General and health insurers have recently rolled out a “cashless everywhere” facility in India that allows policyholders to access cashless facilities for medical treatment in any hospital. Even if the institution is not in the network of your insurance company, you can still avail cashless treatment there. If it is a planned treatment, all you need to do is inform your insurance company at least 48 hours prior to admission to avail of cashless treatment at a non-network hospital. For emergency hospitalization, you can inform your insurer within 48 hours of admission. Previously, policyholders had to pay for treatment at…
The Medicaid unwinding is nearly a year old, and more Medicaid recipients than expected have been rolled back from the public health insurance program, statistics show.
More than 18 million people have been disenrolled from Medicaid since the unwinding began April 1, 2023. This number is up from the 15 million count currently projected by the federal government.
Millions of those enrolled in Medicaid coverage during the COVID-19 pandemic have been allowed to stay in the program during the federal public health emergency. But the Consolidated Appropriations Act of 2023 delinked the end of the Medicaid continuous enrollment provision from…
Private medical insurance is booming: historic waiting lists for treatment in the UK’s strained NHS and a crisis in primary care have driven demand to its highest in years. But the surge in demand is storing up problems for health insurers — and the customers relying on them.
Patients going private insurers with stretched customer service and in fierce competition for doctors, some of whom are pushing back against what they say are years of near-stagnant fees for operations.
A lack of cover for chronic conditions and frequent changes to policy terms make private health insurance ill-suited to picking up…
In summary
California is one of four states that levies a tax penalty on uninsured households. Many people paying the fines are eligible for heavily subsidized health insurance through Covered California.
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Californians without health insurance are again facing tax penalties this year, and some may pay more in fines than they’d spend buying coverage, state officials say.
That’s because some of them may qualify for heavily subsidized insurance and don’t know it. California’s insurance marketplace, Covered California, offers health insurance for as little as $10 a month, with rates depending on household income and size,…
Georgia Gov. Brian Kemp’s plan for a conservative alternative to Obamacare’s Medicaid expansion has cost taxpayers at least $26 million so far, with more than 90% going toward administrative and consulting costs rather than medical care for low-income people.
Kemp’s Georgia Pathways to Coverage offers government health insurance to people earning up to the federal poverty level — $15,060 for an individual adult — if they can document that they’re working, in school, or performing other qualifying activities.
Since July, when the program began, about 3,500 people have signed up, according to state officials. That’s a small fraction of Georgians…
Taking the health insurance segment to a new level, general and health insurance companies have decided to offer 100 per cent cashless treatment across the country from January 25. The step, initiated by the Insurance Regulatory and Development Authority of India (IRDAI), is expected to boost insurance penetration in the country and ease the claims process of policyholders and hospitals, thus avoiding delays and disputes normally seen in the reimbursement mode.
Under the ‘Cashless Everywhere’ system, the policyholder can get treated in any hospital they choose without paying any amount, and a cashless facility will be available even if this…
Mumbai: Health insurance penetration in India has been growing at a sluggish pace despite the high growth of 22% in premium numbers. The number of lives covered under individual policies in March 2023 grew 2.5% to 528.9 lakh — lower than March 2021 levels.Overall, the number of lives covered under health insurance, including the group business, has increased 5.7% in FY23 from FY24. However, the health premium collected by the insurance industry has increased 22% to Rs 89,492 crore from Rs 73,052 crore in March 2022 .The sharp rise in health insurance premiums without a corresponding increase in the number…
Galaxy Health and Allied Insurance Company received approval from the Insurance Regulatory and Development Authority of India (Irdai) on Friday to commence health insurance business in India.
During the 125th meeting held on 19 March 2024, the insurance regulator granted approval to the company. Following this approval, the number of Standalone Health Insurers (SAHIs) in India will increase to seven from the existing six.
This is the second standalone health insurer to gain IRDAI approval in 2024. Narayana Hospitals backed Narayana Health Insurance Company received approval from the insurance regulator in January 2024.
The company was launched by V Jagannathan,…