Your health insurance plan will cover mental illnesses now, but here’s the catch

The Insurance Regulatory and Development Authority of India (IRDAI) has made it mandatory for all health insurance policies to cover mental illness in accordance with the provisions of the Mental Health Act 2017. All insurers have been asked to adhere to the rules no later than October. 31

“All insurance products will cover mental illness and comply with the provisions of the 2017 MHC Act without any deviation. Insurers are requested to confirm compliance by October 31, 2022,” reads the latest IRDAI circular.

Mental health problems have become one of the main causes of concern today, especially since the Covid-19 pandemic, due to increased levels of stress and anxiety. However, it is still often pushed aside due to the stigmas associated with it.

As with any physical illness, it is important to take the necessary steps to ensure mental well-being.

The Mental Health Act of 2017 was passed to ensure that all people with mental illness receive appropriate health care and services and to “protect, promote and fulfill” their rights during the provision of those services.

What will your health insurance plan cover now?

Although there is not enough clarity yet, insurance companies will make provisions for mental health problems, such as acute depression, bipolar disorder, eating disorders, post-traumatic stress disorder (PTSD), schizophrenia, dementia, etc., under any insurance policy. standard health insurance, over and above existing provisions.

As a result, for anyone who needs hospitalization for inpatient mental illness treatment, the health insurance plan will cover the cost of treatment, including medications, diagnostics, ambulance fees, etc.

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Are there exclusions to the plan?

Currently, health insurance plans may not currently cover mental retardation or intellectual disability, according to reports. Also, insurance plans will also not cover drug and alcohol abuse under current provisions.

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