德里高等法院命令保险公司支付剩余的医院账单, 并声明政府收费限额不会超过保险合同。
Delhi High Court orders insurer to pay remaining hospital bill, stating government fee limits don’t override insurance contracts.
德里高等法院裁定,在大流行病期间限制医院收费的2020年政府通告不能减少承保人支付索赔的合同义务。
The Delhi High Court ruled that a 2020 government circular limiting hospital charges during the pandemic cannot reduce an insurer’s contractual duty to pay claims.
法官Sachin Datta命令印度联合保险公司支付Reena Goel的3.56拉赫医院法案的剩余余额,指出该通知的目的是限制费用,而不是保险付款。
Justice Sachin Datta ordered United India Insurance to pay the remaining balance of Reena Goel’s ₹3.56 lakh hospital bill, citing that the circular was meant to cap fees, not insurance payouts.
法院强调IRDAI在2021年所作的澄清,即政府定价准则并不凌驾于政策条款之上,并注意到保险公司先前曾处理过类似的索赔。
The court emphasized IRDAI’s 2021 clarification that government pricing guidelines do not override policy terms, and noted the insurer’s prior handling of similar claims.
保险人必须在四周内支付未付款项。
The insurer must pay the outstanding amount within four weeks.