Fat Rejection! IRDA Refuses Demands To Include Weight Loss Surgeries In Mediclaim.

IRDA rejects demands to include weight loss surgeries in health insurance

IRDA rejects demands to include weight loss surgeries in health insurance

This should have been a no-brainer. But the number of people who consider their weight a life-destroying reality, not so much.

And so despite vehement arguments from Bariatric surgeons on how bariatric surgery, that is, weight loss surgery ‘saves lives’, IRDA was not impressed.

The pro-coverage lobby’s arguments were hardly as frivolous as they sound and according to bariatric surgeon Dr Sanjay Borude, who operates on around 20 patients a month, said barely one per cent of the patients who opt to go under the knife do it for sheer cosmetic purposes. According to Dr. Borude, most of the patients who opt for weight-loss surgery are suffering from life-threatening ailments, a huge chunk of which cannot be conducted because of lack of funds.

Bariatric surgery is categorised by the insurance companies as a procedure done for cosmetic purposes, hence it is not covered in the insurance, despite repeated protests by the bariatric surgeons.  The Insurance Regulatory and Development Authority (IRDA) rejected the demand to include bariatric surgery in the medical insurance despite arguments to the contrary.

We say, surgeons many have had a point but sometimes perceptions can seriously hinder our and in this case, IRDA’s view of facts on the ground.

No mediclaim for weight-loss surgeries: IRDA (Mumbai Mirror)

 

 

3 Things Everybody Ought To Know About Health Insurance

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3 Things Everybody Ought To Know About Health Insurance

3 Things Everybody Ought To Know About Health Insurance

Health insurance or Mediclaim is one of the most fundamental types of insurance after life cover in terms of being an absolute necessity for everyone. Being as important as they are, it then becomes an added responsibility on us to be extra cautious and aware when opting for a mediclaim. While there is no dearth of options in the market, prospective policy holders often find themselves bewildered by the variety and miss out on the crucial points for consideration. We, hence, bring you a lowdown on some salient points that you must keep in mind when opting for a health insurance.

The Premium Conundrum—Premium for a Mediclaim forms the ground for maximum mistakes. Most policy holders tend to choose between policies based on their respective premiums—the cheaper, the better. It is a capital mistake to base such a crucial choice on the price tag alone. While choosing the policy, always make the final decision based on important considerations like the coverage being offered, your individual requirements and whether all your concerns are being covered and addressed by the policy. A comparative analysis of the price tags comes in picture only once the basics are settled and covered; not as the ultimate clinching factor.

Another crucial thing to remember is that premiums change as we age. Hence, while comparison of premiums is not the right way to decide the right policy, it is equally important to understand the changes in the premium with time and to ensure that the premiums remain affordable even after you retire. Premiums that rise exponentially and/or become unaffordable after a point of time are undesirable and should be meticulously avoided.

Simple and Substantial—Mediclaims often come with loads of ‘added features’. A basic thumb rule is to avoid frills as far as possible and always go for the basic. This is a price effective strategy and makes the selection of the mediclaim a much simpler process. However, opting for a basic cover doesn’t mean one should go for policies that offer a small coverage. Inflation in the health sector is incredibly high and what is an okay-ish cover today may become totally redundant by the time you actually need it. Always go for the highest coverage that you can afford, taking into account the increase in the premiums over a period of time.

Background Check of the Insurer—As we had stated earlier, there is no dearth of options when it comes to the availability of the health insurance in the market. However, the more the option, the more is the requirement of vigilance on part of the consumers. Apart from the bare basic of ensuring a trustworthy advisor, a prospective policy holder must himself be involved intricately in the process of choosing the health insurance. Always conduct a background check of the insurer you are about to opt for. Search on the internet for reviews and complaints. Reading enough reviews and complaints will give you a basic idea of how the insurer has fared in the experience of other consumers. This is neither objective nor a foolproof method. However, it is effective enough to raise an alarm if the insurer has a track record of bad services and unfair practices.

A lot of insurance troubles are pure bad luck. However, there are still a substantial number of troubles that can be easily avoided if enough diligence, caution and awareness are exercised.  Mediclaim is one of the most basic covers and comes handy in times of dire emergencies. Needless to say, caution is the key and while the issues we have highlighted may not be exclusive, they are enough to get you started on your vigil once you decide to opt for a health cover. 

Consumer Horror! Diagnostic Center In Delhi Wrongly Diagnoses A Person As HIV+, To Pay 2 Lakhs.

complaint against diagnostic center for wrongly diagnosing a patient as HIV+, to pay 2L as compensation

complaint against diagnostic center for wrongly diagnosing a patient as HIV+, to pay 2L as compensation

Diagnosing someone as HIV+ is bad.

Diagnosing someone as HIV+ wrongly is…you tell me!

One of the worst instances of medical negligence surfaced in New Delhi where a diagnostic laboratory misdiagnosed a person as HIV+.

Horrifying ? You bet.

But this is just the beginning of the story.

As if the horror of the misdiagnosis and trauma of being an HIV+, however briefly was not enough, this particular consumer also lost an employment opportunity abroad because of the diagnosis. The mis-diagnosis had happened when the consumer underwent mandatory fitness tests for a job in Saudi Arabia.

A complaint was filed with the consumer forum and the South West District Consumer Dispute Redressal Forum held that if the test conducted by Paramount Diagnostic Center had to be re-run after four to six weeks to confirm it then the lab could not have reported him unfit on the basis of their (initial) findings… Their haste in declaring him unfit immediately after the test is not only negligent but also rash on their part.

