This section on Community Health Insurance (CHI) is managed by Mr Denny John , currently working as Faculty, Institute of Public Health (IPH), Bangalore. He has a background in physical therapy and healthcare management, and currently based in Mira Road for his project “Health Financing for the Poor” at Thane District.
CHI works on the twin-principles of pre-payment and risk-pooling and is one method of health financing for providing access to quality and affordable healthcare to all populations, especially the poor.
Kindly note:
The terms ‘Community Health Insurance’, ‘Microinsurance’ and ‘Microhealthinsurance’, all mean the same, except in some instances where Microinsurance is also termed for low-premium insurance schemes covering life and assets.
Last year BSNL announced Accident
Insurance free of cost to all its subscribers. The scheme included all of 3.37
Crore BSNL subscribers of all categories – Landline, Mobile or WLL. The sum
assured per subscriber was Rs 50000/-. It was an accident cum death due to
accident scheme. Permanent total disability is defined as: loss of both eyes or
loss of both limbs or hands or a hand and a limb. Natural or suicidal death was
not covered. Only individuals were covered as against corporate subscribers. In
case of subscribers having more than one phone line each subscription was
eligible for Rs 50000 with a cap of Rs 2 Lakhs.
The eligibility was automatic. No
application or medical examination was required. Bajaj Alliance (75%) and
Oriental Insurance (25%) were the insurers. All claims need to be made to the
former at their Pune Office with applicable attachments. Complete details are
available in BSNL website. The scheme was experimental one lasting just for a
year effective till 13th January 2009.
With competition growing hot BSNL was
losing out Landline subscribers. To arrest the attrition rate and to boost the
corporate image especially prior to IPO (which, incidentally did not materialize)BSNL initiated a series of actions to boost the sagging brand image.
Some of the actions taken included: Frequent downward revision of tariff rates;
Offer of innovative combo schemes for Landline and Broadband; incentives aimed
at different sections like students and government employees etc. They also
threw in another gimmick: This free accident insurance scheme.
Why I call that a gimmick is that
there no real commitment seen to benefit subscribers through this unique
scheme. First of all, though the scheme was effective since middle of January
2008 details were made available after a lapse of six months. There was no
aggressive publicity to popularize the scheme. Enquiries were attended to with
lukewarm interest. The GM of BSNL Goa publicly admitted (lamented) that there
were no takers (meaning no claims) as of November 2008. Others were simply
silent.
When a substantial sum of money is
spent as premium to insurance companies by way of such group insurance schemes
and BSNL is lethargic about its implementation one tends to suspect that the
whole thing is just a gimmick. There may be some tacit understanding between
BSNL and Bajaj Allianz in fooling the public. They are hand in glove I feel. If
this is not the case can BSNL publish data regarding premium paid, claims made
and amounts disbursed by the insurer?
In Hyderabad alone about three
persons die in traffic accidents every day. And a large number suffer serious
injuries. On an all India basis about 2% of all deaths are due to traffic
accidents. Many of them must be having BSNL lines either Land line or Mobile. If
you consider other types of accidents the number of victims must be more. What
percentage of these accident victims were aware of or ever claimed compensation
from BSNL is a mystery.
One way to tackle such half baked
schemes is to encourage “ambulance chaser” lawyers as in the west. Lawyers
abroad take up cases of accident victims on their own to get compensation from
insurance companies. They do not ask the victim to pay any fee. Fees are
collected when Insurance claim materializes. We need such aggressive guys who do
follow up in genuine cases. This will expose gimmicks played by public sector
firms in collusion with private insurers.