The Delhi High Court has asked insurance regulator IRDA to make some arrangement to provide cashless facilities to policyholders in the wake of the dispute between insurance companies and city hospitals due to which people having medical insurance are facing difficulties.
"The Insurance Regulatory and Development Authority (IRDA) should, as a regulator of the insurance industry, intervene and ensure that such changes do not affect existing policyholders...," said Justice S Muralidhar.
Earlier, the court had pulled up IRDA and said "you cannot leave patients suffering saying that a meeting will be convened. Patients are not getting treatment because of the dispute between insurance companies and hospitals. It is your duty to act timely.
The court had taken strong exception to the remarks of IRDA Chairperson published in a newspaper in which he was quoted as saying that it is a matter between insurance companies and hospitals and there is no regulatory issue involved in it.
The court was hearing a petition filed by Ahuja whose 53-year mother, a cancer patient, was refused cashless treatment in Dharamshila Cancer Hospital and other medical centres.
Turning down his plea for cashless treatment, the hospital authorities said because of the dispute between insurance companies and hospitals regarding reimbursement of medical bills, the companies have decided to discontinue cashless facility for individual policy-holders.
Ahuja then approached the Delhi High Court contending that he had paid extra premium to Oriental Insurance Company to avail the cashless facility and IRDA should be directed to settle the dispute between the insurance companies and the hospitals as it would take more than a month for getting reimbursement for treatment from companies.
