Big hospitals will continue to offer cashless facility
27 Mar, 2014 01:02 PM
The impasse over cashless treatment of health insurance policy holders seems over, but for the time being.

The Association of Hospitals, an umbrella body of all big hospitals in Pune, has decided to continue providing the cashless facility to policy holders while simultaneously pursuing the matter of revision of treatment rates with insurance companies. However, the hospital board of the Indian Medical Association (IMA), Pune branch, which has over 100 small and medium nursing homes as its members, will stop offering the benefit from April 1.

Earlier, all hospitals in Pune and Pimpri Chinchwad had decided to withdraw the benefit from April 1 with managements adamant that public sector insurance firms revise treatment rates first.

"The decision to stop the facility has been put on hold. But that doesn't mean we will compromise on the current treatment rates offered to us by insurance companies. Since we have been told that our proposal demanding revision in treatment rates has been sent to head offices of the insurance firms, we will wait for a reply. We don't want patients to suffer inconvenience," said Manjusha Kulkarni, secretary of the Association of Hospitals. As many as 38 big hospitals in Pune are members of the association.

Kulkarni suggested that insurance companies should remove cost of implants from the package rate. "These implants may be charged as per the purchase rate of the hospitals. We have also asked for revision of charges for dialysis, heart surgeries like coronary artery bypass grafting (CABG) or heart bypass surgery and valve replacement. The rates currently offered for these procedures are abysmally low."

The hospital board of the Indian Medical Association, with about 100 small and medium nursing homes as its members, wants the dispute resolved first.

"We will stop cashless medical insurance facility from April 1. Patients will have to pay the bill and get it reimbursed from insurance companies," said surgeon Maya Tulpule, president of the Pune chapter of the association.
Source : The Times Of India

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