It is mentioned that for the higher category room, there are proportionate deductions. What if the fee is the same irrespective of the room category? Will the deduction be lowered if the member gets the supporting document from the hospital?

There are two kinds of hospitals: 

  • One where the charges change with the room category 
  • One where the charges do not change with room category. 

This is a part of the agreement between the insurer and the hospital. If the insurer has signed the agreement with the hospital which states that other charges do not change with room category, in that case, proportionate deductions would not be applied. The member has to pay only the room rent difference. 

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