In the case of Shama Siddiqui Ahmed, a resident of Payada, Ganesh Nagar, who was insured under the Chief Minister Chiranjeevi Bima Yojana, she filed a complaint through advocate Virender Bhurat against the Government Secretary of CM’s Chiranjeevi Health Insurance Scheme, Medical and Health Department, Chief Medical and Health Officer, and Manager of American Hospital on December 3, 2021. According to the complaint, Shama Siddiqui was insured under the Chiranjeevi Health Insurance Scheme with her Jan Aadhaar card from May 1, 2021, to May 30, 2022. She underwent treatment during this period and incurred expenses totaling Rs 83,717. However, she received only Rs 37,500 as a refund from the hospital, and the remaining amount of Rs 46,217 was not reimbursed to her.
The Permanent Lok Adalat, represented by full-time Chairman, Additional Judge Raviprakash Sharma, along with Members Rajendra Singh Rathod and Dr. Garima Gupta, accepted the complaint letter and issued a judgment. The Adalat ordered the Government, CMHO, and private hospital management to pay Shama Siddiqui the outstanding amount of Rs 83,717 with 6 percent annual interest from May 31, 2021, within two months. Additionally, they were instructed to pay Rs 5,000 separately for mental agony and complaint expenses.
The judgment seeks to provide fair compensation to Shama Siddiqui for the expenses incurred during her treatment under the Chiranjeevi Health Insurance Scheme and addresses the non-payment issue by the private hospital.
Source: Dainik Bhaskar