Lately, the health insurance sector in India has changed a lot. New rules have been established by the Supreme Court and IRDAI. These rules will be followed from 1 October 2020. Here are the details: New diseases such as genetic diseases, mental illnesses, neurological disorders, robotic surgery, oral chemotherapy, mental illness, etc. will be part of a health insurance with coverage of COVID-19. The existing disease clause had previously imposed a waiting period for coverage of the policy, it lasted years for some policies. Now, existing diseases, which were diagnosed 48 months ago, can be covered within three months of purchasing the policy. Coverage for implant and diagnostic devices, pharmacy bills, etc., which are included in health insurance. A claim cannot be dismissed because of misrepresentation or late filing if the policy has been actively extended for eight consecutive policy periods. According to IRDAI, the insurance company has 8 years to investigate the medical history of an insurance policyholder. Telemedicine is part of health insurance. Online advice was highly valued during the COVID 19 pandemic.
Under another rule, an insurance policyholder can purchase several health insurance policies. He can request a partial payment to the health fund of his choice if a company is unable to pay the full damage. Any health insurance purchased on or after October 1, 2020 will be made in accordance with the above rules. Medicare Advantage: a version of traditional Medicare that allows participants to receive their Medicare benefits through private health insurance. Medicare Advantage Health plans promote prevention and well-being and closely coordinate patient care. You can claim medical expenses if you are hospitalized for more than 24 hours as part of health insurance. In the case of critical health insurance, the full amount insured is paid to the insured who has the survival of the insured, more than 30 days of treatment or operation. The Employee Retirement Income Security Act of 1974 (ERISA) is a comprehensive and complex law that federalizes the Workers` Benefits Act. ERISA applies to most types of workers` pension plans, including health care plans called social assistance plans for workers.