Health Insurance Experts Blog

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 . . .

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 . . .

Government’s role in the Cashless fight between Insurance cos. and Hospitals?

No cure yet for cashless medical claims impasse The Association of Hospitals, which represents most private hospitals in the city, has asked health insurance providers to offer cashless medical insurance claims to patients at all hospitals till the differences between the two groups are resolved. The root of the tussle lies in the long standing allegation that hospitals overcharge patients with cashless medical insurance. Since it’s the insurance . . .

Higher Premium for Cashless Mediclaim at Large Hospitals - Can it work?

Pay higher premium, go cashless to big hospitals: insurance plan in the works To break the stalemate with big corporate hospitals, the four state-owned insurers are planning to introduce a new variant of health cover — the Premium Mediclaim. Subscribers will be charged a premium higher than that of a regular health insurance policy, but will be offered cashless facility at all major hospitals on the insurer’s network. “Big hospitals have agreed to revise . . .

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 — . . .

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 . . .

Health insurance companies decide, not to honour bills submitted by hospitals

Kill bill, said the insurance firms The controversy began three weeks ago when a few health insurance companies decided not to honour bills submitted by hospitals for settling claims of their patients. The reason: Hospitals allegedly overcharged for their services and presented inflated bills to insurance firms who pick the tab on behalf of their clients. For instance, many private hospitals charge more than Rs 70,000 . . .

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