The basic aim of this Paper is to bring the readers, insurance professionals, insured and general public about the Health Insurance In India. The health insurance becomes the one of the major portfolio of non-life insurers next to Motor Insurance accounting 30–35% of total premium of the entire business. This paper will focus on health insurance scenario at the world level with specific reference to Indian Health systems and Insurance. It describes the Health care systems and development of Health Insurance in India and its performance. This paper elaborate the performance of insurance Regulator – IRDA – controlling and monitoring health insurance in India and also discuss the various regulations brought by the regulator to protect the policyholders interest.
Further this paper gives a snapshot about the Health Insurance policy coverage, exclusions, conditions, and various types of health insurance policies available in the market. A deep analysis was made on the cashless treatment offered by the insurance companies and the same how being misused by the healthcare providers. Various grievances redress mechanism available to aggrieved insured also highlighted at the end.
