The Insurance Regulatory and Development Authority of India on 22nd April 2021 has directed all general and health insurance companies to take action against hospitals if they don’t provide cashless facility for Covid-19 claims.
Hospitals who have signed Service Level Agreement (SLA) with general and health insurers have to mandatorily provide cashless facility for any treatment to the policyholders including Covid-19 treatment in accordance with the agreed provision of SLA and terms and conditions of policy contract.
Further, if any network provider denies cashless facility and deviates from agreed terms of the SLA, the insurance company shall take appropriate action against such network providers as provided in SLA in addition to taking up appropriate action.
