Page 15 - Insurance Times March 2024

a new cashless health policy tailored The key feature of the plan is its glo- launched a universal health insurance
for Indian students pursuing education bal coverage, ensuring access to top- scheme under which 4.15 lakh families
abroad, in response to the escalating notch medical facilities worldwide, in- in the northeastern state will get an
healthcare costs in popular student cluding a network of hospitals, clinics, insurance coverage of Rs 5 lakh.
destinations such as UK, USA, Canada, doctors, and professionals. Under the Chief Minister's Jan Arogya
Germany and Australia. The premium Rahul Prasad, the Chief Executive of Yojana (CM-JAY) 4.15 lakh families in-
for this policy will need to be paid in HDFC International Life and Re, cluding government employees who
US dollars. emphasised the plan's advantages, say- are not covered under PM-JAY will get
Specifically designed for students in the ing, "The plan enables customers to the benefit of health insurance cover-
12-40 age bracket currently pursuing access top private medical facilities and age of Rs 5 lakh each.
higher education abroad or aspiring to services while avoiding the conven- "People become helpless when medi-
do so, the global student healthcare tional hassle of going through lengthy
cal emergency emerges. Many people
plan offers comprehensive coverage. appointment wait times." The policy who are not covered under PM-JAY
HDFC Life International, operating covers a wide spectrum of medical visit me with a plea for financial assis-
from its Gift City IFSC unit, is present- needs, from routine check-ups to un-
tance to meet exorbitant medical ex-
ing this groundbreaking initiative. foreseen emergencies, and includes penditure. It has become a constraint
default dental coverage, home doctor
This unit is the first overseas branch of for me to help all these people. This
HDFC International Life and Re, a life and visits, and alternative medicine, has led me to think of an alternative
among other benefits.
health reinsurer based in DIFC, Dubai. arrangement for those people who
need help for treatment", Saha said
The plan comes in four options, provid-
ing coverage of up to $3 million. It of- Tripura CM launches Rs 5 while launching the CM-JAY.
fers flexibility in cover terms, ranging lakh health insurance "It is indeed a historic moment for the
from three months to one year, align- state that we are rolling out CM-JAY to
ing with the varied durations of inter- scheme for 415,000 families help the people with a healing touch
national study programs. Tripura Chief Minister Manik Saha to those who need assistance from the
government. Under the scheme, each
IRDAI brings Ayush under health cover from April 1 enrolled family will get health insur-
ance of Rs 5 lakh annually", he said.
The treatment costs under ayurveda, yoga and naturopathy, unani, siddha
and homoeopathy (Ayush) will be brought on a par with allopathy from the Saha said the scheme is designed in
next financial year, according to the IRDAI. such a way that the patient's family
will get free medicine for 15 days even
Under the new guidelines, effective from April 1, 2024, IRDAI has directed after discharge from government or
all general and health Insurers (except ECGC and AIC) to put in place a board
private hospitals and the entire process
approved policy for Ayush coverage, which should include their approach will be cashless.
towards placing Ayush treatments on par with other treatments for health
insurance coverage, thereby allowing policyholders to adopt a treatment Additional chief executive officer of the
national health authority Basant Garg
of their choice.
claimed that Tripura is the first north-
The policy shall also contain the quality parameters as well as procedures eastern state to have introduced univer-
for enrolling Ayush hospitals/ day-care centres as network providers for a sal health insurance coverage for all.
cashless facility. "Insurers shall modify their existing products that contain
limitations for Ayush treatments and ensure compliance with above direc- Join
tions,'' the regulator said.
The insurers should have adequate controls as well as standard operating Online Certificate
procedures (SOP) for enrolling hospitals into their network, placing neces- Course on
sary clauses in their health services agreements with Ayush hospitals/day-
care centres and standard treatment protocols, according to the guidelines. Reinsurance
Apart from dealing with possible frauds and abuse of the system, if any, the
insurers should 'actively' engage with the Core Group of Experts for the In- For details please visit
surance Sector constituted by the Ministry of Ayush, the insurance regula-
www.smartonlinecourse.co.in
tor said.

14 March 2024 The Insurance Times