Quick Summary
There are some reports that some hospitals are not granting cashless facility for treatment of Covid-19 despite policyholders being entitled for the cashless treatment under their Policy. In this regard, it is clarified that where insurers have an arrangement with the hospitals for providing cashles
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FAQ :
Yes, hospitals that have signed Service Level Agreements (SLA) with general and health insurers are mandatorily obligated to provide cashless facility for all treatments, including COVID-19, to policyholders.
If you are denied cashless facility at a network hospital, you should send a complaint to your concerned insurance company. Details of Grievance redressal officers can be found on the insurer's website or the IRDAI's website.
Yes, the clarification states that network hospitals must provide cashless facility for 'all treatments including treatment for COVID-19'.
The IRDAI has clarified the rules and directed insurance companies to ensure smooth availability of cashless facilities by actively interacting with hospitals.
Both the network hospitals, through their SLAs with insurers, and the insurance companies, by actively interacting with hospitals, are responsible for ensuring the availability of cashless facilities.
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