About 15,000 hospitals across the country have refused to provide cashless treatment from September 1. On the other hand, AHPI has also issued a notice to Care Health. Due to this, patients may have to face problems. Here is a special report by a special correspondent…
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The dispute between insurance companies and hospitals over cashless policy is increasing. More than 15 thousand hospitals across the country have announced to stop the cashless facility of two insurance companies from September 1. These companies include Bajaj Allianz and Care Health. Patients may face problems due to this.
This information was given by the Association of Healthcare Providers India (AHPI), an organization of hospitals. AHPI says that the concerned insurance companies have not changed the rates (limits) of treatment expenses, while the cost of treatment is constantly increasing.
Not only this, companies unnecessarily delay payments and ask for unnecessary papers. This is creating a lot of problems in policy related payments, due to which patients are facing problems.
On the call of AHPI, around 15,000 hospitals across the country have refused to provide cashless treatment from September 1. On the other hand, AHPI has also issued a notice to Care Health to discuss the problems related to cashless bill payment of patients. Otherwise, the facility of cashless treatment will be completely stopped from September 1.
Main reason for the dispute
The hospitals allege that Bajaj Allianz has refused to increase the rates of the old contract. Under the terms, the rates of treatment expenses are revised every two years but the company is not ready for this. On the contrary, the company has started reducing the cost of medicines, tests and hospital room charges on the admission of the patient without giving any reason.
Not only this, the time for approving the final bill after the patient is discharged has also been increased, due to which the patients have to stay in the hospital after discharge. However, no response has come from both the companies on these allegations.
This is how it will affect the patients
In such a situation, the patients who have taken health insurance from these companies will have to pay the hospital bill themselves. After that they will have to claim after the insurance company.
Cutting in bill expenses without giving any reason
AHPI Director General Dr. Girdhar Gyani said, “Both the companies are cutting the bills related to treatment expenses without any reason. The bill is approved six to seven hours after the patient is discharged. An email has been sent from our side to both the insurance companies for discussion. A meeting has been scheduled with the representatives of Care Health on Wednesday and Bajaj Allianz on Thursday on this issue. If no solution is found, their cashless facility will be stopped.”
First brings a cheap policy and then increases the premium
Many companies have adopted the option of cheap premium to sell their policies. Initially, a policy with a low premium is offered, in which coverage of limited diseases is given. After that, the customer is offered the next year that serious diseases will also be covered in it. Only the premium will increase by two to three thousand rupees.
The policy holder also agrees to this. Then in the second year, the average policy premium is increased by 10 percent. In this way, if a policy is taken for Rs 20 thousand in the first year, then that policy reaches a premium of 25 to 27 thousand in the next two years.
