Why are hospitals treating sponsored medical health insuarance having same diagnosis

 Why are hospitals treating sponsored medical health insuarance having same diagnosis



Employer-sponsored health insurance is a health policy selected and purchased by employers and offered to eligible employees and their dependents.Health insuarance covers things including hospital and doctor visits, surgeries, and prescriptions. Employers usually cover a portion of this premium. These are also called group plans. Employers share the cost of​ premium with employees.There are five main aspects of personal health physical,emotional,social,spiritual and intellectual. In order to be considered "well," it is imperative for none of these areas to be neglected.There are three types of health insurance covers,they include individual mediclaim,family floater policy and unit linked health plans.Most employees prefer family policy in selected hospitals.Many companies,parastatals and organisations have medical schemes with a health insuarance.The health insurance vary from one hospital to another.Some have fixed rate for any outpatient while others vary from one patient to another.The challenge is the maximum limit provided to each employee per year.Some patients have terminal diseases and exhaust their cover per year.This should be looked into by the health insuarance companies. Kenyans have been compelled to be members of the National Hospital Insurance Fund (NHIF) with employers toping up contributions of those who pay less than Sh500 monthly.MP's approved changes to the NHIF Act, which now makes it compulsory for every Kenyan above 18 years to contribute to the fund.The government-backed National Hospital Insurance Fund (Amendment) Bill will see all adults compelled to pay Sh500 monthly or Sh6,000 annually in a remodelled Universal Health Coverage (UHC) scheme for outpatient and inpatient services, including maternity, dialysis, cancer treatment and surgery.But those who seek treatment through their employees health insuarance have challenges like being given health cover and they are women above 50 years and some are nearing to retire.Also dental cover being given every year and an employee does not have the challenges of dental care and can stay for over 20 years without seeking dental treatment.Let the maternity and dental cover be converted to normal outpatient treatment, so that they don't lose out year in year out as their insurance cover is limited.The ceiling for treatment in companies,institutions or parastatals etc prevent members from seeking treatment after one week.But with the addition of the maternity or dental care members can seek treatment whenever they desire.Another challenge in these insuarance health scheme is the uniform diagnosis of most members above 50 years of age.Most patients have been diagnosed with pressure and diabetes and other common lifestyle diseases.The hospitals involved subscribe them to monthly packages where they are given medicine monthly at the cost of their health insuarance.The hospitals even calls them to collect the medicines when they forget.The complaints of those seeking treatment or are affected is,why are most hospital diagnosing them with these common diseases of pressure and diabetes and lifestyle diseases? Why are they enrolled in the program of collecting medicine monthly? Why are these medicine addictive, that after using them,those affected have to take them daily affecting their normal lives.Let independent organisations investigate these medicines which are given monthly and their effects on humans beings and institute a probe.
By
Veronica Onjoro
Director Career organisation
onjoroveronica@yahoo.com

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