To ensure that customers get wider access through cashless facility, industry bodies like Confederation of Indian Industries (CII) will meet insurance companies through third party administrators (TPAs) to help them expand the preferred providers of network (PPN).
In a meeting with members of CII, National Committee on Healthcare and other stakeholders including AMC and the four PSU insurance companies-(New India Assurance, Oriental Insurance, United India Insurance and National Insurance Company) emphasised on higher level of consumer awareness which is required to ensure the portfolio is sustainable and beneficial to consumers and insurers.
“In order to keep Health insurance premiums affordable and viable, all stakeholders including consumers have to respect and maintain the integrity of the system,” said M Ramadoss, New India Assurance chairman cum managing director.
Insurance companies have expressed their willingness to expand the network of hospitals within 90 days and address areas of concern.
After PSU non-life insurers delisted a few hospitals from their preferred list of hospitals, there has been an uproar. Insurers complain of unsustainable claim ratios due to escalating medical costs by high-end hospitals.