Standard rates for mediclaim not possible: Insurance companies
31 Jan, 2014 05:05 PM
General Insurance Council, which represents 25 non-life insurance firms, on Thursday told the Bombay HC that it is difficult to standardize rates for medical treatment.

Chief Justice Mohit Shah and Justice M S Sanklecha were informed by GIC's senior counsel Janak Dwarkadas that it may not possible for insurers to pre-declare package rates in the policy document. The HC was hearing a PIL by activist Gaurang Damani on medical insurance problems.

Dwarkadas explained that there are too many variables involved in choice of hospitals and nursing homes and even reaction of patients to different treatment. He gave the instance of Ahmedabad, which is promoting medical tourism, saying hospitals actually advertise package rates to attract customers. "In certain cases, they even tell the customer in advance what he is likely to be charged," said Dwarkadas..

The judges observed that patients are asked if they have mediclaim during admission and accordingly charged. They said an average of general treatment rates could be worked out. Damani said the Insurance Regulatory and Development Authority has agreed to pre-declaration of package rates. But Dwarkadas said, "To find if one size fits all is difficult when variables are involved." The case will be heard after two weeks.
Source : The Times Of India

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