iAdvisor

How Network and Non-Network Hospitals Affect Your Health Claim

When you purchase a comprehensive health insurance plan, the insurer provides a list of network hospitals. The pandemic has highlighted the inevitability of uncertainties in our lives, showing that everyone, regardless of age, is vulnerable to serious health issues. This realization underscores the importance of having a health insurance policy and understanding the roles of network and non-network hospitals in settling claims. Know how it affects your health claims experience.

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Which Scheme of Act Provides Health Insurance Requirements for Workers?

Among the various legislative frameworks addressing this need, one scheme stands out as a key contributor to fulfilling health insurance requirements for workers. This scheme reflects a commitment to the welfare of workers, emphasizing the importance of accessible and affordable healthcare for those contributing to the economic fabric of the nation.

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New IRDAI Rule: Health Insurers can’t deny claims due to pre-existing condition non-disclosure after five years

The IRDAI has shortened the eight-year moratorium period that renders claims unrebuttably due to omission of pre-existing disease disclosure to five years. Similarly, policyholders will now only need to wait three years rather than four for their declared pre-existing conditions, like diabetes or hypertension, to be covered due to a shortened waiting period for pre-existing illnesses, according to Dr. B. Mishra, Director of Claims, Underwriting and Product Niva Bupa Health Insurance.

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