ADK Hospital has said today that with the changes to Aasandha policies where coverage is offered only after deducting from private insurance, some insurance providers have now
ADK Hospital has said today that with the changes to Aasandha policies where coverage is offered only after deducting from private insurance, some insurance providers have now
halted the provision of cashless services.
Cashless service is the provision of service to the customer with billing transactions being between the hospital and the insurance provider. With these services now halted, the patient themselves will have to pay the hospital now.
In a press conference held today at ADK Hospital, Chief Medical Officer Dr Abdulla Niyaf revealed that following the government's policy change, a number of private insurance companies have been bringing changes to their own policies and have been informing the hospital.
Niyaf said that many of the insurance providers had notified the hospital that they were stopping cashless services.
Niyaf said that if the patient had not reached the credit limit of their private insurance, they would be charged the full price of the service. Once this payment is received by the hospital, they will be issued a bill. The bill, then, has to be submitted to the insurance company, which will later reimburse the amount.
Niyaf said that while services are provided to patients under private insurance in accordance with these changes, those who come to seek emergency medical services will be provided service ahead of billing.
With the changes having been in effect from yesterday, already issues have arisen regarding longer queues, and longer service time.
Niyaf said that the government had informed ADK Hospital of the changes only after 16:00 hrs on last Thursday. Due to this, it will take time to train staff to adapt to the changes.
With the change, staff now are required to log into portals of private insurance providers and check credit limits of each customer.
The change also now requires patients on long term medication to buy the medicines at their own expense.
"Unless a doctor consultation is done through an Aasandha memo, Aasandha will not cover the generated prescription. So, private insurance will also cover the prescriptions if the consultation fees are covered by private insurance."
The new policies came into effect on Friday, a day when most service providers were closed. Niyaf said that the load at peak hours cannot be predicted yet.
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