What Prompts Insurance Companies To Blacklist Hospitals?
Insurance companies blacklisting hospitals? Yes, that happens. Claims—be it cashless or reimbursement—that deal with treatments availed at any of the blacklisted hospitals stand to be denied by your insurance company. But what prompts insurance companies to do this? When a hospital is discovered to be indulging in corrupt practices like overcharging patients with health insurance, they will be blacklisted by insurance companies.
There have been numerous reports of hospitals inflating the bills they submit to insurance companies. Some hospitals report needless surgeries only to charge exorbitant medical bills. When such incidents come to light, insurance companies are more likely to blacklist them. In 2016, the government de-empaneled 10 hospitals from a health insurance scheme after they were found guilty of charging patients even though they were entitled to receive free treatment. Additionally, the hospitals were claiming the cost of the treatment from the insurance company which the government had hired.
So, before you buy a health insurance policy, it is recommended that you have a look at the blacklisted hospitals mentioned by health insurance companies in the market. Go through the list of blacklisted or delisted hospitals by your respective health insurer and avoid visiting any of those places for medical treatments. You will not receive any claim payout from your insurance company for medical treatments availed there.
Here is a look at some of the blacklisted hospitals by a few of the insurance companies in the industry:
If you are unable to find the list of your insurer's blacklisted or delisted hospitals, get in touch with us at email@example.com or call us at 86559-86559.