What is Cashless Hospital Service in India?
In India the insurance provider given the service to the mediclaim persons to admit in hospital without paying the bills, The money will will claimed by hospitals and to the insurance provider, The personal experience about this service is, If admitted in hospitals like Apollo, Image, Care Hospoitals, the big names, about 50% charge is more, if asked they will say, we have to claim more so that will get approval for the minimum amount and most of the cases they get around 90% of claimed approval, and here goes up their treatment charges. This is good move that, Cashless service is no more now.
The PSU insurers have stopped the cashless service from July 1 because of alleged over-billing by some private hospitals.
All corporate hospitals are likely to resume cashless treatment facility as an interim measure to all insurance policyholders from Friday
“Final rate structure would be decided in another 30-40 days. Under the structure that is being worked out, hospitals would be categorized on the basis of super specialty medical centres and premiums would vary accordingly,” Dr Pervez Ahmed said.
Currently, 450 hospitals across the country have joined the cashless network, but corporate hospitals were yet to fall in line. They were removed by the PSU insurers from their preferred provider network (PPN) from July 1 over allegations of over-billing.
At present, the collective loss is estimated to be in the region of Rs 2,000 crore over annual premium of Rs 9,000 crore. There are about eight crore mediclaim policyholders in the country.
TPAs (Third Party Administrators) will revert to the hospitals on the package rates.
cashless treatment wiki; Insurance regulator -The Insurance Regulatory and Development Authority (IRDA) said it will follow the Delhi High Court’s direction to take steps on resuming cashless facility.
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