Health insurance claim settlement to become simpler: IRDAI proposes this

The out-of-pocket expense for health insurance policyholders is set to get lower. A the time of claim settlement, sometimes the health insurance gets paid only partially by the insurance company or the third-party administrator (TPA). This is primarily on account of a feature called ‘Sub-Limit’ in health insurance policies. Some times, the claim is proportionately reduced or deducted based on the sub-limit of the room rent used by the policyholder. The Insurance Regulatory and Development Authority of India (IRDAI) has decided to ensure uniformity at the time when the insurers apply proportionate deductions in health insurance claims when policyholders opt for a room with a higher rent than the eligible limit under the policy.

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