It is nice to know that Insurance companies will now be buying devices like stunt/pace maker at whole sale or say negotiated rates from manufacturers with a view to save on their claim costs.It is also laernt that hospitals have been buying medicines at whole sale rates and were billing to the insurance companies at retail rates.This practice will also stop.Any steps taken by the insurance industry to reduce the claim cost is welcomed.Let all of us support this initiati...
Thursday, 29 July 2010
Wednesday, 28 July 2010
Where to lodge your grievances?Various options available with any consumer in India are to lodge complain1. Grievance cell of Insurance Company (after pre empting your phone calls/ visits to their branch, which issued you the policy )2. Insurance Ombudsman3. Consumer Forum (at District level, State level and National level)4. IRDA, which is the new addition.We welcome the service started by IRDA(insurance regulatory and development authority. But...
Friday, 23 July 2010
Yes there may be time lag of 10 years in coming of the judgment but it is heartening to note that Maharashtra State Consumer disputes Redressal Commission has agreed that it is the doctor ,who has to decide whether it is emergency or not. It is good that this will not be for TPA’s to decide whether it is emergency or not.It is interesting to note the observations “An insurance company’s officials are not experts who can decide whether a particular...
Our health insurance providers have used diabetes and hypertension as 2 holy words to reject the claims of insured persons. It is very interesting to read the following news in The Times of India on July 23, 2010 “In another blow to a medical insurer hell-bent on rejecting a policy holder's claims, a district consumer forum has decreed that a cardiac patient cannot be denied his insurance even if he has not mentioned hypertension and diabetes as...
Thursday, 22 July 2010
L&T General Insurance will become operational in Sep/Oct 2010 and will also be handling health insurance. It is good news as the market is growing and naturally we expect more players to come in.This company is 100% Indian owned company and will be using TPA’s in the beginning.According to sources this company will also be setting up its in house set up for handling health insurance claims and will ultimately stop use of TPA’s. We support good service to the clients whether it is provided through TPA’s or without TP...
Sunday, 11 July 2010
Yes our confidence is shaken .Many of you bought the policy after verifying the list of hospitals which were having empanelment with that insurance company.In between that is from July 1 some of these hospitals are removed from the list.In Delhi /NCR the names are Apollo, Fortis,Ganga Ram,Max Medicity ++Check the list before starting any treatment.It is the best way to avoid surpri...
We had covered in the past that KPMG was appointed by 4 PSU's to advise them about a common TPA with a view to protect their interests. Yes it is going to happen.It may be 1 TPA to be selected by all of them so that they can give good service to them ( 4 PSu's).As it will be a good business therefore naturally all the instructions of PSU's will be followed.Let us wait for many things to happen.With big hospitals being deleted - Is it going to be market segmentation where HNI's will start moving to private companies like Max Bupa /Apollo Munich...
The Times of India has carried the following news"Twenty-eight-year-old Javed Akhtar, who was recently admitted to a private hospital, agrees with the TPAs. Last month, Akhtar, who works with a private firm in Noida, met with a minor accident and was admitted at a city hospital. He gave his cashless policy number to the hospital for necessary approval from the TPA. To his horror, he found that the hospital had applied for a spinal surgery and had got Rs 80,000 cleared from the TPA. "The doctor never got any diagnostic tests like CT scan etc done....
Friday, 9 July 2010
Harvard Business Review in its April 2010 issue has covered health care in detail.After reading this and thinking over it for sometime we feel that it is better to be treated by a team of good doctors as it is ultimately the team effort in the hospital, which matters.May be you will consider it while deciding which hospital to go for,when the need arises.Another good point which emerges is do not waste time and money in going for second opinion as you will ultimately choose the one which suits you.Try to get both the doctors at the same time and...
The change is coming and PSU's have deleted some of the prestigious hospitals from the approved list of hospitals.A question before us is -Is it applicable for group policies also or this is another decision only applicable to retail customers comprising of families.You must recheck the names of hospitals not on the list of approved hospitals before buying or renewing the poli...
Subscribe to:
Posts (Atom)
