Petition against private hospital for denying free insurance
23 Jan, 2014 01:01 PM
 
A writ petition has been filed against a private hospital in Madurai for denying benefits under the chief minister's comprehensive health insurance scheme. The plea filed at the Madurai bench of the Madras high court by one K R Karuppusamy Iyer, 76, alleged that the hospital collected Rs 1.25 lakh to perform a by-pass surgery on his now-deceased wife, though they were eligible for the state insurance scheme.

Karuppasamy's wife Vatchala, 71, who underwent treatment at Vadamalayan Hospital at Chokkikulam died on January 1. The hospital had set January 30 as date for her by-pass surgery after conducting tests including, angiogram, in the last week of December, last year.

The petition stated that though Vatchala was admitted at Vadamalayan Hospital under the free government insurance scheme, a doctor named P Babu compelled him to pay Rs1.25 lakh for surgery. Besides, a demand for another Rs 40,000 was made. The hospital's action is contrary to the rules of the scheme, the petitioner said.

"When I asked the doctor to conduct surgery under the scheme, the doctor replied that it would take up to six months to avail it and he could not wait so long. Following it, I paid the amount by borrowing money for interest. Thereafter, surgery was conducted. After surgery too, they demanded Rs 40,000," Karuppasamy said.

Karuppasamy further said that he had sent a detailed representation stating the entire incident to the state's chief secretary and special officer of the chief minister's cell on January 6 but no action was initiated against the hospital.

The petitioner also alleged that the hospital authorities denied him permission to meet Vatchala in the hospital. When he persisted the doctor said she is sinking and demanded additional amount of Rs 40,000 for treatment. However, he refused to yield. Subsequently, she passed away.

Karuppasamy has requested the court to direct state's chief secretary to cancel the hospital's licence and order it to repay Rs 1.25 lakh.

Replying to the petitioner's allegation, the hospital's chairman and managing director V Pugalagiri said he was not fully aware of the case. "Vatchala's case had been a do or die situation. I don't know what the cardiac surgeons had told the petitioner. However, the hospital's claim department will look into the matter," the chairman said.
 
Source : The Times Of India
http://timesofindia.indiatimes.com/city/madurai/Petition-against-private-hospital-for-denying-free-insurance/articleshow/29220978.cms
 



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