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The plan is now in discussion among the insurers and which will require approval from the insurance regulator, followed the record-breaking air pollution in New Delhi last year. If approved, this will be the first time air pollution was used as a direct factor in detecting health insurance premiums in India, and also used to justify price hike in other cities. Can be done.
Toxic air demanded treatment for more Delhi residents for asthma, chronic obstructive pulmonary disease (COPD) and heart conditions in 2024, which is more than any previous year, said five officials.
All the officials spoke on the condition of anonymity as they are not authorized to speak with the media.
“We have to start thinking about pollution as a separate factor in pricing in the sense that we can then start executing a special fee for areas that are affected by it,” Amitabh Jain said, said, ” Star Health Operating Head, No. of India. .1 Standalone Health Insurator.
In 2024, the number of patients with respiratory diseases, required to be hospitalized, increased to 5% -6% in the first half of 17% -18% vs 5% -6% in the second half of the year, Jain Said.
According to a joint report by Boston Consulting Group and Indian Healthcare Administrator Medi Assist, India recorded the highest increase in healthcare costs during this period.
Star Health and ICICI Lombard said that if poor air quality persists, pollution may soon become a direct factor in determining health insurance premiums. Bajaj Allianz General Insurance said that the industry can also add new sections, especially addressing health concerns related to pollution.
India’s Insurance Regulatory and Development Authority (IRDAI) and Aditya Birla Health Insurance, Tata AIG, New India Assurance and Go Digit not responded to the requests seeking comment.
According to the latest IRDAI annual report, for 2023/24, Indian insurers collected $ 12.4 billion in health insurance premiums, an increase of about 20% compared to the previous year.
Not just Delhi
New Delhi chokes on the smog due to a mixture of smoke from vehicle emission, construction dust and illegal farm fire every winter. In November, Delhi beat Lahore in Pakistan as the world’s most polluted city in the live rankings of Swiss Group Ekir, with Mumbai and Kolkata also making it in the list of top 10 cities with the most toxic air.
On 18 November, the Pollution Control Authority of India said the 24-hour air quality index (AQI) score of the National Capital Region touched the season-high of 491 on a scale of 500. Anything more than 400 is “severe”, as well as healthy people. “Seriously influence” with existing health issues.
In India, insurers can separate the health insurance premium by the city based on factors ranging from the cost of hospitalization to demographics.
Getting regulatory node to include air pollution as a factor depends on the insurers to be the leading to an increase in claims to claim to claim the evidence.
Joydeep Roy, advisor leader of PWC India Financial Services, said, “The frequency and severity of hospitalization needs to be isolated due to pure toxicity in the air.”
“This involves starting long -term studies.”
It is not known how long it will take to conduct such a study or obtain the necessary approval from IRDAI.
Senior citizens, children, outdoor professional and with respiratory conditions who will pay the highest premium. The plan, if approved, will probably make health insurance ineffective for many people, which require the most.
According to the Delhi Statistical Handbook, the per capita income of New Delhi in 2024 was $ 5,331, and health insurance will cost between $ 100 to $ 400 per year under current guidelines with a $ 10,000 coverage range for a family in the city.
“In India, the owner of the health insurance cover is a luxury,” Delhi -based and COPD patient Annit Tiwari decided against 28, who in 2024 decided to get coverage as it was very expensive.
(Tagstotransite) Health Insurance (T) Health Insurance Premium (T) Insurance (T) Insurance Premium (T) Air Pollution