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Hospitals, Insurance Companies - Who Is to Blame?

Hosted by the Consul of the Nairobi Professional Networking Group
Event Cover Photo
Took place 1 month ago
Wed 18 May 17:30 - 20:30

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Hi all, it's time again to meet up and discuss business issues, that affect our lives and explore ways that we could contribute to improving and streamlining service delivery.

Picture this, you pay for your annual health cover to an insurance provider, and you go home feeling pretty good that, should anything happen, you at least won’t have to worry about the money aspect, of getting good care at a reputable and well-equipped hospital. Time passes and you need routine dental care, you present your insurance card to a dentist and he says, they don’t accept cards, from that particular insurance, you ask why and they say, they take too long to remit payments, you make a mental note to follow up with your insurance and pay out of pocket. A few months pass and to your shock, your insurance company goes under with everybody’s premiums. Who is to blame?
• Do hospitals over-charge their customers and thereby transferring the burden to insurance companies?
• Are insurance companies fair when they assess claims?
• Is there a need for an ombudsman that customers can call on when their claims are denied by insurance companies?
• Are insurance companies clear in the language they use, as to what’s covered and what’s not?

Join us when discussing the issue with a stellar panel, Senior Dr of MP Shah, Kwame Owino CEO of IEA, Moses Kuria CEO of M-Tiba, and Mr. Ashok Shah of APA insurance among others.
What would you ask them?