1.Cashless Everywhere
Earlier, if you were admitted to a non-network hospital, you could not avail of cashless claim facility, and had to first pay from your own pocket and claim reimbursement only after being discharged. Now, you can make cashless claims regardless of the hospital you are admitted to.
2.Pre-existing diseases/specific ailments waiting period cut from 4 to 3 years
This means that if you suffer from specified medical conditions and diseases at the time of buying a health cover, the insurer will cover it only after a specified waiting period. Earlier, the maximum waiting period for doing so was four years, but this has now been cut to three years.
3.No limitations on Ayush treatments
Bringing Ayush treatments (ayurveda, yoga, unani, siddha, homoeopathy) at par with other treatments, Irdai has specified that insurers shall have a Board-approved policy for Ayush coverage without any limitations. This means your claim shall not be rejected for Ayush treatment if you fulfil the specified conditions.
4.3-hour cashless claim clearance
Insurers will have to clear a claim within three hours of receiving it from the hospital during discharge. Irdai has also given a window of one hour for clearing cashless claim requests at the time of admission. This could cut down your delay at the time of hospital admission and discharge.5.Moratorium period cut to 5 years
If you have had a health plan with continuous coverage for five years (including portability and migration), the insurer cannot contest any claim on grounds of non-disclosure or misrepresentation, except fraud. This period was earlier eight years.
6.Claims with multiple insurers
This means that you can make a claim for a single hospitalisation with multiple health insurance policies. For instance, if you have two health policies worth Rs.5 lakh and Rs.10 lakh, and you incur a hospital bill of Rs.12 lakh, you can use both the policies to settle the claim.
Source Link