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IRDAI says hospitals to provide cashless treatments to patients, including for Covid-19

IRDAI says hospitals to provide cashless treatments to patients, including for Covid-19

In a press release on Thursday, the Insurance Regulatory and Development Authority of India (IRDAI) said all hospitals, which have signed Service Legal Agreements (SLA) with general and health insurers, have to ‘mandatorily’ provide cashless facility for any treatment to the policyholders.

The Insurance Regulatory and Development Authority of India (IRDAI) clarified on Thursday that hospitals are obligated to provide cashless treatment, including for the coronavirus disease (Covid-19), if patients are entitled for it under their insurance policy.

“There are some reports that 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 cashless facility, such network hospitals are obligated to provide cashless treatment for all treatments including treatment for Covid-19,” IRDAI noted in a statement on Thursday.

All the network providers (hospitals), who have signed Service Legal Agreements (SLA) with general and health insurers, have to “mandatorily” provide cashless facility for any treatment to the policyholders, including for Covid-19, the regulatory body noted further.

In the event of being denied cashless treatment, the aggrieved policyholders, IRDAI said, can send a complaint to the concerned insurance company. In the release, it also provided details and email addresses of Grievance redressal officers of insurance companies.

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