BHOPAL: Amid reports of black marketing of Remdesivir injections and claim rejection by insurance companies to the Covid affected families, former vice-president of Mineral Development Corporation, Govind Maloo has sought the intervention of Union finance minister Nirmala Sitharaman to rectify the lapses in the interest of the policyholders.
Maloo has also urged chief minister Chouhan to impose NSA (National Security Act) against those involved in the blackmarketing of oxygen cylinders, injections and other medical essentials to curb malpractice.
“During Covid pandemic, many instances have been reported where the insurance companies are rejecting the claims or are making unnecessary deductions from the Insurance claims. The companies have stopped giving cashless facilities. Even if they allow, the hospital management is seeking 50 per cent or more of the bill amount as deposit. I raised this issue before Union Finance Minister Nirmala Nitharaman and instructions have been issued thereon,” Maloo told TOI.
The BJP leader further said, “Insurance companies are deducting huge amounts from Covid patients which are upto 50-60 per cent, in the name of consumables, high room rent charges, high consultant charges and many more. The district administration is also allowing the hospitals to charge exorbitantly. But, the insurance companies should bear this burden or negotiate with the hospitals for the same.”
Malu said a common man takes insurance policies to cover risk of hospitalisation and even after paying the premiums for many years, they are forced to bear the hospitalisation charges. “I request your intervention and instructions to the IRDA to rectify the same,” read the letter by Malu.
Taking a strong note, the Ministry of Finance and Corporate Affairs said that there were reports that some hospitals were not granting cashless facility for treatment of Covid-19 despite policyholders being entitled for the cashless treatment under their Policy. In this regard, it is clarified that where insurers have an arrangement with the hospitals for providing cashless facility, such network hospitals are obligated to provide cashless treatment for all treatments including treatment for Covid-19.
“All the Network Providers (hospitals) who have signed Service Level Agreements (SLA) with general and health insurers have to mandatorily provide cashless facility for any treatment to the policyholders including Covid-19 treatment in accordance with agreed provisions of SLA and terms and conditions of policy contract. All policyholders that are entitled to cashless facility at all such network providers (hospital) with whom the Insurance company/TPA has entered into an agreement shall avail the benefit of cashless treatment. In the event of denial of cashless facility at any such enlisted network providers (hospitals) the aggrieved policyholders may send a complaint to the concerned insurance company,” read the letter by the Ministry.
Meanwhile, the BJP leader has also demanded action under National Security Act (NSA) against those involved in black marketing of medicines and health essentials. “The government should take strict action against profiteers on life saving drugs and equipment. Government should impose sanctions under NSA on such profiteering traders who are black marketing the machines and medicines,” said Malu in a letter to chief minister Shivraj Singh Chouhan.
He further said, “Oxygen concentrators and oxygen cylinders are life saving. Besides, machines worth Rs 30,000 are being sold at a price of more than one lakh and oxygen cylinders at a huge profit of 20 thousand rupees each. This should be curbed.”