Laws exist, hospitals don't follow...lamenting insured

@vandana7 (102819)
India
September 12, 2026 11:37am CST
I am childless. I am heavily insured so that I don't trouble anyone in old age basically. Recently, some health issue cropped up. I was told by the doctor that it should cost me around 60000 to 90000 INR. I am money minded. LOL. I added 20000 to that, and thought oh wow, that will be a maximum of 120000 of which I should receive about 78000 from my indemnity policy and a 32000 from my benefits policy so my total damage from my pocket should only be 10000 INR. Rude surprise. The hospital quoted 110000. It is a famous and the best hospital out here. So I asked does it include diagnostics? NO. But I am entitled to recovery of those. You have to apply separately for those costs. Hmm. How much does my insurer pay. Around 78000. Net effect from 10000 my expenses jumped to 30000. I investigated further. Is the tariff same for Another insurer. No...we charge 130000 for them, and they pay 85 percent of the claim. Damn it. Why is the tariff not uniform across the board? We have Clinical Establishments (Registration and Regulation) Act of 2010. Well, this is how it is says the personnel from the hospital. Whose door should I be knocking? Consumer Forum? I tried to call the Ministry of Health. I tried calling Insurance Regulatory Authority. No response from either. I would think both should be concerned.
5 people like this
5 responses
@Wrexxo (7371)
12 Sep
This is such a mess honestly, hospitals just make up numbers depending on who's paying and nobody stops them. You did the math right and they still moved the goalpost on you, that's just wrong. Hope you get some of it back, keep pushing the consumer forum route.
1 person likes this
@vandana7 (102819)
• India
12 Sep
I will move to another hospital, and check the rates there. I can keep searching right? If none offer right price, there is government hospital to go to.
2 people like this
@kareng (83691)
• United States
12 Sep
@vandana7 Is there another option for those that cannot afford to pay? For some of the expense to be erased or reduced?
1 person likes this
@vandana7 (102819)
• India
12 Sep
@kareng I intend to check with a few hospitals, and then with a government hospital. If I find all private hospitals playing truant, I might just be inclined to take them to court for not displaying the tariffs. Those who have insurances the hospitals tend to collect more from them.
1 person likes this
@JudyEv (388337)
• Rockingham, Australia
13 Sep
Sometimes there seems to be nothing that can be done about such things and nowadays it's next to impossible to talk to a person in any of these organisations/businesses.
1 person likes this
@vandana7 (102819)
• India
13 Sep
I am angry. Seriously. I have painstakingly planned my retirement. I didn't want to trouble anyone. Now, they are springing such surprises. GRRR. I will check a few hospitals, and their tariffs. If the tariffs are reasonable in any other I will go ahead, else I will knock the doors of consumer forum. I have succeeded in my previous endeavor at that court, so I have more faith with that.
1 person likes this
@JudyEv (388337)
• Rockingham, Australia
13 Sep
@vandana7 Good luck with whatever path you choose.
1 person likes this
@kareng (83691)
• United States
12 Sep
I think hospitals inflate a lot of costs and pass them on to consumers. It's the same here. No matter how much insurance pays, there is always some left for you to cover.
1 person likes this
@kareng (83691)
• United States
14 Sep
@vandana7 I agree with your assessment.
@vandana7 (102819)
• India
13 Sep
We are learning from you all, or you all are learning from us. LOL So here is some information I got. Those who do not have insurance have to pay just 60000. The hospital reckons that if folks who cannot afford insurance can pay that much, those who can buy insurance can surely afford that much or more. So slap 50000 or more. Effectively, buying health insurance does not make sense!!!
1 person likes this
@celticeagle (193766)
• Boise, Idaho
13 Sep
Hospitals and prescriptions are just ridiculous. I hope you can find a place to help you. I'm sorry I don't have any ideas.
1 person likes this
@celticeagle (193766)
• Boise, Idaho
13 Sep
@vandana7 ........I think they have spooked a number of people.
1 person likes this
@vandana7 (102819)
• India
13 Sep
I hope so too. The exorbitant rates have spooked me.
1 person likes this
@wolfgirl569 (140487)
• Marion, Ohio
12 Sep
I hope you can get it all figured out
1 person likes this
@vandana7 (102819)
• India
13 Sep
I will be scouting for rates at different hospitals from the day after. And also approaching the insurance company.
1 person likes this