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Ensure cashless facility for Covid-19 treatment: Irdai to insurers

It has asked insurers to take appropriate action against hospitals in case they deny cashless facility to policyholders and deviate from the agreed terms of the service level agreements.

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If the hospitals deny the policyholders of such a facility, the insured can send a formal complaint to the insurance company.

Subrata Panda Mumbai
The Insurance Regulatory and Development Authority of India (Irdai) has reiterated that policyholders are entitled to avail cashless facility for Covid-19 treatment at hospitals which have entered into a service-level agreements with insurers and third-party administrators.

The regulator has also directed insurers to ensure availability of cashless facility at all the network providers (hospitals) empanelled with them.

It has asked insurers to take appropriate action against hospitals in case they deny cashless facility to policyholders and deviate from the agreed terms of the service level agreements. In cases, where the policyholder’s interests have been severely affected because of the hospitals, the regulator

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