To increase access to cashless benefits in health cover across the country, insurance regulator Irdai has now allowed insurers to list hospitals that meet standards and benchmark criteria specified by their boards.
While specifying the requirements, insurer boards should, among other things, consider minimum manpower and healthcare infrastructure facilities, the Insurance Regulatory and Development Authority of India (Irdai) said. Insurers are also required to publish Board approved enrollment criteria on their website from time to time. While enlisting network providers for cashless benefits, insurers are advised to focus on providing quality healthcare services.
Sharad Mathur, MD & CEO, Universal Sompo General Insurance, said, “This regulatory initiative will expand insurers’ access to cashless services, which will play an important role in reducing the financial burden on policyholders. It will provide a strong network of healthcare and insurance services across the country. This, in my view, is an excellent move, encouraging and will support not only the interests of policy makers but also the public.”
“There have been several improvements in the healthcare industry post-Covid-19. However, we still have a long way to go,” he added.