History of Health Insurance
What does the term “Family Floater Policy” mean?
One health insurance policy covering the entire family.
Roughly what share of health spending in India comes directly from people’s pockets?
Over 70%.
What does TPA stand for?
Third Party Administrator.
Who does RSBY primarily target?
Below Poverty Line (BPL) families.
What is “portability of Mediclaim”?
Ability to switch insurers without losing policy benefits.
What scheme was launched in 1954 for Central Government employees?
Central Government Health Scheme (CGHS).
Name one government scheme that covers farmers in Karnataka.
Yeshasvini Scheme.
What is the benefit of a cashless claim?
The insurer/TPA directly settles hospital bills.
In which year was RSBY launched?
2008
Which traditional medical systems may be brought under Mediclaim?
Ayurveda, Unani, Siddha, Homeopathy.
Which country offered the world’s first medical insurance in 1850?
USA
Which four public sector insurers dominate India’s health insurance market?
National Insurance, New India Assurance, Oriental Insurance, United India Insurance.
How many TPAs were registered with IRDA (as per PPT data)?
29.
How much hospitalization coverage does RSBY provide per family per year?
₹30,000.
What is the main idea behind Health Savings Accounts (HSA)?
Tax-free savings for medical expenses.
In which year did the Employees State Insurance Scheme (ESIS) begin in India?
1948
Name one private health insurer active in India around 2011.
ICICI Lombard / Bajaj Allianz / HDFC ERGO (any one).
What hospital agreement introduced in 2010 standardized treatment rates?
Preferred Provider Network (PPN).
What technology was used to make RSBY cards secure and portable?
Biometric-enabled smart card.
What was the first HSA-type product introduced in India in 1990?
Bhavishya Arogya.
Which year saw the introduction of the first Mediclaim product in India?
1986
Approximately what percentage of India’s population has health insurance?
About 10%.
If a patient is hospitalized in a non-network hospital, how are claims settled?
Through reimbursement.
In North-eastern states, what share of RSBY premium does the central government pay?
90%.
Name one major challenge hindering growth of health insurance in India.
Low awareness / Affordability / Tedious claim processes