Details of a unfairly processed Covid-19 related Hospitalisation claim of a RBI retiree – as reported by Reserve Bank Retired Employees Association , Jaipur to ED are:
Room stay
12 days
Bill Amount
₹ 223963
Amount deducted ₹. 40,126/-
Non-medical deducted items
58 PPE kits, 320 PPE shields,
600 Gloves, 318 N95,
156 Oxygen masks,
203 Nasal cannula.
These items were used exclusively by the Hospital staff
in their own interest as mandated by Health authorities.
Further, Association has reported to ED “How can these items indispensable to coronavirus treatment and mandated by ICMR etc, be treated as non medical items and summarily disallowed?”
The company’s unjustified action is also inconsistent with the IRDA’s guide lines. Insurance companies, in such cases, are required to act in a manner that is not disadvantageous to the insured.
Iffco Tokio is typically known for making wrong deductions at all centres. Various representations and appeals by the members of the scheme have fallen on deaf ears so far.
In times of coronavirus, when the retirees are already facing extreme despair and grief, the Insurance company has chosen to act arbitrarily- true to its colors. Such uncalled for deductions are inhuman and callous.
Iffco Tokio imposed such tricks and violations on the GMP retiree members earlier during the year 2015-16 also. However, it was subsequently replaced by United India Insurance Co. And yet , for some inexplicable reasons, Bank has made a contract again with a company that repeatedly acts upon restrictive practices while settling claims of retirees.
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