{"id":231210,"date":"2020-06-22T13:30:19","date_gmt":"2020-06-22T08:00:19","guid":{"rendered":"https:\/\/www.scconline.com\/blog\/?p=231210"},"modified":"2023-10-03T15:38:39","modified_gmt":"2023-10-03T10:08:39","slug":"nhrc-notice-to-irda-and-finance-ministry-over-reported-refusal-or-high-premium-for-mediclaim-policies-for-healthcare-workers","status":"publish","type":"post","link":"https:\/\/www.scconline.com\/blog\/post\/2020\/06\/22\/nhrc-notice-to-irda-and-finance-ministry-over-reported-refusal-or-high-premium-for-mediclaim-policies-for-healthcare-workers\/","title":{"rendered":"NHRC notice to IRDA and Finance Ministry over reported refusal or high premium for mediclaim policies for healthcare workers"},"content":{"rendered":"<p style=\"text-align: justify;\">The National Human Rights Commission has taken suo moto cognizance of a media report stating that the <span style=\"color: #ff0000;\"><strong>healthcare workers, who are at the maximum risk to contract the corona virus infections are facing refusals\/demands for high premiums to buy group Mediclaim policies.<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\">Reportedly, as Covid-19 cases continue to rise and the government offers little clarity on insurance cover for private healthcare professionals doing non-Covid work, and there is a scramble to find the right policy.<\/p>\n<p style=\"text-align: justify;\">It is further stated that while most doctors have a medical cover, the struggle has mainly been about ensuring protection for their staffers. Moreover, as mentioned in the news report there is also confusion whether the Rs 50 lakh health cover provided by the Central government for healthcare workers included private doctors, staffers and also those doing non-Covid work.<\/p>\n<p style=\"text-align: justify;\">Accordingly, The Commission has issued notices to the the Chairman, Insurance Regulatory and Development Authority and the Secretary, Department of Financial Services, Insurance Division, Union Ministry of Finance calling for a detailed report in the matter within 4 weeks, positively.<\/p>\n<p style=\"text-align: justify;\">Issuing the notices, the Commission has observed that in this period of pandemic, what the country needs most is proper health facilities and infrastructure. Denial of insurance claims by the companies to the Covid Warriors will definitely bring down their morale and its result will adversely affect the general public at the end. Considering the issue as a case of violation of human rights , the Commission thought its intervention necessary in the matter as the sufferers will be poor citizens who are already under trauma of the Corona virus due to lack of medical facilities.<\/p>\n<p style=\"text-align: justify;\">According to the media report, Dr Sudhir Naik, in charge of the medico-legal cell of the Association of Medical Consultants (AMC) has reportedly said that no insurance company wanted to cover the Covid-warriors. He has stated that the authorities have been forcing us to keep our clinics open, but the staffers are apprehensive about working. The medical fraternity is reportedly pinning its hopes on the standard Covid-19 policy which the Insurance Regulatory and Development Authority of India (IRDAI) has asked all the insurance providers to design by June 15.<\/p>\n<p style=\"text-align: justify;\">Reportedly, several nursing home owners in the city have been scouting for a group cover, but with little success. The companies have refused to extend even the fixed benefit covers. Here the beneficiary is paid a lumpsum on testing positive. The sum assured can vary from Rs 20,000 to Rs 2 lakh, and annual premium is relatively low.<\/p>\n<p style=\"text-align: justify;\">As per news report, the Indian Medical Association (IMA) has said that a company which earlier agreed to extend a fixed benefit cover of up to Rs 2 lakh to its members, pulled out of the deal after Covid-19 cases began to rise in the state. The IMA has reportedly stated that the company has returned the premium paid by around 150 doctors who had already signed the documents.<\/p>\n<hr \/>\n<p><strong>NHRC<\/strong><\/p>\n<p style=\"text-align: right;\"><strong>Press Release dt. 12-06-2020<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The National Human Rights Commission has taken suo moto cognizance of a media report stating that the healthcare workers, who are at 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Strict action must be taken against those who obstruct\u2026","rel":"","context":"In &quot;Hot Off The Press&quot;","block_context":{"text":"Hot Off The Press","link":"https:\/\/www.scconline.com\/blog\/post\/category\/news\/hot_off_the_press\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":254491,"url":"https:\/\/www.scconline.com\/blog\/post\/2021\/09\/21\/insurance-policy\/","url_meta":{"origin":231210,"position":1},"title":"Person detected with schizophrenia denied mediclaim. Insurer saying claimant suffering since 20 yrs hid material facts: Read why NCDRC allowed the claim","author":"Bhumika Indulia","date":"September 21, 2021","format":false,"excerpt":"National Consumer Disputes Redressal Commission (NCDRC): Justice Ram Surat Ram Maurya (Presiding Member) upheld the decision of State Commission with regard to Mediclaim insurance policy being denied. Present appeal was filed against the State Consumer