Written answers
Tuesday, 14 May 2013
Department of Health
Health Insurance Claims
Michael McCarthy (Cork South West, Labour)
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677. To ask the Minister for Health if he will review a decision by a private health insurer not to award an appeal from a person (details supplied) with a serious condition; and if he will make a statement on the matter. [22803/13]
James Reilly (Dublin North, Fine Gael)
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I do not have a role in the day to day operations of any private health insurance company. The VHI is a commercial company operating in a competitive market and decisions as to whether members are entitled to benefit are made in accordance with the terms and conditions of each individual member's policy. The issue raised by the Deputy appears to be a contractual matter between the customer and her insurer.
If the individual in question is not satisfied with the decision made in this case, they may appeal to the Financial Services Ombudsman's Bureau (www.financialombudsman.ie - Lincoln House, Lincoln Place, Dublin 2, Lo-Call 1890 88 20 90) or contact the industry regulator, the Health Insurance Authority (www.hia.ie - Canal House, Canal Road, Dublin 6, Lo-Call 1850 929 166) for information.
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