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Kerala's MEDISEP insurance data for 31.46 lakh beneficiaries is now managed by private firms
Medisep healthcare scheme has rejected approximately 1.25 lakh claims worth ₹100 crore, with many approved claims only sanctioning negligible amounts, misleading the government on its approval rates.
Grievances against Kerala's Medisep 2.0 health scheme include hospitals overcharging, demanding advances, and claim rejections, leaving beneficiaries struggling with unexpected costs and unaddressed complaints.
Thrissur: The MEDISEP insurance scheme, designed to cover the medical expenses of government employees and pensioners, has come to an abrupt halt. Since March 14, hospitals have been unable to upload data to the MEDISEP portal using their login credentials. Calls to the helpline have also gone
10 more health emergencies, including getting struck by lightning and snake bite, have been included in the list of diseases that would be reimbursed for getting emergency treatment at non-empanelled hospitals.
Nearly 32 lakh are expected to benefit.
The revised premium rates under Phase 2 will come into effect only after the new phase is formally implemented.
The amount will be deducted from pensioners as well.
The Commission imposed a fine of ₹1,91,452 on the company while considering the MEDISEP beneficiary's complaint.
If corrections are needed or if a person has been excluded or needs to be added, employees must apply their respective DDOs before September 10
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