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Mauritius: continuous treatments the same disease, not covered by complementary health




Mauritius: continuous treatments the same disease, not covered by complementary health
Clients of insurance companies in Mauritius subscribing to complementary health, denounce increasingly clauses judged according to them to be unfair, allowing insurance when renewing their contract, of not paying their medical expenses if these are repeated for the same disease.
 
In other words, medical procedures, for example gastrology, gynecology or urology performed several times during the year will no longer be refunded subsequently during the renewal of the contract on the sole ground that "an insurance policy covers the risk arriving and not what will happen to"  in the context of a chronic disease.
 
A situation that seriously irritates the consumer associations in Mauritius.
 
"These insurance companies are supposed to protect us. Clients pay premiums, but then become victims of insurance in case of health problems companies ... If a person is covered, it is covered 100%, otherwise this is unjust and inhuman", said Pramode Jaddoo of the Institute for consumer Protection, to the site defimedia.info.
 
As for insurance companies, it was noted that these exclusion clauses are legal and are implemented after the study on an individual basis of each subscriber or customer renews its insurance contract.



Fabrice François


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