The regulator IRDAI in an attempt to provide the best and cost effective services for the claimants has directed the insurers as well as the TPA’s to pass on discounts, if any, given by hospitals to policyholders.
“While every insurer and TPA shall endeavour to get the best and cost effective services to the policyholders or the claimants of health insurance policies, it shall be ensured that the discounts obtained from the hospitals, if any, are passed on to the policyholders or the claimants of the underlying health insurance policy,” IRDAI said.
Going forward it has also asked the hospitals to reflect such agreed discounts in the final hospitalization bill of each claim, so that the policyholder or the claimant is aware of the actual bill raised by the hospital.
