Soon, pay less and get better health cover: IRDAI hints at new changes

The move is aimed at helping policyholders as the insured would pay less while getting better coverage

Health insurers cannot include the cost of pharmacy, implants, medical devices and diagnostics as part of the associated medical expenses, said the Insurance Regulatory and Development Authority.

In cases where a policyholder opts for a room that has a higher rent than what is covered in their policy, the hospital bill is not fully reimbursed, said the regulator and asked for a uniform approach while applying for proportionate deductions in claims.

In such cases, the insurer can subject the claim of the policyholder to proportionate deductions of associated medical expenses, the regulator said. This would mean insurers would partially reimburse the policyholder’s