State-owned insurance companies to restore cashless treatment facilities (case to case basis) in big private Hospitals

State-owned insurance companies on Tuesday agreed to

restore cashless treatment facilities in big private

hospitals on a case-to-case basis, a development likely to

benefit mediclaim policy holders. “Insurance companies

have decided to restore cashless facilities on a case-tocase

basis.

We discussed ways of making people part of

the facility and how reimbursements can be revived,” said

Sanjay Datta, head, health insurance, ICICI Lombard,

after a Confederation of Indian Industry (CII)-initiated

meeting between insurers and the healthcare industry.

State-owned insurance companies — Oriental Insurance,

New India Assurance, National Insurance and United

Insurance — have also agreed to expand the network of

hospitals providing cashless treatment facility (PPN or

preferred provider network) for the benefit of mediclaim

policy holders.



The CII called a meeting of insurers and healthcare

industry representatives to resolve the impasse following

withdrawal of cashless treatment facility at 150 hospitals

by the four PSU insurance firms from July 1 on allegations

of over-billing.

“In order to keep health insurance premiums affordable

and viable, all stakeholders, including consumers have to

respect and maintain the integrity of the system,” said M.

Ramadoss, CMD, New India Assurance.



The meeting was attended by representatives of Fortis,

Max Healthcare, Apollo Hospitals.

SOURCE;ET