Subcutaneous Daratumummab insurance coverage in India
Hi everyone, my mother (64, India) is diagnosed with multiple myeloma. After consulting some doctors we finally decided to go with a doctor from Max Hospital. I'm currently trying to get cashless approval from Care Insurance (enrolled since 2021, Plane name Care), unfortunately they are rejecting stating that since it is being administered in a subcutaneous way (not intravenous) it is being classified as OPD. The claim was initiated as a day care procedure since the patient requires medical supervision, I'm unable to understand the reason for rejection. I have escalated the issue to their grievance officer since the policy T&C states that immunotherapy can be administered as an injection. I wanted to check the experiences of people here.
u/Afraid-Leadership-60 — 8 days ago