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Insights · Deductions

Why TPAs deduct room rent proportionately, and what it costs you

In short

Proportionate deduction happens when a patient occupies a room costing more than the policy's room rent limit. Most Indian health policies then reduce all other associated charges — surgeon fees, OT charges, investigations — in the same proportion as the room rent excess, not just the room charge itself. A hospital that admits a patient one room category above their eligibility can therefore lose a share of the entire bill, not merely the difference in room rate.

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