Cashless Treatment: Treatment is getting expensive amidst the second wave of the Corona epidemic. On the other hand, hundreds of complaints are being received daily by hospitals for not providing cashless treatment to patients.
If your friend or relative has also had such an incident, then you can easily complain about this to the insurance company and the Insurance Ombudsman Officer.
In this way, file a complaint with the company
The insurance company of the insured with whom the complaint is to be lodged will have to contact the Grievance Redressal Cell. Here the bearer must file his complaint. If the insurance company does not take a satisfactory step within 15 days of filing the complaint, the insured can file a complaint with the insurance regulator IRDA.
Must download the registration form
To file a complaint with IRDA, the insured has to provide complete information. For this, he has to download the complaint registration form from IRDA website (http://www.policyholder.gov.in/Report.aspx#). In this form, the details of the complaint can be filled online or offline through the IRDA website.
There are four ways to file a complaint
1. Calling the toll free number 155255 or 1800 4254 732 of IRDA’s Consumer Redressal Department can lodge a complaint.
2. Complaints can be made by mailing Complaints@irdai.gov.in with necessary documents.
3. Complaints can also be lodged through the portal of IRDA. For this, you can monitor your complaint by registering it on igms.irda.gov.in.
4. You can also send a complaint to IRDA by writing it. For this, download the complaint registration form and take out the print. After this, by putting the necessary documents with this form, you can post or courier to the address of the Hydabar.
Must take reference number
It is necessary to take a written acknowledgment or reference number after filing a complaint with the IRDA or the insurance company. You will need this further. Through this, you will be able to find out the action being taken on your complaint.
Also, Read This: IRDA: Arogya Sanjivani will get a cover of up to 10 lakhs from May 1
No regulator for the hospital right now
Law experts say that at present, there is no regulator in the country to take action on the fault of hospitals. In such a situation, if you complain to the Insurance Ombudsman against the hospital, then he will send your complaint to the government. Now the matter of taking action on this is also in the hands of the government. The Insurance Ombudsman has no authority to take action against the hospital. In such a situation, the recent action by the Finance Minister can be relieved. In view of the present critical condition, the government can take legal action against the hospitals on receipt of the complaint.