Insurer Great Eastern pauses pre-authorisation certificates for Mount Elizabeth admissions

[Chase]

Insurer Great Eastern pauses pre-authorisation certificates for Mount Elizabeth admissions​

https://www.straitstimes.com/singap...n-certificates-for-mount-elizabeth-admissions

SINGAPORE - Insurance group Great Eastern (GE) has temporarily stopped issuing pre-authorisation certificates for policyholders admitted to Mount Elizabeth hospitals from June 17.

The insurer said in a message to its panel doctors that high costs from both Mount Elizabeth and Mount Elizabeth Novena hospitals, compared to other private hospitals, were the reason for this decision.

 

[eatshitndie]

message from insurer is simple: “sinkies, please fuck off from mount e if you can’t afford it.”

 

[Chase]

message from insurer is simple: “sinkies, please fuck off from mount e if you can’t afford it.”

https://www.businesstimes.com.sg/lifestyle/chateau-de-holland-rd

 

[eatshitndie]

may be can rename to “great yeastern depot”?

 

[sbfuncle]

They cannot do this as an insurance company. This will leave the policy holder in an unknown state.
They can leemove the coverage for hospitals under their radar or change coverage policies and leeduce the premium costs to the policy holders.
Else is include mount e in your policies and pay a higher premium.

 

[sbfuncle]

message from insurer is simple: “sinkies, please fuck off from mount e if you can’t afford it.”

The message is actually
Sinkies, pls fuck off from Mount e as I cannot afford it.

 

[True Believer]

message from insurer is simple: “sinkies, please fuck off from mount e if you can’t afford it.”

The message being sent by GE is that if their policyholders wish to opt for a private hospital, choose any other facility except Mount Elizabeth. Escalating healthcare cost appears to be inevitable. However, it is not just errant doctors who are responsible. As long as healthcare is a business and private hospitals are run by publicly listed companies that are responsible to shareholders, charges will continue to rise.

 

[sbfuncle]

In response to queries from The Straits Times, a spokesman for GE said: “Since pre-authorisation certificates confirm coverage and guarantee the claims before admission, we are temporarily pausing these for the specified hospitals, as this helps us address the issue of rising charges from the two hospitals.”

They are telling policy holders they can still go ahead with the 2 hospitals and at the same time they doesn't want to approve before hand.
This means the claiming process gonna to have many hurdles.

Who would want to be insured by such a insurer, especially for the mount e Leegulars.

 

[True Believer]

They cannot do this as an insurance company. This will leave the policy holder in an unknown state.They can leemove the coverage for hospitals under their radar or change coverage policies and leeduce the premium costs to the policy holders.Else is include mount e in your policies and pay a higher premium.

Since MOH has stated clearly that private hospital charges are not under its purview, they have given these facilities a free hand to determine prices for both medicine and supplies. Is it any wonder that private hospital bills have more than doubled over the past 10 to 20 years?

 

[True Believer]

Some inpatient summary bills use terms such as "ward fees", "nursing fees" and "miscellaneous fees" for the same service rendered. That is why patients must insist on a detailed bill upon discharge, and scrutinise it carefully; hidden charges that are not obvious to laymen are routinely embedded.

 

[True Believer]

The mark-up on inpatient medication, laboratory and imaging tests as well as consumables (everyday items such as tissue paper and diapers) can be as much as 200% at Mount Elizabeth Orchard and Novena. When queried about items in the bill, cashiers routinely give reasons that the layman is in no position to verify.

 

[sbfuncle]

Some inpatient summary bills use terms such as "ward fees", "nursing fees" and "miscellaneous fees" for the same service rendered. That is why patients must insist on a detailed bill upon discharge, and scrutinise it carefully; hidden charges that are not obvious to laymen are routinely embedded.

The mark-up on inpatient medication, laboratory and imaging tests as well as consumables (everyday items such as tissue paper and diapers) can be as much as 200% at Mount Elizabeth Orchard and Novena. When queried about items in the bill, cashiers routinely give reasons that the layman is in no position to verify.

