Hassle-Free Discharges: Insurers Must Approve Final Authorisation Within 3 Hours
Good news for policyholders! The Insurance Regulatory and Development Authority of India (IRDAI) has issued a new regulation aimed at streamlining the cashless claims process Link to IRDAI circular. This circular focuses on ensuring a smoother discharge experience for patients undergoing hospitalization.
Here’s what the new regulation means for you:
Faster Discharge Approvals:
Health insurance companies must now grant final authorization for discharge within three hours of receiving a request from the hospital. This eliminates the worry of waiting for approval before leaving the hospital.
No More Delays:
If the insurer fails to meet the three-hour deadline, they are responsible for covering any additional hospital charges incurred due to the delay. This financial responsibility ensures insurers prioritize timely approvals.
Expedited Claim Settlement in Case of Death:
In the unfortunate event of a policyholder passing away during treatment, the insurer must:
- Immediately process the claim settlement request.
- Facilitate the prompt release of the mortal remains from the hospital, minimizing stress for the grieving family.
This new regulation by IRDAI empowers policyholders and aims to make the cashless hospitalization experience more efficient and less stressful.