many of monks are eager to join in individual category by paying Rs. 950/- per annum? Can they do it or not?
Q.5. If someone has left for abroad after the registration, can he/she avail the same facility abroad?
Q.6. In case, an enrolled member faces an emergency during the sweater selling duration where there’s no TVHA hospitals around, where and how can I seek treatment?
Q.7. A family consisting of 7 members insures under this health plan by paying extra Rs. 713/- for the sixth and seventh member of the family? What is the benefit limit for such a family? Will it be only Rs. 1 lakh or more?
Q.8. If a person enrolls in TMS for more than 3 years and later discontinues, will he/she get some amount as refund later?
Q.9. Does the TMS cover a new born child?
Q.10. Does the scheme also cover medical expenses related with eye and dental?
Q.11. Can we enroll as one family even if family members are staying in different places? For instance, I am living at Dharamsala and my parents live in Mussoorie. Can I enrol them at Dharamsala as one family?
Q.12. What happens if the treatment expenses exceed the maximum benefit level?
Q.13. What will TMS do if the members are consulted to their preferred hospital and get referral slip later?
Q.14. Can persons working in an educational institute or any other organization enroll in TMS, when they are already covered under medical insurance provided by their organisation? Can they still enrol?
Q.15. Can a member who enrolled at Dharamsala consult a hospital at Bangalore?
Q.16. Do the members get DA/TA while they are hospitalized?
Q.17. Can extra members instead of joining the family provision form another unit?
Q.18. How will the TMS consider a situation where the scheme’s one year validity is over while one of the member is still in process of recovery at the hospital?
Q.19. Who will get the benefit if a single enrolled member passes away in the middle of scheme’s financial year?
Q.20. Can the remaining benefits of the previous financial year be carried forward to the subsequent year, in case no claim was made?
Q.21. Can I enroll my family members who are staying in Nepal?
Q.22. Does the TMS cover illness resulting from drinking excessive alcohol years ago?
Q.23. Does the TMS bear expenses incurred for the delivery cases?
Q.24. Can one member in a family enroll if other members don’t want?
Q.25. Can member contribution paid is refundable on percentage base if a member has not fallen sick or not been hospitalized for many years?
Q.26. Can a non-Tibetan who has Green Book can enrol in this scheme?
Q27. Can I claim more than once during the period of the Health Plan?