The Insurance Regulatory and Development Authority of India (Irdai) has allowed third party administrators (TPAs) to process health claims of foreigners who have taken policies from Indian life insurance companies. The regulator also said a TPA can provide health services to multiple insurers. Similarly, an insurer can engage multiple TPAs for providing health services to its policyholders.
The regulator said a TPA can extend its services for foreign travel policies and health policies issued by Indian insurers covering medical treatment or hospitalisation outside India. This includes health services under travel insurance issued by foreign insurers to those visiting India. However, such services shall be restricted to the treatment required during the India stay of an international policyholder.
Irdai said insurers and TPAs should ensure that discounts, if any, from hospitals are passed on to policyholders or claimants. For this, insurers and TPAs would have to ask hospitals to reflect such discounts in the final bill of each claim.
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