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Hospital cash per day is denied by insurance company ?

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24 Jun, 2021 by  Nawal Kundrai

During covid 19 illness, the insurance company has allowed home treatment equivalent to Domiciliary hospitalization but denied Hospital cash per day. what are the reasons for denial? can we take up the issue in Ombudsman

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24 Jun, 2021

Hi Nawal,


As the benefit states that the benefit is paid for a specific duration stay in the hospital, clearly the benefit is non payable for non-hospital admission.


Home treatment qualifies for payment due to active line of treatment and unavailability of beds. Correctly the hospital cash is not paid for such a treatment protocol.


Happy to answer any followup queries.


Anuj

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25 Jun, 2021
Nawal Kundrai
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