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The low investment in health has led to a demand-supply gap, which private sector has been closing. While this means choice, better medical services and more jobs, it has also led to anomalous pricing of procedures and high out-of-pocket expenditures, making implementation of a cashless health insurance system difficult. ....
The prospect of availing of a cashless facility even at a hospital that is not part of your insurer’s network seems appealing, but there are many practical challenges. If the hospital and the insurer fail to reach a consensus in 48 hours, patients will not get the facility. But Segar Sampathkumar, Director, Health Insurance, General Insurance Council, is optimistic that wrinkles will be ironed out. ....
The General Insurance Council has introduced an initiative, Cashless Everywhere , to facilitate cashless hospitalization for policyholders even in non-empanelled hospitals. Hospitals with 15 beds, registered under the Clinical Establishment Act, can provide cashless hospitalization. ....