What Is GIPSA & How Does It Work?

GIPSA or General Insurance Public Sector Association is composed of four general insurance companies. Let us learn about this association and the functioning of GIPSA in this blog.

GIPSA comprises four public sector general insurance companies, such as New India Assurance Company Ltd., United India Insurance Company Ltd., Oriental Insurance Company and National Insurance Company Ltd. In this post, we will understand what GIPSA is and how it works to benefit the public.

What is GIPSA?

As already mentioned, GIPSA is an association of four public sector general insurance companies offering cashless healthcare services to policyholders in some specific hospitals across 12 cities in India. The rates at which medical treatment packages are offered under these hospitals is decided by GIPSA.

The band of hospitals offering treatment at GIPSA approved rates come under the list of PPN hospitals or the Preferred Provider Network hospitals.

How is GIPSA unique from the rest of the insurance companies?

The thing about GIPSA is that this is a set of group insurance companies that allow a specific price band for their customers with a limited cashless offer.  Further, the services are available at a specific and limited number of health care centers and hospitals. These hospitals come under the Preferred Provider Network (PPN) of GIPSA and serve their customers at the price band decided by GIPSA. So far, as many as 5.48 Crore policyholders have benefitted by GIPSA insurance policies.

How does GIPSA work?

Under GIPSA, the policyholder can get coverage for several diseases like kidney stones, appendicitis, cataract, angioplasty, hysterectomy and so on. Here, the hospitals that come under the GIPSA network or PPN will cover the medical treatment under the price band that is decided by GIPSA.

The policyholder getting protection under GIPSA policy must note some relevant points as mentioned below:

• The insured in this case can avail cashless health services under the network hospitals or PPN network that is GIPSA approved
• The PPN network hospitals that come under GIPSA must charge the insured as per the rate approved by the association
• If there is overcharging of money beyond the approved package allowed by GIPSA, the insured can raise his/her grievance with the particular insurer
• In this case, the insurer must reimburse the money as per the rate decided by GIPSA whenever a policyholder raises a reimbursement claim for a certain treatment under GIPSA in a PPN hospital
• However, in case the insured raises a claim of reimbursement for a treatment done in a non-PPN hospital, the insurer reimburses the claim as per the customary rate in the clause.
• Further, the insurer will calculate the amount depending on the medical service availed and the cost that is prevailing in that particular location/city.

Read More: 4 Amazing Term Insurance Policies to Consider to Buy 2022 India

GIPSA Benefits  

• Under GIPSA, the four health insurance companies that come under the gamut have pre-fixed special package rates with a number of hospitals across 12 Indian cities for numerous healthcare procedures
• The cities included under GIPSA are namely, Ahmedabad, Bangalore, Chandigarh, Chennai, Coimbatore, Delhi, Hyderabad, Indore, Jaipur, Kolkata, Mumbai, and Pune
• GIPSA aims at offering standard packages with nominal charges to its customers for certain medical treatments. This way, the organization aims to save customers from paying over charged rates and to ensure better use of sum insured of customers’ policies
• GIPSA has over 550 network hospitals enrolled under them offering coverage for treatment like kidney transplant, knee replacement, dialysis, liver transplant, CABG, and so on

Conclusion

The consumers availing a health policy under GIPSA can benefit from a reasonably priced group health plan. So, if you are living in any of the above mentioned 12 cities, you can benefit from a GIPSA policy by buying an insurance policy from any of the four insurers that form GIPSA.

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