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17 Aliments to be Excluded from Medical Cover, Suggests IRDAI Panel

November 03 2018
A working committee set up by the Insurance Regulatory and Development Authority of India (IRDAI) has recommended a list of 17 ailments that can be excluded permanently by health insurance policy The panel also suggested that all health conditions arising after the inception of the policy must be covered by it.

These key developments were recommended by a working committee appointed by IRDAI in July to look into the standardisation of exclusions under the health insurance contracts. The panel has submitted its reports, containing a host of recommendations to the insurance regulatory body.

The standardised list of 17 diseases to be excluded permanently include Alzheimer’s, Parkinson’s, epilepsy, congenital heart disease, cerebral stroke, chronic liver, Hepatitis B, HIV and AIDS, kidney diseases, loss of hearing and other physical disabilities.

However, to ensure that people with serious pre-existing diseases, including physical disability, can get a medical policy, the committee also suggested that insurers can include permanently excluded diseases in the health insurance contracts with due consent of the proposer or customer.

In another key recommendation, the panel suggested to include chronic diseases like Alzheimer’s, Parkinson’s, HIV/AIDS, and morbid obesity under mediclaim insurance even if a person contracts such ailments after buying the policy. IRDAI is likely to come out with final reports by early next year and the benefits could start from 2019-20.

*Source: The Hindu Businessline

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