Disputes Redressal Commission\u2019s decision whereby the complaint was allowed, and appellant was directed to reimburse\u2026","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"National Consumer Disputes Redressal Commission","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":231001,"url":"https:\/\/www.scconline.com\/blog\/post\/2020\/06\/17\/covid-19-direct-states-to-pay-salaries-to-doctors-and-healthcare-workers-sc-tells-centre\/","url_meta":{"origin":231210,"position":2},"title":"COVID-19| Direct States to pay salaries to Doctors and healthcare workers: SC tells Centre","author":"Prachi Bhardwaj","date":"June 17, 2020","format":false,"excerpt":"Supreme Court: A 3-judge bench of Ashok Bhushan, S K Kaul and M R Shah, JJ directed Centre to issue directions to states for payment of salaries and providing necessary quarantine facilities to doctors and healthcare workers engaged in treating COVID-19 patients. The Court directed that the said direction be\u2026","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Supreme-Court_Colour.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Supreme-Court_Colour.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Supreme-Court_Colour.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Supreme-Court_Colour.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Supreme-Court_Colour.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":228074,"url":"https:\/\/www.scconline.com\/blog\/post\/2020\/04\/08\/covid-19-doctors-and-healthcare-professionals-are-warriors-protect-them-sc-to-centre\/","url_meta":{"origin":231210,"position":3},"title":"COVID-19| Doctors and healthcare professionals are &#8220;warriors&#8221;; protect them: SC issues directions","author":"Prachi Bhardwaj","date":"April 8, 2020","format":false,"excerpt":"Supreme Court: A bench of Justices Ashok Bhushan and S Ravindra Bhat has said that doctors and healthcare professionals are \"warriors\" in fight against coronavirus and have to be protected, even as the Centre assured that it is doing its best by providing them personal protective equipment (PPE) and other\u2026","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Supreme-Court_Colour.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Supreme-Court_Colour.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Supreme-Court_Colour.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Supreme-Court_Colour.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Supreme-Court_Colour.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":247942,"url":"https:\/\/www.scconline.com\/blog\/post\/2021\/05\/08\/del-hc-exempt-the-employees-dealing-with-medical-and-health-insurance-services-from-curfew-restrictions-hc-tells-government-of-nctd\/","url_meta":{"origin":231210,"position":4},"title":"Del HC| Exempt the employees dealing with medical and health insurance services from curfew restrictions; HC tells government of NCTD","author":"Editor","date":"May 8, 2021","format":false,"excerpt":"Delhi High Court: Prathiba M. Singh, J. told Delhi government to exempt the employees dealing with medical and health insurance services from curfew restrictions. The Bench stated, \u201cMedical insurance and health insurance services are essential services during the COVID-19 pandemic situation. Thus, the employees who are dealing with medical and\u2026","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":258646,"url":"https:\/\/www.scconline.com\/blog\/post\/2021\/12\/17\/a-prudent-insurer-has-to-gauge-possible-risks-insurer-cant-repudiate-mediclaim-alleging-pre-existing-illness-where-policy-was-issued-after-considering-necessary-medical-rec\/","url_meta":{"origin":231210,"position":5},"title":"\u201cA prudent insurer has to gauge possible risks\u201d; Insurer can\u2019t repudiate mediclaim alleging pre-existing illness where policy was issued after considering necessary medical records: SC","author":"Editor","date":"December 17, 2021","format":false,"excerpt":"Supreme Court: The Division Bench of Dhananjaya Y Chandrachud and B.V. Nagarathna*, JJ., held that if on the consideration of the medical report, the insurance company gets satisfied about the medical condition of the proposer and that there was no risk of pre-existing illness, and on such satisfaction it issues\u2026","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2021\/02\/sc-3-3.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2021\/02\/sc-3-3.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2021\/02\/sc-3-3.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2021\/02\/sc-3-3.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2021\/02\/sc-3-3.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]}],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts\/231210","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/users\/8808"}],"replies":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/comments?post=231210"}],"version-history":[{"count":0,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts\/231210\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/media\/97711"}],"wp:attachment":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/media?parent=231210"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/categories?post=231210"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/tags?post=231210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}