State will settle all health insurance scheme claims
13 Mar, 2014 03:03 PM
State health secretary Mita Rajiv Lochan has promised to settle all the pending claims under Rajiv Gandhi Jeevandayi Arogya Yojna (RGJAY), one of the flagship schemes of the state government.

Speaking to reporters on Wednesday, the secretary said the health department would be preparing a checklist of the elements that must go into every application made by the beneficiaries so that there is no hindrance or delay while settling the fresh claims at least. Lochan was in the city to take stock of the other health schemes being implemented by the department, including emergency medical services (ambulances) and the blood on call. Lochan said so far 313 beneficiaries have used the blood on call facility provided through 12 blood banks.

RGJAY was launched by Congress President Sonia Gandhi with a lot of fanfare in the city. However, the health insurance scheme attracted a lot of criticism even before its launch. The insurance company is expected to settle the claim within 15 days of the application. But in majority of the cases there has been a lot of delay due to a number of ambiguities. Beneficiaries as well as the hospitals, both government and private, implementing the scheme have been facing a lot of problems in reimbursement of the amount sanctioned for a procedure. There are over 2.11 lakh beneficiary families in state and the insurance company is expected to reimburse about Rs696 crore annually in the scheme.
Source : The Times Of India

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