Health Insurance Experts Blog

Uncovering Room Rent Limits in Health Insurance and their implications on Claims

Many health insurance policies, specially the policies from PSU/Govt. Health Insurance Companies, and most of the Group Policies (The health insurance through your employer or Bank Policies) have limits on room rent. The limit basically puts a cap on the per day room rent you can claim, linked mostly to the sum insured (total coverage) you are entitled to.  A recent . . .

IRDA to issue claims settlement rules for Health Insurance Companies

This is really an excellent piece of news. IRDA, continuing its efforts to protect consumer interests, has announced its decision to issue detailed rules on Claims settlement for Health Insurance Companies. The first draft is expected in April 30, 2012. This announcement is following a recent Bombay High Court order asking IRDA to draft regulations bringing in claim settlement rules . . .

Mediclaim costs may rise as TPAs plan to double charges

TPAs plan to double the service charges Come October 1 and third party administrators (TPA) that service health insurance claims will double the service charges they claim from non-life insurance companies. This may lead to a hike in health insurance premiums if insurers choose to pass it on to consumers. At present, TPA charges 5.25 per cent of the premium paid by policyholders as service fee. This . . .

PSU Insurers: Fix rates or get delisted from our Cashless Network.

Insurers may expand the list of hospitals for cashless facility. NEW DELHI: Locked in a battle with big healthcare firms over censoring cashless health insurance claims, state-run insurers on Thursday asserted that the facility would be extended only to those hospitals that agree to their rates for medical expenses. "The purpose of working out such package rates and stabilising the hospitalisation costs, will benefit the insured in many ways," . . .

How will Common TPA for PSU Insurers impact consumers and health insurance industry?

Recently, we came across news in an online Publication, in.news.yahoo.com Common TPA to process the health insurance claimsRecently, we came across news in an online Publication, in.news.yahoo.com Chennai, July 11 (IANS) The four government-owned non-life insurers -- National Insurance, New India Assurance, Oriental Insurance and United India Insurance-- will soon be taking forward their idea of floating a common third party administrator (TPA) to process the health insurance claims. 'We will be issuing a Request for Proposal (RFP) shortly. . . .

Future of TPAs in India. Is it the end of road for TPAs?

Health Insurance being the corner stone of growth for the Insurance Industry; specially the Non-Life side, has been in the news. Huge growth numbers have been regular headlines in all kinds of media. Though Mediclaim is the most important growth driver and prime focus for the Insurance Industry, claims keep soaring taller and taller than the premiums in the PPT presentations of Insurance Companies. Health Insurance being the corner stone of growth for the Insurance Industry; specially the Non-Life side, has been in the news. Huge growth numbers have been regular headlines in all kinds of media. Though Mediclaim is the most important growth driver and prime focus for the Insurance Industry, claims keep soaring taller and taller than the premiums in the PPT . . .

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