The Insurance coverage Regulatory and Improvement Authority of India (Irdai) has sought well being and common insurers’ views on masking the price of covid-19 vaccination underneath their current plans, a medical health insurance govt mentioned, including that the trade physique Normal Insurance coverage Council has opposed the transfer.
Based on the chief, who confirmed receiving Irdai’s communication within the first week of January, the transfer could result in abuse and misuse of insurance coverage insurance policies, moreover placing a heavy financial burden on insurance coverage firms.
“The regulator’s question was additionally centred on whether or not covid-19 vaccines are lined and the way they’re lined underneath well being plans. There isn’t any advisory on this entrance from the regulator as of now,” the chief mentioned, searching for anonymity.
As medical health insurance insurance policies are indemnity-based plans (the place hospitalization bills are reimbursed), an individual who’s hospitalized for a minimum of 24 hours and is given a covid-19 vaccine can declare bills.
Alternatively, if an insurance coverage coverage gives out-patient division advantages, it’ll cowl the price of the jab.
Nevertheless, well being insurance policies that include an OPD cowl are typically fairly costly and consultants mentioned that is one cause the class hasn’t picked up previously. The transfer will even pose operational points.