Health Insurance Experts Blog

Uncovering Room Rent Limits in Health Insurance and their implications on Claims

Many health insurance policies, specially the policies from PSU/Govt. Health Insurance Companies, and most of the Group Policies (The health insurance through your employer or Bank Policies) have limits on room rent. The limit basically puts a cap on the per day room rent you can claim, linked mostly to the sum insured (total coverage) you are entitled to.  A recent . . .

Status Check on Health insurance industry!

Worried about health insurance? “Insurance Cos slash list of hospitals offering cashless services in Mumbai for making fraudulent claims” “Medical insurers curb cashless facility” “Mediclaim crisis looms, hospitals seek way out”  “No more cashless mediclaim? Common man suffers” Reading these headlines in local dailies, you, as a customer, both prospective and existing, must be really worried. After all, you had counted on health insurance to ride . . .

Creation of a Health Fund for Medical Emergencies in the Cashless Chaos

Medical exigencies and an empty wallet When faced with a medical emergency, you pay cash or use your credit card, instead of asking why the hospital is not accepting your cashless medical insurance. This is exactly what harassed consumers found out when health insurance companies recently stopped cashless treatment making customers pay first and then get reimbursed. Health insurers blamed private hospitals of inflating bills that were . . .

Are uniform rates for Medical procedures plausible for Insurance Claims?

Cashless mediclaim policy Pvt hospitals seek government help The association of private hospitals have sought state government’s intervention to settle the ongoing dispute with insurance companies over cashless mediclaim policy. The association, which includes hospitals like Jalok, Breach Candy, Hinduja and Hurkisondas, has said that the demands of uniform rates for medical procedures that had been put forth by insurance firms were not plausible. “Rates differ according to available . . .

Insurance Cos. give deadline to Large Hospitals for standardizing rates for cashless claims

10-day time limit for hospital NEW DELHI: The standoff between insurance companies and private hospitals over cashless treatment continues, defying hopes of millions of Mediclaim policy holders for an early resolution. The four major public sector health insurance companies, which control 80% of the business, have now set a 10-day deadline for four major chains of hospitals — Apollo, Fortis, Max and Medanta — . . .

Competition Commission of India to investigate cashless mediclaim issue

CCI to investigate cashless mediclaim issue The Competition Commission of India (CCI) may take up the cause for consumers who have been hit hard due to the new arrangement entered into by leading insurance companies. In the new arrangement, the insurance companies will stop making direct payments to hospitals on behalf of their policy holders a pre-requisite as per the cashless mediclaim policy they offer. According to . . .

Health Insurance Companies to extend cashless facility in emergency and trauma cases

Health Insurance Companies to extend cashless facility in emergency and trauma cases MUMBAI: In a major relief to health insurance policy-holders, public sector insurance companies have announced that cashless treatment will be extended to all hospitals in emergency and trauma cases. During a healthcare meeting with the Confederation of Indian Industries (CII) in New Delhi on Friday, New India Assurance Company chairman M Ramadoss said a patient who requires emergency and . . .

Feasibility of Health Insurance Companies buying equipment directly?

Insurers to buy equipment MUMBAI: After curtailing the list of hospitals eligible for cashless mediclaim, public sector health insurance companies are going further by proposing to order and pay for medicines and medical equipment themselves. They claim the move would help reduce the cost of medication and equipment by at least 20-30% in cashless claims, as hospitals are overcharging for the same. The . . .

Cashless Chaos: Making Sense of it All

Cashles Chaos: Making sense of it all News Flash:  “The General Insurance Public Sector Association consisting of four major state-run insurance companies - United India, New India, Oriental Insurance and National Insurance have decided to stop cash-less hospitalization in most hospitals” Shock and outrage are the two words that describe the reaction of most of the customers and media reports on this piece of news.  We demanded to . . .

Medimanage Opinion: 50% Extra Premium on Mediclaim for treatment at high-end Hospitals

50 % extra premium to get treatment at high-end hospitals You might have to shell out 50 per cent extra premium to get treatment at the country’s high-end hospitals. Following the uproar over withdrawing cashless health insurance claims from high-end hospitals, state-owned non-life insurers are working on a product with differential rating that will bare the expenses of the top hospitals. The four insurers – New India Assurance, United India Insurance, National . . .

RecentComments


SUPER SERVICE
Category
Medimanage in News