HomeNewsPodcastSimply Save podcast | New-look health insurance policies: Advantage for customers, but premiums could rise

Simply Save podcast | New-look health insurance policies: Advantage for customers, but premiums could rise

Your health insurance policies are set to change. Standardisation of exclusions and definitions will reduce ambiguities and disputes

September 30, 2020 / 11:46 IST
Story continues below Advertisement


Come October 1 and your health insurance policies are all set to acquire a new look. This is because all health insurance contracts renewed after this date will have to comply with the new Insurance Regulatory and Development Authority of India (IRDAI) guidelines on standardisation. New products launched after October 1, 2019 are already compliant with these norms, which are expected to reduce disputes between insurers and policyholders considerably.

The insurance regulator issued the guidelines last year, asking insurers to standardise exclusions – that is, expenses that will not be paid for – and definitions of certain terms such as pre-existing diseases.

Story continues below Advertisement

Also, policies cannot be called into question after eight continuous years of renewal, except in cases of proven fraud. Moreover, the IRDAI has also allowed insurers to cover modern forms of treatment such as stem cell therapy or cyberknife.

While these are customer-friendly measures, the premiums could also go up when your policy comes up for renewal.