Saudi citizens are heading for the application of the health insurance system, which limited the role of the Ministry of Health on the regulation and supervision and control, while the functions entrusted to the care and treatment of medical centers to ensure the medical insurance companies .. Citizens will find themselves facing a new reality do not know much about the details and characteristics do not know what to give up the Ministry of Health responsible for treatment and assigned to the profitability of companies? .. Many fear the future (unknown) In spite of the poor and the weak potential of telemedicine in many government hospitals at the present time, however, to assure that citizens receive the necessary treatment, as available, without regard to income or the value paid. In case it is coming under the influence of circumstances unknown to him relations between insurance companies and medical centers that have contracted with them to provide a service to those who Bualesa. Citizens do not know much about the insurance system, which would apply in the limits of responsibility of insurance companies and their commitment to them, and this question: from a simple guarantee of the citizen to receive the treatment required by his full!, Is it possible for these companies to "boil down" the required treatment in order to provide some of what you'll pay telemedicine centers! .. What are the limits of treatment contained in the consolidated bill of health insurance? Do you stand at the treatment of simple cases or cover anything that could be subjected to rights (without dying)?.
Even the information that is available to answer these questions and others point out that there is information in the form of (rumors) and in some media and some are interested in (s) that the next phase of the citizens with good news, however, because it will leave them at the mercy of companies interested only in profit and reduce expenditure, but infrastructure necessary to implement the health insurance system has not been completed because they need a lot of trained manpower (doctors - the nurses - the work of assistance) and the requirements of the facilities so as to take such a step .. According to some information (unconfirmed) that the system will be applied does not include those over the age of sixty years at a time when the insurance companies to evade the current insurance this category. If correct, this (information), this category would face difficulties deserved the attention of the designer of the system and responsible for the application, insurance companies shy away from insurance to this category because it wanted to increase profits, reduce costs, and this limited the majority of its services under the age of sixty, and they, the majority People in Saudi Arabia, which constitutes a majority of young people, if left to the insurance companies (love), it will not be concerned with the welfare of the elderly and they need attention and medication, and it is not logic that is not the responsibility of the Ministry of Health to abandon its responsibilities towards them and leave them at the mercy of the ruthless.
Article VII of the cooperative health system would be applied to Saudi citizens in paragraphs (a) (c) (d) (e) to ensure that the beneficiaries of the cost of medical examination and treatment in clinics, radiology and laboratory tests required by the situation, accommodation and treatment in hospitals, including the delivery and operations and to address the dental and periodontal diseases .. How can people know of these rights? What are the means by which to ensure the commitment of the hospital!. Did the Ministry of Health has the potential of the regulatory control of the implementation can be tailored to the needs of patients in terms of timing and location?. This week, some newspapers published the Health Council to confirm that all applications for approval to conduct examinations and laboratory tests that are sent by hospitals and health centers, insurance companies qualified to take the status of acceptance in the absence of a reply the company in a maximum of 60 minutes .. Said Dr. Abdullah Al-Sharif, secretary general of the Health Insurance Council seeks to provide adequate health services to insured persons while maintaining the interests of insurance companies.
This is pointed out - as if the request is acceptable the company did not respond within an hour - where some of the demand of the beneficiaries of the existing medical insurance regulators from the intervention and the imposition of its existence, including protecting the rights of the parties - the insurance companies and beneficiaries - rather than leaving the party stronger - companies - determine the nature of the relationship and the limits of its obligations and those who provide services in accordance with conventions and trade deals that are subject to the logic of (bargaining), which ends with the hospitals, often to the benefit of the parties - companies and hospitals - without any regard to the rights of the weaker party, the beneficiary. These relations (hidden) between insurance companies and hospitals, where the deals and agreements in isolation from the control, be at the expense of the level of services provided to people, and if the - free - away from the named sergeant and I fear that regular interventions lead to a decrease in the level of medical services which is reflected negatively on the rights, and the country in general.
Before a system of health insurance for all needs to be a national awareness campaign to explain the dimensions and details, and discuss its pros and cons, which takes into account the nature of the society and the environment in which it is applied .. This debate is not necessarily to be in order to discredit the insurance companies operating, or downloaded from some duties in contravention of regulations or restrictions, including the burden and weaken their ability to do its part in achieving that profit is the goal of any business. Objective is the definition of the beneficiaries of their rights to insurance companies and find the reference at the resort .. In this regard, referring to issues dealing with the insurance regulators that the multiplicity and duplication of fees imposed on insurance companies is a burden on the beneficiary's last (people) for example, impose SAMA insurance companies half a percent of the total 0.05% of annual premiums and impose the health insurance fee of one percent 1% of the total medical insurance premium fee in addition to the supervision of rehabilitation and licensing fees and renewal of licenses paid by insurance companies to Monetary Agency and the Council of health insurance, and that these costs will be at the expense of the provision of integrated medical services. Some believe that the (low) value of the insurance policies, which are updated from the insured companies would lead to a decline in medical services provided to them .. This may explain the relationship (hidden) some insurance companies operating in the Saudi market, and some medical centers that accept insurance cards at low prices, and pushed to define (doctors) to the concerned insurance card holders regardless of their congestion, which is reflected on the jurisdiction where the services of a doctor and requirements of diagnostic radiology and critical examination, because the amounts paid by insurance companies, very few of the hospital and therefore keen to ensure that the services provided within the limits of the amount paid. As a result the insured is the victim of this relationship that does not know the hidden dimensions of supervision and there is no point having the ability to see the contracts signed between insurance companies, hospitals and reasonableness and the fulfillment of the formulation of the insured.
