Page 11 - Insurance Times April 2021
P. 11

Health Insurance                                                           News

         Only private doctors on            The judgment of the court:         According to ABHICL, the 'Activ Health'
                                            The court said the NMMC notice only  policy provides "comprehensive"
         COVID duty covered by
                                            asked Bhaskar Surgade to keep his  health protection with extensive
         govt. insurance: Bombay            clinic open and the same cannot be  wellness benefits. The consumer is

         High Court                         construed as a notice requisitioning his  rewarded through a cash equivalent
                                            services for the specific purpose of  which can be used either for health-
         The Bombay High Court has recently  treating COVID-19 patients and/or  related expenses like paying for
         refused relief to the widow of a private  working in a COVID-19 hospital.  diagnostic tests, buying medicines,
         doctor, who died of the Corona Virus,                                 daycare treatment, out-patient
         citing that the Rs. 50 lakh insurance  The court further added, "There is a  expenses (OPD), and alternative
         cover under a Central scheme included  difference between specifically  treatments (which are traditionally
         only those private medical practitioners  requisitioning/drafting services and  excluded), or most importantly can be
         who were drafted for COVID-19 duties.  directing private practitioners to not  used towards the payment of future
                                            keep their clinic closed. The intent and
         A division bench of Justices S J   object of the NMMC notice was to   premium.
         Kathawalla and R I Chagla dismissed  encourage medical practitioners to  The company stated that the plan
         the petition filed by Kiran Surgade, a                                allows the wellness ecosystem to be
         Navi Mumbai resident, seeking Rs. 50  keep their dispensaries open," the  easily accessed by people without
         lakh cover under the 'Pradhan Mantri  court said. "This notice did not
                                            mandate that the said dispensaries are  exclusivity.
         Garib Kalyan Yojana' (PMGKY) for her
                                            to be kept open for COVID-19."
         husband who died after contracting                                    57% of women purchased
         COVID-19 from a patient at his clinic.
                                            Aditya       Birla      Health health policies in 2020:
         The Plea:
         According to the plea, the petitioner's Insurance introduces new Survey
         husband Bhaskar Surgade got a notice  policy with up to 100%          According to a recent survey
         from the commissioner of the Navi                                     conducted by Reliance General
         Mumbai Municipal Corporation return on premium                        Insurance, which is commissioned by

         (NMMC), asking him to keep his     Aditya Birla Health Insurance Company  research agency Nielsen, there has
         dispensary open and warned action if  Ltd (ABHICL) has announced up to  been positive change among women
         he fails to comply with the notice.  100% health insurance premium    towards health insurance following the
         The petitioner claimed that her    returns and other product offering  pandemic, with many looking at health
         husband opened the clinic and started  upgrades. The company said in a press  policies as preferred financial products
         treating patients, including those  statement that this newly-designed  to protect themselves against any
         infected by Corona Virus and he too  version of its flagship product 'Activ  medical emergencies.
         contracted the disease and died of it  Health' will "inspire" the customers to  The online survey took responses from
         on 10 June, 2020.                  lead a healthy lifestyle.          547 women across tier-I, II and III

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