i learnt that most of the private insurance company do not provide cashless treatment in big hospital but offers only to the small hospital e.g max saket and fortis gurgaon are not on cashless panel but the other small hospitals are . What a way to fool and cheat people . Will insurance company decide which hospital to be used , My cardiac dr does by pass only in max gurgaon and no other branch of max and most of the small branches do not have bye pass facilities more
Unless the hospitals concerned are interested and give their consent to get empaneled with the insurance companies for cashless treatment to the policy holders, how the insurance companies can enlist them! The hospitals like Max, Fortis etc. are running on monopolies and probably want to avoid the hassles & botherations in claiming and getting the payments from the insurance companies. more
How come that this facility not available in main hospital which has all facilities but available in small hospital of same group which has limited treatments more
All insurance companies are extremely unhelpful when it comes to money and try to find excuses under some pretext. Even I am facing problems with my health insurance and have escalated to the CEO, but they don't care. Have even escalated to IRDAI but of no use. It's a seller's market. more
Even government owned medical insurance companies not settling claims of cashless policy holders, despite paying high premium. Where as, though, New India Assurance mediclim premium are very high, they settle claims by giving good chase to TPA's. Mediclaim policy holders are soft targets of both government and private insurance companies. Incase of ayushman health card, till now no clarity, as to what are treatement covered and which hospitals in pannel approved. How to approach or how a senior citizen can avail the benefits. We senior citizens seek LC assistance for more clear picture. more
In US they will not question as there is tie up with US company who comes under US laws. what do we do in India . Only option is to pay upfront and later take reimbursement with delay and lot of deductions. I can afford but what about others who can not afford . Should they die and then become claimant for LIC more
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By Devendranath G Gajula
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