Most patients wouldn't care as they know that is the insurer who pays.
Especially those that purchased riders without co payment.

GE is pushing the ball to the policy holders now instead of sorting this problem with the hospitals.

 

[True Believer]

Most patients wouldn't care as they know that is the insurer who pays. Especially those that purchased riders without co payment. GE is pushing the ball to the policy holders now instead of sorting this problem with the hospitals.

A degree of fault lies with the insurers themselves. Certain policies that cover private care pay according to how much doctors and hospitals levy. In an attempt to increase sales and achieve a sustainable competitive advantage, insurance companies also promote riders that enable their customers to pay nothing for costly medical treatments. Such add-ons may include reimbursement of deductible and co-insurance costs incurred by customers for physiotherapy services, accidents or planned surgeries overseas, accommodation charges for an immediate family member when the insured is hospitalised, home visits by a GP or nurse, extended post-hospital coverage of more than 6 months etc.

 

[sbfuncle]

A degree of fault lies with the insurers themselves. Certain policies that cover private care pay according to how much doctors and hospitals levy. In an attempt to increase sales and achieve a sustainable competitive advantage, insurance companies also promote riders that enable their customers to pay nothing for costly medical treatments. Such add-ons may include reimbursement of deductible and co-insurance costs incurred by customers for physiotherapy services, accidents or planned surgeries overseas, accommodation charges for an immediate family member when the insured is hospitalised, home visits by a GP or nurse, extended post-hospital coverage of more than 6 months etc.

That's why I think they should be Lee viewing all the policies they are offering and adjust it accordingly instead of cumming out with these kind of ileesponsible act by freezing approvals while still allowing the coverage at the holders own risk.

As a summary, it simple means

They want to earn yet they doesn't want to pay.

 

[True Believer]

That's why I think they should be Lee viewing all the policies they are offering and adjust it accordingly instead of cumming out with these kind of ileesponsible act by freezing approvals while still allowing the coverage at the holders own risk. As a summary, it simple means They want to earn yet they doesn't want to pay.

Aren't all insurers like that? I remember a ST report in 2019 when escalating costs of private medical services, resulted in 4 insurers of Integrated Shield Plans - Aviva, NTUC Income, Prudential and Great Eastern Life - reporting a loss margin of 3.2% in 2018. NTUC Income, experienced the heaviest loss of $14 million on its IP and declared that it had to reassess the premiums of the Plus Rider for its Enhanced Income Shield Preferred Plan, in reaction to the higher utilisation of services and soaring cost of services at private hospitals. Mount E and Gleneagles were the chief culprits then.

 

[congo9]

Well... These people utilizing the services from mount E and Gleneagle must pay a seperate premium on top of the premium they paying.

For example .. pay another 5k per year if you are utilizing the services specifically from these 2 hospital.

 

[True Believer]

Well... These people utilizing the services from mount E and Gleneagle must pay a seperate premium on top of the premium they paying. For example .. pay another 5k per year if you are utilizing the services specifically from these 2 hospital.

Since overcharging and over-treatment are widespread in Mount Elizabeth and Gleneagles hospitals, MOH must intervene sooner rather than later to protect the welfare of patients (there are many less savvy patients who do not even know that they are being overcharged) as well as S'pore’s reputation as a reputable medical tourism destination (we have already been priced out of the region).

 

[k1976]

The message being sent by GE is that if their policyholders wish to opt for a private hospital, choose any other facility except Mount Elizabeth. Escalating healthcare cost appears to be inevitable. However, it is not just errant doctors who are responsible. As long as healthcare is a business and private hospitals are run by publicly listed companies that are responsible to shareholders, charges will continue to rise.

Dr Tan is / was one of the key appointment holder?

 

[hbk75]

Lang jiao lor. Since the implementation of mRNA jabs. Insurance cost sky rocketed by 300%. Must be many ppl now sick and seeking specialist treatment like cancer or mostly cardiologist.

 

[congo9]

Knn ..
Gleneagle and mount E had been the choice for rich Indonesian.
Now GE has blacklisted them. The surgeons and specialist will need to go slower and not be too greedy.