IMA threatens to stop govt health schemes

  • HT Correspondent, Hindustan Times, Chandigarh
  • Updated: Nov 18, 2014 22:04 IST

The Punjab chapter of Indian Medical Association (IMA) on Monday threatened to stop government schemes in their respective hospitals over problems in their functioning.

In a press release, the IMA said that various government-funded health policies like the Rashtriya Swasthya Bima Yojana, Bhagat Puran Singh Bima Yojana and Bhai Ghanhya Sehat Sewa Scheme are being implemented by doctors for the last many years but all the hospitals are constantly facing problems in smooth functioning of these schemes.

Dr Sudhir Raj, president of the Punjab IMA, said insurance companies of these policies are constantly harassing them in different ways like non-payment of claims, delaying in giving permission for cashless treatment, raising unnecessary queries, unnecessary show-cause notices, software problems and removing them from the panel of hospitals without any trial.

"With all these acts, insurance companies are saving their money and at the same time health policy beneficiaries are suffering," he said.

He alleged that the third party administrators (TPAs) engaged by the insurance companies hired by government are behaving in a "very strange and arrogant manner".

"While the government claims to encourage people to avail benefit of these schemes", the TPAs are telling the doctors to accept less number of cases for treatment/operations." He added, "First these TPAs don't issue pre-treatment authorisation, and later they delay and deny payments to doctors on one pretext or another."

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