Care Health halts cashless claim service at Max hospitals across NCR

For reimbursements, you can raise a claim when admitted in the hospital and a person from the health insurance company will verify the amount and transfer the amount to your bank account, so that you don’t have to pay from your pocket,” the source further mentioned.

Delhi being a densely populated region, the patients’ trust and access to timely healthcare will be put to the test. Patients who walk in expecting cashless treatment are now being told to pay upfront and seek reimbursement later, a process that is both time-consuming and financially stressful, especially in medical emergencies. Policyholders who have been timely paying for the policy will be put to unnecessary burden of neither getting timely treatment nor any immediate financial relief,” said Alay Razvi, Managing Partner, Accord Juris.

“The temporary suspension of cashless claims by Care Health Insurance at Max Hospitals highlights the ongoing friction between insurers and healthcare providers over pricing and reimbursement models. This move could lead to financial strain on patients requiring immediate treatment and underscores the need for greater transparency in insurer-hospital agreements and a balanced approach that safeguards both financial viability and patient interests,” said Biplab Lenin, Partner, Cyril Amarchand Mangaldas.