At present less than 15% of Indian population having health insurance, means more than 85% people have not health insurance cover. They pay for health from their pockets. In the insurance sector, health insurance also plays an important role. However, for all general insurance companies health insurance is loss-making segment. In spite of increasing premium, every year insurance company’s loss of that particular (health) segment is also increasing.
Disputes between insurer and company are increasing day by day. Private and corporate hospitals are charging tremendously for ordinary illnesses, which can be treated in clinic on OPD basis at the nominal cost. As medical personals, I observed the pattern of one such insurance company's functioning and claim settlement. Only indoor cases considered for claim. More than 50% of claims are from patients suffering from infectious diseases like…
