The Insurance Regulatory and Development Authority of India (IRDAI) released a new master circular on health insurance.
Insurers must decide on cashless authorisation within one hour of receiving a request.
The insurer shall grant final authorisation within three hours of receiving the discharge authorization request from the hospital.
In no case shall the policyholder be made to wait to be discharged from the Hospital.
If there is any delay beyond three hours, the additional amount, if any, charged by the hospital shall be borne by the insurer from the shareholder’s fund.