Page 12 - Insurance Times April 2017 Special Issue on Newindia
P. 12

Health Insurance



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          Group health insurance            Only few insurers provide women centric products

          premium to see a rise             Rarely does a company provide women  more women-specific but the differen-
                                            centric health products with additional  tiation is in terms of features, and not
          Group health insurance premiums
                                may rise as  features.  Mostly  the                        pricing," he says.
                                IRDAI  in-  cover  is  available  via                      Another  CI  plan  with
                                vestigates  floater policy. However,                       unique features is Tata
                                            Bajaj Allianz General In-
                                disclosure                                                 AIG's  Well  assurance,
                                to    end   surance has a woman-                           which offers a propor-
                                            specific critical illness (CI)
                                subsidisation                                              tion of the premium for
          by lone payers. The increasing cost of  plan  that  covers  con-                 reconstruction. Aditya
          medical insurance had obligated com-  genital  defects  of  the                  Birla Health Insurance
          panies to surge premiums in group  child,  usually not  cov-                     offers  a  cheaper  pre-
          health insurance policies to make the  ered  by  a  normal  CI                   mium for women policy-
          business viable in the past few years.  policy. "The premium is comparable,  holders in indemnity-based plans. The
          This  includes  introduction  of  considering it provides additional ben-  company has based it on international
          copayment terms on claims and pre-  efits," says Dhruv Sarin, head of health  differential  of  incidence  of  illness.
          miums and a cap on acquisition costs.  insurance, Policybazaar.com. "Single-  Aegon offers a women CI rider that
          Some large insurance companies have  payment CI plans do have different  covers pregnancy complications and
          increased premiums on group health  premiums for men and women.      women-related  organ  cancers  like
          by 10-50%, depending on their expe-  A CI plan will typically be cheaper for  uterus, ovaries, etc. It also offers cov-
          rience with the account.          women than for men, because the risk  erage for a housewife up to Rs 1 crore,
                                            perception is different. Companies like  or up to 50 per cent of the husband's
          CallHealth  to  expand            Bajaj Allianz offers CI plans that are  sum assured.
          and raise Rs. 200 crore
          CallHealth is on an expansion mode  Cap on stents price is good
          and plans to raise Rs. 200 crore from  The slash in stents price by the National Pharmaceutical Pricing Authority (NPPA)
          private equity players, its Chief Ex-                   is not only benefitting for the patients but also the
          ecutive Officer Hari Thalapalli told.                   health insurers. The NPPA had in February rolled out
          CallHealth is a  healthcare  service                    new prices of stents which were Rs 7,260 for bare
          provider based in Hyderabad.                            metal stent and Rs 26,600 for drug-coated one. The
                                                                  price was in the range of Rs 45,000 to Rs 1.21 lakh
          "At present, we are servicing 12,000
          customers  a  month  and  adding  before the imposition of the cap.
          about 630 new customers every day  "The move would result in reduction of around 25-30 per cent in total proce-
          besides receiving 2,500 calls. Our  dure cost. As hospitals will now have to separately bill the cost of stent, it will
          next destination will be Delhi, fol-  bring in transparency in pricing. However, the exact impact on the quantum of
          lowed by Chennai, Bengaluru and   claims outgo is difficult to ascertain immediately'', Abhijeet Ghosh, Head, Health
          Mumbai," Thalapalli said.         Insurance, Bajaj Allianz General Insurance, told.

          12  The Insurance Times, April 2017







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