Page 13 - Insurance Times JUNE 2022
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private health workers, who may have  The National Health Authority is devel-  The demand for such a product would
          been in direct contact  and  care of  oping a mechanism under which par-  pick up slowly with rising awareness on
          Covid-19 patients and may be at risk.  ents can generate ABHA numbers for  mental health issues, Dalmia said.
                                            their newborns and young children.
          Group health policies see         The ABHA number will enable parents  Ayushman cover likely for
          rise  in  premiums  in  re-       to upload all personal health records  40  crore  more  at  small
                                            from birth, as  well as  all healthcare
          newal cycle                       benefits availed, ranging from public  premium
          Group health insurance policies up for  health  programmes  to  insurance  Moving towards rolling out the world's
          renewal in the current renewal cycle  schemes.                       first comprehensive health insurance
          saw price correction, where insurers                                 scheme, the government plans to ex-
                                            Currently,  only individuals above 18
          revised their premiums upwards. While                                pand  the  Ayushman  Bharat  health
                                            years of age are entitled to enroll for
          in some cases premiums went up 15-                                   cover to over 40 crore more people
                                            ABHA cards.
          18 percent, others saw a marginal in-                                who are currently not covered under
                                            To be sure, the central government
          crease of 5 percent, with the median                                 any government or private health in-
                                            runs  several  programmes  and
          increase being 10 percent, said insur-                               surance scheme.
                                            schemes, such  as POSHAN Abhiyan,
          ers and brokers.
                                            Reproductive and Child  Health, and  While over 50 crore people (10.74
          Medical inflation, losses incurred due                               crore families) are already covered
                                            Rashtriya Bal Swasthya Karyakram,
          to Covid claims, and inclusion of mod-                               under the Ayushman Bharat Pradhan
                                            catering to young children and new-
          ern treatment have weighed on group                                  Mantri Jan Aarogya Yojana (AB-PMJAY)
                                            borns.
          health insurance premiums. The im-                                   that provides free annual health cover
          pact of Covid claims on prices has been                              of Rs 5 lakh to every family, the gov-
                                            India's  1st  standalone
          somewhat lower this year, said insur-                                ernment now plans to extend this cov-
          ers. This is in stark contrast to last year, mental health insurance  erage for a small premium to those
          when they factored in the Covid claims
                                            cover soon                         who cannot afford a health insurance
          received in the underwriting and  in-                                at retail price. The plan is to bring
                                            AXA France India, with its Indian insur-
          creased prices accordingly.                                          down the insurance premium by more
                                            ance partners, is set to launch India's
          Insurers have paid Rs 25,000 crore of  first-ever  mental health  insurance  than one-third of the retail price and
          Covid-related health claims in the two  cover in its group policies, said a per-  make it affordable for the 'missing
          years of the pandemic, according to  son aware of the development. The  middle'  who are currently devoid of
          the General Insurance Council (GIC).  mental health insurance would provide  any financial protection for health, an
          The incurred claims ratio of private  Rs 25,000 for consultation with thera-  official said.
          sector general insurers and standalone  pists,  psychologists,  life  coaches,  The  governing  board  of  National
          health insurers jumped by over 5 per-  among others through virtual mode,  Health  Authority (NHA) - the imple-
          cent and 10 percent, respectively, in  and up to Rs 1 lakh for hospitalisation.  menting agency for AB-PMJAY - ap-
          2020-21,  compared to  the year-ago
                                            The cover would  also provide free  proved the proposal in a meeting ear-
          period, illustrating the impact of Covid
                                            mental health assessment tests as rec-  lier this month. The NHA is now plan-
          on health claims,  revealed the data
                                            ommended  by  the  World  Health   ning to  start pilot projects in select
          shared by the insurance regulator in
                                            Organisation (WHO). This comes amid  states over the next few months, af-
          its annual report.
                                            rising awareness about mental health  ter which coverage will be expanded
                                            in India and the number of cases in-  pan India.
          Now, government to issue
                                            creasing after the pandemic came.
                                                                               The move assumes significance as it
          health IDs to newborns            The policy will provide coverage for  will mean premium health facilities in
          Newborn babies and young children  consultation, therapy medicines, and  government as well as private sector
          will be issued their own Ayushman  hospitalisation, and is expected to be  will be soon accessible to people with-
          Bharat Health Account (ABHA) num-  available from July 1, said the person  out any income bar. It is likely that
          bers, also known as health IDs, allow-  quoted above. This will be a first-of-its-  even private wards in government hos-
          ing parents  to track  their children's  kind policy focusing on mental health,  pitals will be made available under the
          health records.                   said Rajesh Dalmia, partner, EY India.  scheme.
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