Now, people aged 65 and above can buy new health insurance policies as the Insurance Regulatory and Development Authority of India (IRDAI) has removed the age limit on purchasing health insurance policies, effective from April 1, 2024, ANI reported.
Previously, individuals aged 65 and above were not permitted to buy policies. But the changes that have come into effect from April 1, 2024, now allow any individual, regardless of age, to be eligible to purchase a health insurance policy.
In a notification, the IRDAI has instructed insurers to offer health insurance products for all age groups.
Insurers may design health insurance policy products specifically for senior citizens, students, children, maternity, and any other group specified by the Competent Authority.
This new decision by the IRDAI aims to create a more inclusive healthcare system in India and encourage insurance companies to diversify their offerings.
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According to the report, the top insurance regulatory body has instructed providers to introduce ¡®tailored policies¡¯ for specific demographics including senior citizens and also establish dedicated channels for handling claims and complaints.
"It's a welcome change since it now opens the door for people above 65 to seek health cover. Insurers, based on their Board-approved Underwriting guidelines, can cover people above 65. The coverage is subject to offer and acceptance between the Insured and Insurer based on affordability for the senior citizens and viability for Insurers," an industry expert told ANI.
Following the recent notification, health insurance providers are prohibited from denying policies to individuals with severe medical conditions including cancer, heart or renal failure, and AIDS, the report added.
In addition to this, the insurance regulator has reduced the insurance waiting period from 48 months to 36 months.
Now, all pre-existing conditions should be covered after 36 months, regardless of whether the policyholder disclosed them initially or not. Health insurers are prohibited from rejecting claims based on pre-existing conditions after these 36 months.
Insurance companies are not allowed to introduce indemnity-based health policies, which compensate for hospital expenses. Instead, they are only permitted to provide benefit-based policies, offering fixed costs upon the occurrence of a covered disease.
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