Page 14 - Insurance Times December 2020
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winner does not survive the disease.  tor at Star Health and Allied Insurance  Digit Insurance introduces
          Some families are already combating  said, adding that discussions to solve
          worries  of  job  loss  and  any  huge  this are on.                 one cover for 8 viral dis-
          healthcare expense could completely                                  eases including COVID-19
          deplete their savings. Covid Shield+ is  Bengal Govt announces Rs
          a comprehensive solution that provides                               and Dengue
          financial protection against any such  5 Lakh Cashless Health In-    Digit Insurance has introduced its lat-
          eventuality," Mukhopadhyay added.  surance for all residents         est offering under Digit’s Illness Group
                                            West Bengal chief minister extended  Insurance that will protect an indi-
          50%  claims  out  of  Rs.         the benefits of the state health insur-  vidual against hospitalization bills aris-

          8,000-crore Covid claims          ance programme Swastha Sathi, which  ing  out  of COVID-19 and  7  Vector-
                                                                               borne diseases like dengue, malaria,
          filed  so  far  have  been        offers cashless treatment benefit up to  filariasis (payable only once in a life-
                                            Rs 5 lakh in private hospitals per fam-
          settled                           ily, to all the residents of the state. "All  time), kala azar, chikungunya, Japanese

          Insurance companies have settled less  Bengali families will now be able to  encephalitis and the zika virus. One
          than 50 percent of the claims of nearly  avail this benefit. Anyone who does not  will be covered for hospitalization ex-
          Rs 8,000 crore raised so far by COVID-  have a health insurance can avail it.  penses if one is diagnosed with and
          19 patients.                      Treatment in our government hospi-  hospitalized solely for any of the speci-
                                            tals is free in any case.          fied diseases and even for COVID-19.
          Around 5.18 lakh insurance  claims
          worth Rs 7,973 crore have been filed  This card will come handy in about  Digit’s cover for COVID-19 and Vector-
          till November 3, of which 3.97 lakh or  1,500 enlisted private health facilities.  borne disease policy also covers pre-
          77  percent  have been settled. The  We had earlier planned to bring 7.5  hospitalisation expenses for up to 30
          amount settled, however, is only Rs  crore people under this scheme but  days, post-hospitalisation expenses up
          3,436 crore or 43 percent of the claim.  now we extend it to 10 crore people,"  to 60 days, road ambulance charges (1
          Around  1.21  lakh  claims  worth  Rs  Mamata said.                  per cent of your chosen sum insured,
          4,538 crore are pending clearance and  The state population was recorded  up to Rs 5,000) and a second medical
          1,337 claims have been so far rejected,  slightly above 9 crore in 2011 and cur-  opinion. The product is currently avail-
          it added.                         rent estimates claim that West Bengal  able on Digit’s website and offers op-
          "Difference in claims made and those  has a population of 10 crore.  tions of choosing sum insured of Rs 1
          settled is due to the time lag between  "Ayushman Bharat would have cov-  lakh, Rs 2 lakh or Rs 3 lakh.
          reporting of the claim and submission  ered only 1.5 crore people. We are  The  plan has been launched under
          of final bills," MN Sarma, Secretary  covering  10  crore  people.  For  Digit’s Illness Group product under the
          General of the General Insurance Coun-  Ayushman Bharat, the card-holder too  Sandbox regulations which encourages
          cil told.                         would have required to contribute.  insurance companies to launch innova-

          He  however  added  that  insurance  Here, the card-holder does not need to  tive products.
          companies are "able to honour claims  contribute," the CM said adding that  In its statement, the company states
          deemed reasonable and customary",  the scheme will altogether cost the  that according  to the  WHO  (World
          adding that hospitals were "exploiting  state exchequer Rs 2,000 crore. With  Health Organisation), vector-borne dis-
          patients by charging exorbitant rates."  a woman in the family as the holder of  eases account for 17 per cent of all
          He said if insurance companies are to  the card, parents of married women  infectious  diseases  and  leads  to
          cover full bill amounts they would have  can also avail the benefits of this cash-  700,000 deaths every year, worldwide.
          to raise health cover premiums or ex-  less insurance, she added.    India has a long history of malaria due
          clude COVID-19 from policies.     The decision comes amid the BJP's  to both its large population and cli-
          "There is a lack of standardisation in  consistent campaign that the state  matic  conditions.  2018  alone  saw
          treatment cost and hospitals have ei-  government was depriving the people  429,928 cases of malaria and 96 ma-
          ther refused to treat  patients  with  of the state by not implementing the  laria deaths! Hence, it is important to
          cashless policies or demanded upfront  Ayushman Bharat scheme launched by  have an insurance policy that covers
          payment," S Prakash, Managing Direc-  the government of India.       these diseases.
              The Insurance  Times,  December  2020
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