The hospitals are being threatened by the cartel to either agree to deliver services in these subsidized rates or face removal from approved list of hospitals. The hospitals are aggrieved because of package rates being decreed by this group of companies which is presently 50-80% less than ongoing agreed open billing rate list. MD India Health Insurance TPA (P) Ltd, Genins India Insurance TPA Ltd, Family Health Plan TPA Ltd, Paramount Health Services & Insurance TPA Pvt.Ltd, Health Insurance TPA of India Ltd and Health India TPA Services Pvt Ltd with member hospitals of Vidarbha Hospitals Association continues to grow serious with more and more hospitals joining hands with affected VHA members. Nagpur: The ongoing tussle between the cartel of 3 health insurance companies namely National Insurance Company Ltd, United India Insurance Company Ltd, Oriental Insurance Company and their 6 TPAs i.e. Under MJPJAY, a beneficiary can avail free treatment, while the hospital gets reimbursed by the insurance company after state government scrutinises patient’s medical documents.ADAMANT CARTEL FORCES VHA TO STOP CASHLESS HEALTH INSURANCE FACILITYīeneficiaries of National Insurance, United India Insurance & Oriental Insurance to get affected from 1ST Dec

For certain procedures, the government has increased the cost - kidney transplant will fetch a hospital Rs 3 lakh instead of Rs 2.5 lakh, dialysis will be for Rs 1,100 instead of Rs 700, and cost for treatment of a few fractures will rise from Rs 15,000 to Rs 20,000.īetween 2012 till 2019, Maharashtra had tied up with National Insurance Company to run the scheme. Once rolled out, the fresh scheme will include hip and knee replacement surgery, paediatric cancers, mental illnesses like depression, schizophrenia, delusional disorders and mood disorders. “But United India Insurance bid the lowest,” said Dr Sudhakar Shinde, CEO of MJPJAY. Officials said the file has been sent to the state government for final approval.įour insurance companies had showed interest in the scheme.

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