Enquiry

I am a dialyses patient & got dialyses from Aakash Hospital Dwarka New Delhi. I have a Mediclaim Policy I want to know what is TPA sign MOU with the hospital they charge extra for Diliser & it's tubing but TPA said that it was included in policy how I come to know is it's included or not They are charging extra can you help me out with this problem
Regards
Ashok Gulati more  

View all 22 comments Below 22 comments
All information should be transparency, otherwise it should be stopped. more  
IF THERE IS ANY GRIEVANCE THEN THE SAME SHOULD BE TAKEN UP WITH INSURANCE COMPANY.TPA WILL ONLY SETTLE CLAIM AS PER POLICY CONDITIONS.MANY TIMES AGENTS DO NOT DISCLOSE RIDERS/EXCLUSIONS WHILE SELLING POLICY AND THE CONSUMER ALSO DOES NOT ENQUIRE ABOUT THE SAME,WHICH RESULTS IN UNNECESSARY GRIEVANCE.
PLEASE READ POLICY CAREFULLY AND THEN TAKE UP WITH YOUR INSURANCE COMPANY.
. more  
Pls keep vouchers of extra payment, and show them to TPA. And Ask TPA's relation with hospital and their agreement. more  
As far as my knowledge goes, GIPSA rates fixed for various hospitalisation expenses which has been arrived at between TPAs/Insurers and the hospitals. With respect to coverage, normally hospital explains to patients on this so that they are not in lurch once they leave hospitals. Again I noticed in the country that inspite of this agreement, sometimes, hospitals delay the discharge of patients on the pretext of acceptance of the bills by the TPAs which is unwarranted. I opine, government must set clear cut rules and regulations in this respect. more  
Sir GOVT MUST DO MANY THINGS BUT ARE THEY INTERESTED IN DOING AT ALL ? JUMLE KE SARKAR HAI ? more  
Ask the TPA to clarify the matter and in case no response, you may refer to the Grievance Cell and there after to the Ombudsman. more  
WILL OMSBUDMAN HELP ? ANOTHER GOVT BODY ONLY RIGHT - THEY JUST PASS THE BUCK ? more  
Post a Comment

Related Posts

    • Improving integrity of Online Reviews: Inputs on Solutions

      Below are some if the key issues outlined by you all with regards to Online Product Reviews on eCommerce sites. Kindly review them and share solutions that will help enable consumer access to unbia...

      By Dept. of Consumer Affairs (Government of India)
      /
    • Improving functioning of eCommerce Cashback Programs

      Below are some of the key solutions proposed by you to issues regarding eCommerce cashback programs. Kindly review the same and if you have any additional solutions, please share. We look...

      By Dept. of Consumer Affairs (Government of India)
      /
    • Solutions to improve workings of Online Travel Sites

      Below are some of the key issues outlined by you in regards to travel web sites in India. Kindly review them and share specific solutions that must be implemented to fix these issues. We look forw...

      By Dept. of Consumer Affairs (Government of India)
      /
    • Online or ePharmacies - Inputs on Solutions

      Below are some of the key issues being reported on online or e-pharmacies and apps. With this post, we would like to seek your specific inputs on solutions that will help address these issues .

      By Dept. of Consumer Affairs (Government of India)
      /
    • I am facing a manufacturer issue in Apple iPhone 8

      I am facing a manufacturer defect in logical board of my iPhone 8, for the same when I reached out to Apple support they strictly denied it and asking me to pay amount 32,250 rupees to replace this...

      By Avadhesh Sengar
      /
    • Hotstar India Cheating

      I have taken yearly connection of Hotstar India and there is absolute no support for the issues. Moreover once subscription is paid, it is not refundable. Phone number is not answered nor emails. E...

      By Pradeep Kamat
      /
    • DTH requiring KYC ridiculous

      The new KYC process has been mandated for all new as well as existing DTH subscribers in the country. For new subscribers, they will have to go through the entire KYC process similar to subscribing...

      By Ajay Dutta
      /
    • Misleading Advertisements by eCommerce sites: Inputs on Issues

      Below are some of the key issues raised by you in regards to misleading advertisements by ecommerce sites. Kindly review the same and share any additional inputs you may have. We look forward to yo...

      By Dept. of Consumer Affairs (Government of India)
      /
    • customers are being cheated everyday by many corporates

      Each and every day consumers are being cheated by the durable consumable manufacturing companies, whether it is fridge, washing machine and RO Systems. Since these are very closely related to our d...

      By Poulose PD
      /
    • Cheating by service engineer of Whirlpool for washing machine

      Please find enclosed the complaints made by me to whrlpool Dear sir/Madam This is with reference to my complaint on washing machine. The details of complaints and cheating bei...

      By Anonymous Circle member
      /
    • Counterfeit Sting by Outlook

      Every member in circle go through this, get enlightened and share ideas on how to fix this. This is dangerous for us and our families. Up a narrow street in one of the shanty colonies i...

      By Vinita Agrawal
      /
Share To
Enter your email & mobile number and we will send you the instructions

Note - The email can sometime gets delivered to the spam folder, so the instruction will be send to your mobile as well

Please select a Circle that you want people to invite to.
Invite to
(Maximum 500 email ids allowed.)