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Editorial (Dr K K Aggarwal)                                                                                                    (Dr RN Tandon)
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16th April, 2017
Refer all insurance queries of your patients to the ombudsman

An ombudsman or public advocate is an official, usually appointed by the government or by parliament, but with a significant degree of independence, who is charged with representing the interests of the public by investigating and addressing complaints of maladministration or a violation of rights. The typical duties of an ombudsman are to investigate complaints and attempt to resolve them, usually through recommendations (binding or not) or mediation.
 
The Insurance Ombudsman scheme was created by Government of India for individual policyholders to have their complaints settled out of the courts system in a cost-effective, efficient and impartial way. There are 17 Insurance Ombudsman in different locations and one can approach the one having jurisdiction over the location of the insurance company office that you have a complaint against.
 
You can approach the Ombudsman with complaint if:
  • You have first approached your insurance company with the complaint and
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Press Release
IMA committed to improving insurance policy in India
Calls for stringent examination at the time of joining an insurance policy, among other suggestions

 
New Delhi, April 15, 2017: The IMA (Indian Medical Association) organized an Insurance Workshop along with the Hospital Board of India for deliberations on Improving Insurance Policy in the country. It came out with many suggestions for the Insurance Regulatory and Development Authority (IRDA) and has written to them for the changes.
 
Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon - Honorary Secretary General IMA in a joint statement, said, "One of the main reasons for the low penetration and coverage of health insurance in India is the lack of competition in the sector.
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