{"id":3830,"date":"2021-01-27T14:11:27","date_gmt":"2021-01-27T08:41:27","guid":{"rendered":"https:\/\/www.finsafe.in\/financial-wellness\/?page_id=3830"},"modified":"2022-11-18T13:52:01","modified_gmt":"2022-11-18T08:22:01","slug":"dec-2020-monthly-updates","status":"publish","type":"page","link":"https:\/\/www.finsafe.in\/financial-wellness\/dec-2020-monthly-updates\/","title":{"rendered":"Monthly updates"},"content":{"rendered":"\t\t
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8) In Dec 2020, various guidelines for proportionate deductions under health insurance policies were introduced.<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Particulars<\/td>\nOld<\/td>\nNew<\/td>\n<\/tr>\n
Health Insurance<\/td>\n\n
    \n \t
  • Hospitals charge medical expenses like doctor\u2019s fees, pharmacy cost, diagnostic cost (called Associate medical expenses) as per the room category.<\/li>\n<\/ul>\n<\/td>\n
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  • Associate medical expenses to now be clearly defined in the health policy contract Insurers are not to recover expenses towards proportionate deductions other than the defined \u2018associate medical expenses\u2019 while processing claims <\/li>\n\n
  • The following expenses will not be subject to \n

    proportionate deduction:<\/p>\n

    -Cost of pharmacy<\/P>
    \n

    -Cost of implants and medical devices<\/p>
    \n

    -Cost of diagnostics<\/p>
    \n -Proportionate deduction not allowed for ICU charges\n<\/li>\n
    \n

  • This helps reduce out of pocket expenses and increases the claim amount for the policyholders .<\/li> \n\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n