Emergancy unanticipated expenses to the borrower is dreaded by any microcredit operator. When the borrower or his family member is in a hapless situation no recovery can take place. Often medical emergancy or conditions like pregnancy child birth can wipe out the assets of the poor. At the same time the existing insurance schemes donot give any confidence to poor. The requirenment of the affluent from the insurance sector are very different from the poor. While the rich dread heart attacks, poor rarely suffer from heart disease but they dread simpler conditions like malaria, typhoid,a long standing hernia more than a heart condition. A tailor made product which is meant to cater to specific needs of the poor only is what motivated us to look in this sector.

Dr. Manjunath who worked extensively in developing this comprahensive product has over three decades of experience working in villages trying to understand what works for the poor. He spent close to two years in developing and designing a workable viable model and a more intensive campaign to convince the stakeholders that it can work.

Yes. The stakeholders buy the sampoorna suraksha insurance policy from us once a year just before the new year begins. The policy will be valid for one year making the members enrolled eligible to avail treatment from the network hospital without paying cash on preauthorisation for admission from the sampoorna suraksha doctor. Incase the preauthorisation is denied and the patient and the hospital feel the need for admission they can get admitted but cannot get cashless benefit and assured settlement. In such cases the patient settles the bill himself and sends claims to sampoorna suraksha office for settlement who may or may not settle entire amount but settle they will definitely upto a minimum of 50%. Simillarly in other emergancy like death the NGO rushes Rs 5000 to the nominee on the same day and then make a claim with sampoorna suraksha. In maternity the people send claim to suraksha office with the help of the animator of the NGO to get a confirmed settlement within a week.

Yes. We help hospitals to sell services to the insured people through their hospitals at predetermnined rates for proauthorised cases. In case the cost of traeatment is likely to exceed preauthorised amount or package amount , in cases of complications additional sanctions can be availed from sampoorna suraksha. Upon submission of the bills, as per the format, the same is processed and submitted to insurance company for settlement. Simillarly we also negotiate with insurance company to sell the insurance through us to the stakeholder at pre negotiated rates. Still later work closely with the insurance company for settlement of claims.