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Insurance

Inflated bills, ghost hospitals: What IRDAI has on its plate as it attends to health insurance woes

Inflated bills, ghost hospitals: What IRDAI has on its plate as it attends to health insurance woes
Inflated bills, ghost hospitals: What IRDAI has on its plate as it attends to health insurance woes
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Synopsis

Health insurance major Star Health put around 100 hospitals in excluded providers’ list in Ahmedabad after it found their involvement in fraudulent practices. This irked Ahmedabad’s prominent hospital association that threatened to discontinue the cashless claim facility. The clash between insurance companies and hospitals is back. Here’s what IRDAI is doing to solve such relapsing tiffs.

On advice of his family doctor, Shyam, a resident of Ahmedabad, got admitted in a city-based hospital with a hope to get well soon. The first thing he was asked by the hospital staff was whether he had a valid insurance policy. The moment he said ‘yes’, the hospital warden smiled. And then, his ordeal started. In contrast to his family doctor’s observation that he was suffering from a seasonal flu, the hospital staff started administering him a
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