About Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Hospitals Health Insurance Scam Uncovered

by Medindia Content Team on March 8, 2006 at 8:57 PM
Font : A-A+

Hospitals Health Insurance Scam Uncovered

The Health Insurance Review Agency (HIRA) found that hospitals had overcharged their patients for health insurance coverage.

It had received a total of 11,139 complaints last year from patients who doubted their medical fees were right. Following this they analyzed medical institutions' requests for insurance coverage submitted to the agency affiliated with the Ministry of Health and Welfare.

Advertisement

It was found that in about 29.2 % or 3248 cases the hospitals had overcharged their patients for health insurance coverage. The patients then received about 1.48 billion as medical refunds.

The amount of refunds was up 66 % higher when compared with the previous year. The hospitals included all the insurance-covered treatment as non-insurance-covered and forced the patients to pay more money.
Advertisement

In some cases the patients were charged with extra treatment fees which were already included in their health insurance coverage. The main aim of the agency is to protect patients' rights. It is a free service and is in the system since 2003. Patients can apply for the system via the agency's homepage.

Some civil groups such as the People's Solidarity for Participatory Democracy (PSPD), has also reported that 56 hospitals and clinics are managed illegally and they rake about 700 million in monthly health insurance coverage by forging documents. Some of the hospitals hire brokers for the fabrication of prescription forms and illegitimate requests for health insurance coverage.

Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
What's New on Medindia
Baldness can be Cured and Prevented: let us see How!
Drinking Beer or Wine Every Day Could Cause Age-related Diseases
Low-Calorie Diet for Diabetes
View all
Recommended Reading
News Archive
Date
Category
News Category

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Health Insurance Plan Third Party Administrators for Health Insurance Star Health and Allied Insurance Health Insurance Policies offered by Bajaj Allianz Insurance ICICI Lombard General Insurance Company Limited Health Insurance Health Insurance - Ombudsman Health Insurance - Basics New India Assurance Policies Cholamandalam Health Insurance Policies 

Most Popular on Medindia

A-Z Drug Brands in India Daily Calorie Requirements Hearing Loss Calculator Loram (2 mg) (Lorazepam) Indian Medical Journals Drug Side Effects Calculator Blood - Sugar Chart Calculate Ideal Weight for Infants Diaphragmatic Hernia Color Blindness Calculator
This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use
open close
ASK A DOCTOR ONLINE