Amended corona insurance rule complicates the claim process
Kathmandu. With the rise in Corona(COVID-19) infection cases, the national regulatory body for insurance, Beema Samiti, has amended its rule on COVID- 19 making the claim for payments different and difficult than before.
The revised rule has made a provision of making a maximum payment of 75% of the sum to the insured. This is contradictory to the original contract which provided the full insured sum to the insured person within seven days if he provided a PCR test proof of his suffering from COVID-19.
The new provision states that if an insured person contracts COVID-19 and has to remain in isolation, he or she will be provided 25% of the insured sum as relief expense and up to 75% of the insured amount in total will be provided against hospital stay and medical expenses, if incurred.
The Beema Samiti has tightened its policy on the payment for COVID-19 claims as insurance companies lately started to defer and deny payments for PCR test reports provided by private laboratories.
More than 12 lakh COVID-19 insurance policies have been sold and according to the new criteria, most of the insured will not be able to make claims and receive payment.
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