Health Insurance Experts Blog

Health Insurance for Senior Citizens

There was a time when old age was associated with wisdom and knowledge. It was not so much about taking care of the old, but treasuring the old. Things are different now. But what hasn’t changed is the physical discomforts and diseases that come with advanced age. According to a study by Merrill Lynch in the US, 75% of adults . . .

Religare - Care vs. Max Bupa – Health Companion

Recently many of our customers have requested for a detailed comparison between the two notch products available in the health industry. So here we have pendown a detailed product comparison between the most sold products Religare Health Insurance – Care and Max Bupa – Health Companion. Before we dig into the comparison let me set down the parameters on which will . . .

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 . . .

Mediclaim costs may rise as TPAs plan to double charges

TPAs plan to double the service charges Come October 1 and third party administrators (TPA) that service health insurance claims will double the service charges they claim from non-life insurance companies. This may lead to a hike in health insurance premiums if insurers choose to pass it on to consumers. At present, TPA charges 5.25 per cent of the premium paid by policyholders as service fee. This . . .

Hospitals in Mumbai unite against Health insurers

Hospitals in Mumbai against insurers Healthcare providers in Mumbai formed a core committee on Friday to deal with the controversial preferred provider network (PPN) programme unilaterally introduced by public sector general insurance companies under the cashless mediclaim facility.  “The rate for a procedure of cataract is about Rs24,000 under the PPN,” said Dr Sujata Rao, president of the AMC. Thus the maximum reimbursement that a . . .

TPAs to move Competition Commission against PSU Insurance Cos.

TPAs to move competition panel against PSU insurers The association of third party administrators (TPA) has decided to move the Competition Commission of India (CCI) against the four public sector non-life insurance companies and their association, called General Insurers Public Sector Association of India (Gipsa), for forming a cartel and abusing their dominant market position in planning their own TPA outfit. “The TPA floated by Gipsa companies will . . .

Cashless Mediclaim row debated in Parliament.

Cashless Mediclaim row debated in Parliament. NEW DELHI: “More and more hospitals will join the network (Preferred Provider Network) in coming days," said minister of state for finance Namo Narayan Meena while replying to a calling attention on the issue, raised by BJP member S S Ahluwalia, in the Rajya Sabha. He said public sector insurance companies had to resort to rationalization of rates for cashless facilities . . .

Mechanisms like Uniform Claim form will improve efficiency

IRDA plans new health insurance rules On Monday, J Harinarayan, Chairman, IRDA said “The mechanisms are being put in place to improve efficiency in health insurance and administration. Expert committees of industry bodies like CII and FICCI have recommended measures including uniform claim forms, re-authorization. We are also looking into aspects related to billing,” he said. As of July 1 328 hospitals were in the network for . . .

Cashless is a mechanism in health insurance, not the product in itself.

Cashless facility heal thyself Unfortunately, despite the growth and their leading market share, state-owned insurers have not been able to give focused attention to health insurance through the creation of a health insurance division. The grapevine has it that the current imbroglio over cashless is partly because of differences between two senior executives entrusted with health insurance in a leading public sector firm. Instead . . .

IRDA to follow HC direction on resuming cashless facility

IRDA to follow HC direction on resuming cashless facility Insurance regulator IRDA today said it will follow the Delhi High Courts direction to take steps on resuming cashless facility to policyholders provided by four PSU general insurers. Now that HC has given direction, we will follow that, IRDA Chairman J. Hari Narayan told reporters on the sidelines of a FICCI event here. On Tuesday, the Delhi High Court had asked IRDA . . .

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