Health Insurance Experts Blog

10 Commandments of Group Health Insurance for Small Businesses (SMEs)

We are observing a fast growing interest from Small and Medium Businesses/Enterprises for Group Health Insurance. Group Health Insurance in India has gradually become a benchmark benefit as well as a retention tool for every employer. Here are some basic Do's and Don'ts created from our experience in managing Group Health Insurance for SMEs: 1.       Take a minimum 2 Lakh cover for . . .

Group Mediclaim/ Health Insurance for Small Businesses in India!

The Indian spirit of enterprise has been celebrated across the world. India is home to the one of the largest Small & Medium Enterprises (SMEs), with an estimated 35 million enterprises, constituting 80% of the total number of industrial enterprises. Entrepreneurs and Key executives running SMEs compete with larger companies to attract and retain talent are under great pressure to benchmark . . .

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 . . .

New India to launch premium Mediclaim product

New India Assurance Launches premium Mediclaim product MUMBAI: Leading state-run general insurer New India Assurance Company today said it will soon launch a new premium Mediclaim product as a part of its efforts to resolve the issue over the cashless health cover, which the state-run players had discontinued early July alleging inflated billing by hospitals. The move is also aimed at bringing corporate hospitals under its fold, Ramadoss . . .

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 . . .

The Big Fight: Hospitals V/s Insurance Companies V/s TPAs

Purandar Bhavani from Medimanage.com All kinds of news are currently floating in the media and the industry regarding the Cashless Mediclaim. After PSU Insurance Companies taking a stand to stop Cashless at some high ended hospitals in top cities, as a reverse salvo Hospitals in Mumbai have united against Insurance companies and decided to refuse cashless hospitalization. There is always a danger of adverse reactions . . .

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 . . .

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