AMA secretary Dr Mehul Shah has written the letter where he terms the PPN- TPA network as unilateral, autocratic, one sided and violating basic rights of patients as well as doctors.
Ahmedabad Medical Association (AMA), a body of doctors has written a letter seeking clarification on the preferred provider network (PPN) and third party administrator (TPA) guidelines. The AMA shot a letter to the four government insurance companies asking them to give clarity on the issue which would enable a layman to understand the issue.
AMA secretary Dr Mehul Shah has written the letter where he terms the PPN- TPA network as unilateral, autocratic, one sided and violating basic rights of patients as well as doctors". In the letter Shah has asked clarification for the benefit of the patients to the insurance companies.
While talking to DNA, Dr Shah said the idea of writing letter to the four insurance companies is to bring on the issue of communication between these companies and agents. "If they have not passed on the information
to the agents, the laymen would not be informed about the same. In turn, they will get confused while making a choice of doctors and clinics to get medical treatment," said he.
Dr Shah has asked six questions to the government insurance companies. The questions addressed to the companies include if all the individuals renewing their policies are informed about the newly introduced PPN network and restrictions put on them?
"Whether any circular has been issued to all the agents working on behalf of insurance companies and selling policies to clients about this PPN network and its provisions," the letter asks adding that why cashless service is available only to corporate clients and not to general public. "Is that you do not care for "Aam Aadmi"? And interested in getting hefty premiums from corporate only?," asks the letter.
Dr Shah informed that there needs to be an implementing period when agents and laymen could be informed about pros and cons of the policies. "They have not given that time neither are they providing us a copy of the circular," added Shah.
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