August 3, 2016
SS Roy speaks during Zero Hour regarding TPAs cheating Mediclaim policyholders
The Third Party Administrators (TPAs) appointed by the Government Insurance companies are cheating mediclaim policyholders. This has been going on for a long time. They have no right to do so.
As par Insurance Regulatory & Development Guidelines, TPAs cannot slash either the claims or reject the claim in any manner, whatsoever. This is the right of an insurance company to assess claims and then reduce or reject them. TPAs cannot do that. But thousands of mediclaim policy holders are suffering because of them.
We demand that a special audit be conducted with the help of CAG to ascertain the number of policy holders duped by the TPAs in the last five years. This is nothing less than a scam. There is a nexus between insurance companies and NPAs.
Let the audit be conducted and a report be submitted before the Parliament.
Thank you, Sir.
