Moneycontrol PRO
HomeNewsBusinessEconomyTreatment at make-shift COVID-19 hospitals eligible for health insurance claims: IRDAI

Treatment at make-shift COVID-19 hospitals eligible for health insurance claims: IRDAI

These guidelines are crucial because there have been complaints about some insurers not recognising hospitalisation treatment availed by COVID-19 patients at make-shift hospitals

July 16, 2020 / 21:51 IST

Even if there is a make-shift or temporary hospital where you have availed treatment for coronavirus (COVID-19), the insurance company has to pay expenses under health policies.

The Insurance Regulatory and Development Authority of India (IRDAI) said in a circular on July 16 to all general and health insurers that they must recognise claims incurred at that government-recognised temporary hospitals for novel coronavirus, or COVID-19. This is because of the rise in number of COVID-19 cases in India, said IRDAI.

These guidelines are crucial because there have been complaints about some insurers not recognising hospitalisation treatment availed by COVID-19 patients at make-shift hospitals. This is because as per standard insurance definition these temporary units are generally recognised during claims settlement.

According to data from the health ministry, India had total of 9,68,876 confirmed coronavirus cases as of 8 am on July 16. Here a total of 3,31,146 cases are active and there have been 24,915 deaths so far.

Cities like Mumbai and Delhi that have been worst hit by COVID-19 have set up make-shift hospitals to deal with the virus outbreak.

COVID-19 Vaccine

Frequently Asked Questions

View more
How does a vaccine work?

A vaccine works by mimicking a natural infection. A vaccine not only induces immune response to protect people from any future COVID-19 infection, but also helps quickly build herd immunity to put an end to the pandemic. Herd immunity occurs when a sufficient percentage of a population becomes immune to a disease, making the spread of disease from person to person unlikely. The good news is that SARS-CoV-2 virus has been fairly stable, which increases the viability of a vaccine.

How many types of vaccines are there?

There are broadly four types of vaccine — one, a vaccine based on the whole virus (this could be either inactivated, or an attenuated [weakened] virus vaccine); two, a non-replicating viral vector vaccine that uses a benign virus as vector that carries the antigen of SARS-CoV; three, nucleic-acid vaccines that have genetic material like DNA and RNA of antigens like spike protein given to a person, helping human cells decode genetic material and produce the vaccine; and four, protein subunit vaccine wherein the recombinant proteins of SARS-COV-2 along with an adjuvant (booster) is given as a vaccine.

What does it take to develop a vaccine of this kind?

Vaccine development is a long, complex process. Unlike drugs that are given to people with a diseased, vaccines are given to healthy people and also vulnerable sections such as children, pregnant women and the elderly. So rigorous tests are compulsory. History says that the fastest time it took to develop a vaccine is five years, but it usually takes double or sometimes triple that time.

View more
Show

IRDAI said any make-shift or temporary hospital permitted by central or state government will be regarded as a hospital or network provider.

The regulator said where a COVID-19 positive policyholder is admitted into any such make-shift or temporary hospital on the advice of a medical practitioner, the treatment costs shall be settled by insurers.

In cases where any network provider has set up any such make-shift hospital, insurers have to offer cashless facility to policyholders. These guidelines will come into force with immediate effect.

In the recent past, IRDAI has issued guidelines in order to expedite claims settlements for COVID-19 patients.

On July 14, IRDAI had said that all hospitals must provide cashless facility to their network insurers' customers for treatment of COVID-19 in these medical establishments.

The regulator has also brought out a standard Corona Kavach plan that offers standard treatment for hospitalisation and treatment of coronavirus.

Follow our full coverage of the coronavirus pandemic here

Moneycontrol News
first published: Jul 16, 2020 09:34 pm

Discover the latest Business News, Sensex, and Nifty updates. Obtain Personal Finance insights, tax queries, and expert opinions on Moneycontrol or download the Moneycontrol App to stay updated!

Subscribe to Tech Newsletters

  • On Saturdays

    Find the best of Al News in one place, specially curated for you every weekend.

  • Daily-Weekdays

    Stay on top of the latest tech trends and biggest startup news.

Advisory Alert: It has come to our attention that certain individuals are representing themselves as affiliates of Moneycontrol and soliciting funds on the false promise of assured returns on their investments. We wish to reiterate that Moneycontrol does not solicit funds from investors and neither does it promise any assured returns. In case you are approached by anyone making such claims, please write to us at grievanceofficer@nw18.com or call on 02268882347