Patients complain of a high treatment bill
"Emirates Insurance": Increasing the tolerance rate in "health insurance" limits negative practices
The insured have to contribute a deductible rate that differs from one employer to another.
archival
Farid Lutfi: "Some are accustomed to visiting the doctor frequently and without real need."
picture
The Emirates Insurance Association confirmed that the increase in the deductible rate that the patient pays and contributes to the hospital bill or when obtaining treatment and others, came to reduce negative practices witnessed by the health insurance branch as a result of some people getting used to visiting the doctor frequently and without real reason, noting that the increases The latter imposed by insurance companies came in agreement with various employment agencies in the government and private sectors.
This came, in response to what Emirates Today received from complaints and observations from patients in which they said that they are now paying large amounts when seeking treatment, amounting to 30% of the value of the doctor’s examination and any required analyzes, as well as medicines and even surgeries, after they used to pay a lower percentage. By a large amount or a lump sum not exceeding 50 dirhams, including all medical services they receive in addition to free medicines.
censorship
The Secretary-General of the Emirates Insurance Association, Farid Lutfi, said that there is control over service providers, whether hospitals or clinics, to ensure that doctors comply with what is in the patient’s medical file, and not to exaggerate the request for analyzes and x-rays if there is no need for them, in addition to granting Prior approval for dispensing medicines, and making sure they are needed.
endurance ratios
Lutfi added to «Emirates Today» that the health insurance branch, along with car insurance, constitute the largest share of the operational activity of insurance companies, explaining that in the past, employers used to ease the burden on employees by paying on their behalf, but many negative practices occurred by the insured. It also caused losses to companies, in addition to wasting the use of health insurance cards.
And he indicated that the insured have to contribute a percentage that differs from one employer to another, and whether it is governmental or private, as that percentage is determined by agreement between the employer and the insurance company, pointing out that at the present time we rarely find 100% coverage or an amount Simple for anyone with health insurance.
Lutfi stated that this system is in force in most countries to ensure that the interest of all parties is taken into account, whether the insurance company, the patient or the employer, indicating that the employer that requests that its employees not contribute to a deductible percentage, pays the percentage on their behalf, which is determined according to The price and the number of medical benefits the employee receives, either alone or with his family.
electronic file
And the Secretary-General of the Emirates Insurance Association stated that every patient currently has an electronic health file in which his sick history is recorded in detail, as through it some medical benefits can be shortened and not repeated unnecessarily if they are recent, such as medical analyzes, x-rays, or others, especially in expensive things. , like teeth.
Periodic meetings
The Secretary-General of the Emirates Insurance Association, Farid Lutfi, said that there are periodic meetings that take place between insurance companies and medical service providers to coordinate and ensure the provision of health services of international quality at competitive prices, in line with the health system in the UAE and its development.
Follow our latest local and sports news and the latest political and economic developments via Google news