The forum also noted that Paramount`s report had been proved “false” by all subsequent tests including one by the All India Institute of Medical Sciences (AIIMS) which was conducted within two weeks of the “faulty” report. The forum ordered the diagnostic center to pay Rs 2.05 lakh as damages along with Rs.5000 as litigation cost  to a 25-year-old youth for wrongly diagnosing him as HIV positive and depriving him of an employment opportunity abroad.

City lab to pay Rs 2.05 lakh for wrongly diagnosing youth as HIV+ (Zee News)

Medical Murders! Doctors In Thane To Pay 6 Lakhs For Patient’s Death.

complaint against Thane doctors, to pay 6L as compensation for patient's death

complaint against Thane doctors, to pay 6L as compensation for patient's death

If there is one common factor in all medical negligence cases, it would be hefty compensation.

Most such cases, if they see the light of the Maharashtra consumer forum, end up with payment of compensation that runs in lakhs. Not that it makes such cases any more desirable or any less perplexing but at least this indicates that our forums take such cases seriously.

The latest in the never ending list of medical atrocities is a case from Thane. The compensation was hefty but it actually does not compensate for anything as far as the real loss was concerned–the complaint was triggered by the death of a patient.

 Thane based gynaecologist Sujata Rathod and physician Vasant Kumar Jog were found guilty by the Thane District Forum of  ”deficiency of service and medical negligence” which resulted into death of a pregnant woman while undergoing treatment.

The forum has ordered them to pay Rs 1,00,000 and Rs 5,00,000 respectively in addition to Rs 10,000 each towards legal expenses to Shashikant Vichare, husband of the deceased.

The case may go into appeal; the consumer may still finally get the money. But like every medical negligence case, this too leaves us with the same questions–can money really compensate for someone’s death? And more crucially, was it justified for someone to lose a loved one just because a bunch of “dedicated”, highly paid  ’professionals’ could not take their jobs seriously?

Consumer court asks doctors to pay compensation (Financial Express)

Scam Alert!!! Sandhi Sudha Does Not Work! A Consumer Forum Slaps Heavy Fine For Failed Cure.

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Complaint against Sandhi Sudha, To Pay Over 25000 For Failed Cure.

Complaint against Sandhi Sudha, To Pay Over 25000 For Failed Cure.

Sandhi Sudha is a SCAM!!!

And no Govindas and Jackie Shroffs of the world can vouch otherwise!

A sensational advertising campaign with most prominent personalities from Bollywood and television made Sandhi Sudha a household name and a ray of hope for the vast elderly population of the country plagued by joint pains and related issues.

It has been a pain watching innocent consumers being so openly taken for a ride by a so called ‘ayurvedic‘ miracle that promised a magic that we knew would never happen.

The situation gets even more disturbing when prominent names of the glamour world agree to promote such products and further the fraud. They of all people in the world owe a responsibility to their followers, a significant chunk of whom are bound to take their word as Gospel truth. It is indeed disturbing to  see celebrities, both big and small, selling off their goodwill and integrity for a handful…umm… a bagful of cash!

Social responsibility of celebritydom aside, Sandhi Sudha has been a thorn in our side for various reasons. Targeting a segment of consumers who are troubled and rendered weak by age and ailments, these people have always been almost sure to get away, for the sheer lack of a fight back. Their target consumers are way too troubled to raise their voice and are doomed to suffer in silence.

We honestly don’t have words to express our angst and anger.

But finally, in some corner of this country, Sandhi Sudha has been brought to justice…even though a minor one when compared to the size of the fraud.

District Consumer Forum Solan slapped a fine of Rs 25,000 on Sapt Rishi Auyrveda Institute after finding it guilty of immoral trade practice on the basis of a complaint for selling defective ‘Sandhi Sudha‘ message oil product . The forum has also ordered the Institute to reimburse the complainant after paying Rs 3100 as entire cost of Sandhi Sudha and Rs 3000 as litigation cost.

The complainant was suffering from joint and back pain and had ordered the product in 2011 after watching its advertisement. Obviously, the pain was not cured and the firm did not respond to telephonic or written complaints nor did it refund the cost of the product.

Finally, karma bites Sandhi Sudha!

We just hope it happened more frequently and intensely…enough to pack up this scam for good!

Consumer forum slaps Rs 25,000 fine on Sapt Rishi Ayurveda Institute (New Kerala)

(Picture Credit: ishoppingtime.com)

 

 

Nursing Home Pains! Consumer Forum Orders A Nursing Home To Pay 10L For A Patient’s Death.

complaint against nursing home, to pay 10L for patient's death

complaint against nursing home, to pay 10L for patient's death

Nursing homes. Somewhere between smaller clinics and full blown hospitals lies this another category of medical care centers that still seem to be groping with a strange identity crisis.

We would have hardly held it against them if their identity crisis would have not affected the average consumers. But somewhere, as these ‘nursing homes’ nurse their patients and their identity, dubious medical malpractices flourish with ease.

Prevalent medical negligence at these ‘nursing homes’ that have been mushrooming across India is hardly a secret for anybody. Not that medical negligence is an exclusive for these homes. It is equally or more prevalent in larger hospitals as well.

The only trouble with the complaints that arise in nursing homes is that they are affect the consumers at the grassroot level and such cases go largely unreported.

For a change, this is a story where a complaint against a nursing home met its logical end–with a whopping compensation of 10L awarded by a consumer forum.

The South West District Consumer Disputes Redressal Forum in New Delhi held two doctors, Shakuntla Nursing Home of Sagarpur and  its owner have been ordered by a consumer forum here to pay Rs 10 lakh as compensation to the widow and minor children of a person for medical negligence in his surgery for removal of gall-bladder in 2008, leading to his death.

Doctors, nursing home to pay 10L for patient’s death. (Business Standard)