LOOT IN MEDICAL TREATMENT PAID THROUGH HEALTH INSURANCE POLICIES.

LOOT IN MEDICAL TREATMENT PAID THROUGH HEALTH INSURANCE POLICIES.

WHEN WE APPROACH A HOSPITAL FOR TREATMENT BEING PAID THROUGH MEDICAL HEALTH INSURANCE POLICIES, A HIGHLY JACKED UP ESTIMATE OF THE TREATMENT IS GIVEN AND SENT TO THE HEALTH INSURANCE COMPANY THROUGH THE TPA. WHICH IS MOSTLY APPROVED, AS IT IS PREPARED BY PROFESSIONAL WELL ACQUAINTED WITH THE APPROVAL PROCEDURE AND SYSTEM. THE EXTRA MONEY IS POCKETED BY THE HOSPITAL AND THE DOCTORS. EVEN PATIENT IS ASKED TO PAY EXTRA FOR CONSUMABLES AND MEDICINES NOT COVERED IN THE POLICY. THE PATIENT ALREADY IN STRESS OF SICKNESS HAS NO VALID METHOD OF CROSS CHECKING THE SAME. THE HOSPITAL ALSO INSISTS FOR HOSPITALIZATION FOR PROCEDURES LIKE SIMPLE JOBS LIKE CATARACT REMOVAL, TO JACK UP THE BILL.

IN THE PROCESS OF TAKING PERMISSION FROM THE INSURANCE COMPANY LOT OF VALUABLE TIME IS LOST AND AT TIMES IT MAY BE FATAL FOR THE PATIENTS, NEEDING URGENT MEDICAL TREATMENT.

INSURANCE COMPANIES SHOULD PROVIDE CASHLESS TREATMENT IN AT LEAST ONE HOSPITAL IN EACH CITY AND IT SHOULD BE MENTIONED IN THE INSURANCE POLICY. WHEN THE INSURANCE COMPANIES SETTLES CLAIMS DIRECTLY WITH THE HOSPITALS, THE LOOT CAN BE CHECKED UP TO SOME EXTENT. more  

Yeah, i have also witnessed the same. But what is the way out. Any mechanism to deal on this. more  
yes,it is going on.Hospitals made wrong bill of wrong amount & send to the insurance company & gave the treatment of poor quality. more  
This practice is rampant more  
one doctor from AIIMS was barred by authorities to do medical practice but he was fit to take up insurance job,he earned more than any practicing doctor without making much effort. more  
MEDICAL INSURANCE OF THE PATIENT IS ACTUALLY BENEFICIAL TO THE DOCTORS AND HOSPITALS TO INFLATE THE BILLS AND DRAG THE TREATMENT TILL THE LIMIT IS FULLY EXHAUSTED. more  
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