In India, every individual wants to secure from every field of life. Everybody knows that health is wealth. So health insurance becomes necessary. It is always clear that every phase of life we need healthcare because you never predict that when an emergency will strike. These health insurances provide risk coverage against the expenditure of medical emergency.
Health insurance companies have a network of hospitals where they have a direct billing arrangement. When an insured person is admitted in-network hospital relative would need to submit a cashless card to the hospital and after that, the process starts as per the subject to approval by the insurance company.
If a family invest in the health insurance they get health expenses recover assurance without any financial worry. A seriously injured person can get good and advance treatment on time with all facilities. On the other hand, if any person doesn’t have any health insurance they can suffer financial condition because in some circumstances there can be face to make money on the spot.
It is hard to get best health services, a good hospital, and a doctor. The most positive thing of health insurance is that person is not limited on government hospital and have available many private hospitals to take advance health service as well. It is wonderful that many people are aware of health insurance day by day. A study conducted by Max Bupa and Nielsen in 2015-16 shows that figure of 1900 consumers in which 70% give preference health insurance than life insurance.
There is much fraud available in the market. Health insurance fraud occurs when a company or a person defrauds an insurer or government health care program. The activity in which persons engaging in fraud is always seeking new idea to circumvent the law.
There are some laws introduced by the government. which are as follows:-
Section 205– False personation for purpose of act or proceeding in suit or prosecution.
Section 420– Cheating and dishonestly inducing delivery of property.
Section 405– Criminal breach of trust.
Section 464– Making a false document
But these laws are not enough to safety against fraud of health insurance. It should be stricter that provide more assurance.
Government plays the vital role in health insurance issue. The government makes an initiative in the health insurance field for poor families from many years for whom don’t have any source of income. Latest union budget is the example of the government role in the healthcare of poor persons. In 2018-19 budget Finance Minister Arun Jaitley announced a flagship national Health Protection Scheme in which 10 crore poor and vulnerable families of the country take the benefit of Rs. 5 lakh per year. It is the world’s largest government-funded healthcare program.
Arun Jaitley said “We are launching a flagship national health protection scheme to cover 10 crore and vulnerable families”. It is good for 50 crore beneficiaries, by providing Rs. 5 lakh per family per year for secondary and tertiary care hospitalization.
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