Monday, November 29, 2010

Medical Insurance claim – agony unlimited

Why there are so many complaints in the newspapers, of insurance companies not respecting the claims made by the medical insurance policy holders? The very common reason for refusal is “disease pre-existing”.

There are cases where the claims of from the policy holders have been up-held by the Consumer Courts in-spite of the fact that the policy holder did not declare the commonly existing conditions such as diabetes and hypertension while buying medical insurance. The regulatory body, IRDA should clearly bring this out to the public notice and instruct the insurance companies not to resort this type of tactics to refuse insurance claims.

Cashless medical insurance should be made really “cashless” as per the insurance policy. Why the regulators are not intervening and penalize the companies for the torture they are giving to the policy holders? The erring hospitals which delay reimbursements or charge patients indirectly should be blacklisted.

1 comment:

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