🔍
Deductions Charged In Health Insurance Policies | BIGGEST SECRET REVEALED | Watch Before Buying - YouTube
Channel: unknown
[0]
Namaste Everyone! Welcome to our youtube channel. I am Pooja Sharma
[3]
In the previous video, we talked about various health insurance policies available to us in the market
[9]
and in the end I also talked about the deductions which the insurance company charges
[15]
and the policyholder has to pay out of his own pocket.
[18]
So there are multiple reasons behind those deductions.
[21]
In this video, we are going to discuss three major reasons behind these deductions charged by these companies.
[27]
So, let's get started!
[41]
A deduction is that amount from the hospital bill, that is not settled by the insurance company.
[46]
Thus the policyholder has to bear the brunt and pay from his own pocket.
[52]
Now let's discuss about the three major reasons behind these deductions
[73]
As you might have already heard in the news that hospitals are charging astronomical room rent charges.
[82]
However, health insurance policies have a limit for the per-day room charges.
[88]
Such cappings result in significant deduction in your claim amount.
[92]
What’s worse, the final claim amount also attracts the “proportionate deduction”
[97]
Now what is that?
[98]
Proportionate Deduction means not only the customer will pay the difference between the paid room rent and eligible
[104]
room rent, but he also has to proportionately bear all the associated expenses.
[163]
Thus, to avoid paying inflated bills on medicines and incidentals when staying in a deluxe or a private hospital
[169]
make sure that you have a health insurance policy that covers a higher ceiling or has no room rent capping at all
[177]
So that even if you get such a room, the insurance policy can cover the extra cost that you may incur.
[189]
So a COVID-19 treatment requires special hygiene like PPE kits, dedicated staff, waste management, etc.
[196]
So the hospitals are charging for these separately in their bill.
[201]
A health insurance policy, however, considers these to be a part of the room charges
[206]
and hence do not account for or pay for them separately.
[208]
The cost of PPE and the other costs to manage a COVID-19 patient can be as huge as Rs. 5000-8000 a day.
[218]
And with hospitals charging them separately and the insurance companies not wanting to pay them separately
[223]
it is the policyholder, at the end of the day, who has to suffer and pay these expenses out of his own pocket.
[232]
“The Usual, Customary and Reasonable (UCR) charges"
[235]
The UCR charges are the existing fees for health services within a particular geographic area.
[241]
The charges for treatment are generally considered to be reasonable if it falls within the commonly charged fees
[246]
for that particular treatment in that particular area.
[299]
As hospital charges are not regulated in India
[300]
But the Insurers are trying to enforce a set of standard charges with hospitals,
[306]
Hospitals, on the other hand, are actively resisting such standard rates.
[311]
And we understand that if the insurance companies are not the ones who are going to pay these extra charges
[317]
It's us who has to ultimately pay these charges to the hospitals
[321]
So that's all for this video. We discussed
Most Recent Videos:
You can go back to the homepage right here: Homepage