November 05, 2025

Get In Touch

No Check On High Hospital Tariffs, Frequent Revisions, IRDAI Raises Concern

New Delhi: Insurance sector regulator Irdai has expressed concern over rising tariffs in hospitals and has planned to standardise charges for some medical procedures, an official said.
It has been noticed that the rate of inflation of hospital charges at present is around 10-15 per cent and tariffs are being changed on a regular basis, Irdai member (non-life) T L Alamelu said.
"Hospitals keep on changing tariffs on a regular basis. There is nobody to check that. The regulator does not allow insurance companies to raise premium every year though there is around 10-15 per cent inflation of hospital charges at present," Alamelu said.
There is a "mismatch", she said at a programme, organised by Assocham.
"In this context, the General Insurance Council is in talks with the TPAs (third-party administrators) to standardise charges for some procedures like cataract surgery and hysterectomy," she said.
The Insurance Regulatory and Development Authority of India is striving for standardisation of charges of medical procedures, she said, adding that it will take some time as this is a "tough challenge".
Currently, TPAs are being selected by the insurance companies, Alamelu said.
"We plan to introduce a system in which people will have the liberty to choose their TPAs," she said.
Alamelu said the regulator is thinking to set up a health insurance forum for settlement of claims.
"All claims will be settled from this forum within a specific period of time," she said.
Read also: Soon Insurance claim will not rejected for many critical illnesses: IRDAI proposes new rules, asks for feedback
IRDAI is also planning to come out with a common health policy 'Arogya Sanjeevani' with standardised terms and conditions and every insurer has to offer this, she said.
Alamelu said there has been good growth in the health insurance industry for the last ten years.
"From Rs 3,342 crore in 2006-07, collection of health insurance premium has increased to Rs 44,873 crore in 2018- 19," she added.
Read also: Health Insurance in India: NHA, IRDAI launch 4 reports for hospitals

Disclaimer: This website is designed for healthcare professionals and serves solely for informational purposes.
The content provided should not be interpreted as medical advice, diagnosis, treatment recommendations, prescriptions, or endorsements of specific medical practices. It is not a replacement for professional medical consultation or the expertise of a licensed healthcare provider.
Given the ever-evolving nature of medical science, we strive to keep our information accurate and up to date. However, we do not guarantee the completeness or accuracy of the content.
If you come across any inconsistencies, please reach out to us at admin@doctornewsdaily.com.
We do not support or endorse medical opinions, treatments, or recommendations that contradict the advice of qualified healthcare professionals.
By using this website, you agree to our Terms of Use, Privacy Policy, and Advertisement Policy.
For further details, please review our Full Disclaimer.

0 Comments

Post a comment

Please login to post a comment.

No comments yet. Be the first to comment!