HC Slams Insurance Co, Allows Reimbursement for Unapproved Hospital
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Getting treatment in a hospital not approved by the concerned insurance company does not become a ground for rejection of claims, implies a recent ruling made by the Madras High Court.
The court was seen directing the Director of Pension to sanction the medical expense that were incurred by a deceased patient- a government employee for his treatment during his lifetime. It is reported that after the death of the patient, his wife tried to claim reimbursement for the treatment amounting to Rs 1.07 lakh . The claim was, however rejected by the under the New Health Insurance Scheme for Pensioners on the grounds that the treatment was not cashless and that the employee underwent a surgery at a hospital which was not in the list of hospitals approved by the government for reimbursement of medical expenses.
The court was seen directing the Director of Pension to sanction the medical expense that were incurred by a deceased patient- a government employee for his treatment during his lifetime. It is reported that after the death of the patient, his wife tried to claim reimbursement for the treatment amounting to Rs 1.07 lakh . The claim was, however rejected by the under the New Health Insurance Scheme for Pensioners on the grounds that the treatment was not cashless and that the employee underwent a surgery at a hospital which was not in the list of hospitals approved by the government for reimbursement of medical expenses.
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