Billy Kelleher (Cork North Central, Fianna Fail)
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Reference was made to concerns about people whose insurers had paid health providers for treatment or care they had not received. With whom, other than their insurer, should such persons make contact in this regard? We have all received anecdotal evidence of this happening. I have made representations to health insurance companies on behalf of people who were dissatisfied with their insurer having unquestioningly paid bills from health care providers. Is there a mechanism in place under which a person can make a formal complaint in this regard? For example, the Bill refers to "the sum of all benefits paid under the health insurance contract concerned referred to in that definition in respect of hospital in-patient services provided during the hospital stay concerned referred to in that definition of the insured person". Is there a mechanism in the Bill under which a person can address these concerns, other than having recourse to the Insurance Ombudsman and so on?