I think it deserves discussion topics and the detailed presentation and clarity of all full until the end of the (equivalent) to ensure the implementation of the system less defects and less damage to the rights of that is to be paid in the end, all the results of errors (of unknown relationship) between the companies and regulators or authorities responsible for telemedicine. Conclude, including repeated in the course of these lines that the health insurance system to be applied to the Saudis need to create the environment and the people who apply them, the picture is not clear, the relationship between insurance companies and beneficiaries of services need to be increased until the intervention of the censor to protect the parties.
Even the information that is available to answer these questions and others point out that there is information in the form of (rumors) and in some media and some are interested in (s) that the next phase of the citizens with good news, however, because it will leave them at the mercy of companies interested only in profit and reduce expenditure, but infrastructure necessary to implement the health insurance system has not been completed because they need a lot of trained manpower (doctors - the nurses - the work of assistance) and the requirements of the facilities so as to take such a step .. According to some information (unconfirmed) that the system will be applied does not include those over the age of sixty years at a time when the insurance companies to evade the current insurance this category. If correct, this (information), this category would face difficulties deserved the attention of the designer of the system and responsible for the application, insurance companies shy away from insurance to this category because it wanted to increase profits, reduce costs, and this limited the majority of its services under the age of sixty, and they, the majority People in Saudi Arabia, which constitutes a majority of young people, if left to the insurance companies (love), it will not be concerned with the welfare of the elderly and they need attention and medication, and it is not logic that is not the responsibility of the Ministry of Health to abandon its responsibilities towards them and leave them at the mercy of the ruthless.
Article VII of the cooperative health system would be applied to Saudi citizens in paragraphs (a) (c) (d) (e) to ensure that the beneficiaries of the cost of medical examination and treatment in clinics, radiology and laboratory tests required by the situation, accommodation and treatment in hospitals, including the delivery and operations and to address the dental and periodontal diseases .. How can people know of these rights? What are the means by which to ensure the commitment of the hospital!. Did the Ministry of Health has the potential of the regulatory control of the implementation can be tailored to the needs of patients in terms of timing and location?. This week, some newspapers published the Health Council to confirm that all applications for approval to conduct examinations and laboratory tests that are sent by hospitals and health centers, insurance companies qualified to take the status of acceptance in the absence of a reply the company in a maximum of 60 minutes .. Said Dr. Abdullah Al-Sharif, secretary general of the Health Insurance Council seeks to provide adequate health services to insured persons while maintaining the interests of insurance companies.
This is pointed out - as if the request is acceptable the company did not respond within an hour - where some of the demand of the beneficiaries of the existing medical insurance regulators from the intervention and the imposition of its existence, including protecting the rights of the parties - the insurance companies and beneficiaries - rather than leaving the party stronger - companies - determine the nature of the relationship and the limits of its obligations and those who provide services in accordance with conventions and trade deals that are subject to the logic of (bargaining), which ends with the hospitals, often to the benefit of the parties - companies and hospitals - without any regard to the rights of the weaker party, the beneficiary. These relations (hidden) between insurance companies and hospitals, where the deals and agreements in isolation from the control, be at the expense of the level of services provided to people, and if the - free - away from the named sergeant and I fear that regular interventions lead to a decrease in the level of medical services which is reflected negatively on the rights, and the country in general.
Before a system of health insurance for all needs to be a national awareness campaign to explain the dimensions and details, and discuss its pros and cons, which takes into account the nature of the society and the environment in which it is applied .. This debate is not necessarily to be in order to discredit the insurance companies operating, or downloaded from some duties in contravention of regulations or restrictions, including the burden and weaken their ability to do its part in achieving that profit is the goal of any business. Objective is the definition of the beneficiaries of their rights to insurance companies and find the reference at the resort .. In this regard, referring to issues dealing with the insurance regulators that the multiplicity and duplication of fees imposed on insurance companies is a burden on the beneficiary's last (people) for example, impose SAMA insurance companies half a percent of the total 0.05% of annual premiums and impose the health insurance fee of one percent 1% of the total medical insurance premium fee in addition to the supervision of rehabilitation and licensing fees and renewal of licenses paid by insurance companies to Monetary Agency and the Council of health insurance, and that these costs will be at the expense of the provision of integrated medical services. Some believe that the (low) value of the insurance policies, which are updated from the insured companies would lead to a decline in medical services provided to them .. This may explain the relationship (hidden) some insurance companies operating in the Saudi market, and some medical centers that accept insurance cards at low prices, and pushed to define (doctors) to the concerned insurance card holders regardless of their congestion, which is reflected on the jurisdiction where the services of a doctor and requirements of diagnostic radiology and critical examination, because the amounts paid by insurance companies, very few of the hospital and therefore keen to ensure that the services provided within the limits of the amount paid. As a result the insured is the victim of this relationship that does not know the hidden dimensions of supervision and there is no point having the ability to see the contracts signed between insurance companies, hospitals and reasonableness and the fulfillment of the formulation of the insured.
I think it deserves discussion topics and the detailed presentation and clarity of all full until the end of the (equivalent) to ensure the implementation of the system less defects and less damage to the rights of that is to be paid in the end, all the results of errors (of unknown relationship) between the companies and regulators or authorities responsible for telemedicine. Conclude, including repeated in the course of these lines that the health insurance system to be applied to the Saudis need to create the environment and the people who apply them, the picture is not clear, the relationship between insurance companies and beneficiaries of services need to be increased until the intervention of the censor to protect the parties.
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BalasHapusI have enjoyed reading in here.
Life Insurance Companies
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BalasHapusJemma@Insurance Agent Forum