The non-public hospitals in Rajasthan have refunded cash to the song of ₹36 lakh unduly charged from the sufferers insured below the State government’s flagship fitness scheme, the Chief Minister’s Chiranjeevi Swasthya Bima Yojana, following an intervention through the Medical and Health Department. The commonplace medical insurance scheme changed into released right here on May 1 this year.
The hospitals empanelled below the scheme have refunded the declared quantity in 267 cases. Several of them pertained to the remedy of mucormycosis or black fungus, which had emerged as a chief risk withinside the centre of the second one wave and changed into sooner or later brought to the listing of authorized procedures.
Health Assurance Agency leader govt officer Aruna Rajoria stated right here on Saturday greater than 1.60 lakh human beings had already availed themselves of cashless remedy below the scheme. The lawsuits touching on the sufferers being unduly charged through the hospitals had been being tested and refunds initiated, she stated.
Over 1.30 crore families, comprising almost 80% of the State’s population, were registered as beneficiaries of the Yojana. However, numerous hospitals or even the beneficiaries had been ignorant of its provisions because it changed into added because of the commonplace medical insurance for the primary time withinside the State.
Ms Rajoria stated the confusion had led to numerous of the insured sufferers being unduly charged through a few hospitals, regardless of the scheme giving an annual cashless coverage cowl of ₹five lakh to each family. The flagship scheme has arrived as a chief step making sure social protection for prone sections at some point of through providing the remedy of all diseases, consisting of the COVID-19 infection.
The Medical and Health Department has initiated numerous measures to keep away from confusion in destiny and appointed specialists withinside the empanelled hospitals to help the beneficiaries and manual them to select the maximum suitable remedy options. Around the clock name centre has additionally been mounted to cope with any trouble concerning the medical insurance.