"Health insurance plays a vital role in safeguarding Indians from mounting healthcare costs. With medical inflation rising and hospital bills becoming unaffordable, having robust individual health insurance is no longer an option but a necessity. Recognising this, the Indian insurance regulator made a crucial change in April 2024. Now, health insurance and individual health insurance plans must cover hospitalisation cases where the patient is admitted for as little as two hours."
"The Insurance Regulatory and Development Authority of India (IRDAI) issued a circular on 1 April 2024 that mandates all health insurance and individual health insurance policies to consider a minimum two-hour hospitalisation eligible for claims. Earlier, most policies required a minimum of 24 hours of hospital stay for claim eligibility, with exceptions only for certain day care surgeries or treatments. This new rule includes all types of planned and emergency procedures, vastly enhancing the policyholder's benefit."
"Historically, health insurance providers in India required policyholders to be hospitalised for at least 24 hours to access claim benefits. This was based on the assumption that inpatient care would always need longer periods. Over time, only a fixed list of "day care" treatments like cataract, dialysis or chemotherapy were allowed claims even if the stay was under 24 hours."
The Insurance Regulatory and Development Authority of India issued a circular on 1 April 2024 requiring all health insurance and individual health insurance policies to treat hospitalisations of at least two hours as eligible for claims. Previously, most policies required a minimum 24-hour hospital stay, with exceptions only for specified day-care procedures. The new rule covers both planned and emergency procedures and broadens access to shorter procedures and modern treatments that do not require long stays. The change reduces out-of-pocket costs for policyholders, updates coverage to match medical advances, and extends benefits to many short-duration hospital interventions.
Read at Classic Yoga
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