{"id":"f-e550251d2f-f9aeb06e-9e1b-54a7-be04-8b545b4d7500","title":"Health insurance moratorium cut to five years: How policyholders can secure claims earlier","description":"IRDAI reduces health insurance moratorium from eight to five years, boosting policyholder protection.","timestamp":1772445395,"category":"food_and_health","headline":"Health insurance moratorium cut to five years: How policyholders can secure claims earlier","modifiedHeadline":"Health Insurers: Moratorium Now Five Years","subCategories":["scid_835d4705"],"subcategoriesName":["Health care"],"region":"IN","bundleMetaData":{"bundleId":"7b48871c-c993-4956-b43d-6f46f8e1b036","bundleTitle":"Today In India","cardData":null},"iabCategoryId":"399","fcSummary":"irdaï has shortened the health insurance moratorium from eight to five years, protecting policyholders against claim rejections due to disclosure issues after five years of continuous coverage, barring fraud. this change, benefiting long-term policyholders, enhances trust and aims to boost market penetration. insurers must now prioritize clear disclosures and robust risk assessments for improved claims efficiency and customer experience.","summary":"IRDAI cuts health insurance moratorium to 5 years, protecting policyholders from claim rejections sooner. Boost for customer trust & transparency.","ctaUrl":"https://trends.glance.com/newz/Personal_Finance/IN/en/cnbc-tv18/f-e550251d2f-f9aeb06e-9e1b-54a7-be04-8b545b4d7500","sourceUrl":"https://www.cnbctv18.com/personal-finance/health-insurance-moratorium-cut-to-5-years-how-to-get-claims-earlier-ws-el-19860792.htm","bannerImage":"https://g-mob.glance-cdn.com/public/fc/image/S4_F6oGiLkU0.webp","content":"The Insurance Regulatory and Development Authority of India (IRDAI) has reduced the moratorium period in health insurance policies from eight years to five, a regulatory change aimed at strengthening policyholder protection and improving predictability in claims.\n\n
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\n Under the revised rules, policyholders who maintain continuous health insurance for five years will be protected against claim rejections due to non-disclosure, misrepresentation, or incorrect disclosure, except in cases of proven fraud.\n
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\n This means customers now gain three years of earlier protection compared to the previous eight-year moratorium. The period starts from the first policy issuance date, and continuity is maintained even if a policy is ported or migrated, provided there is no break in coverage.\n\n
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\n G Srinivasan, MD & CEO of Galaxy Health Insurance, said the change is expected to build greater trust among customers, particularly senior citizens and long-tenured policyholders, for whom fear of claim rejection has been a major barrier.\n
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\n “This reform is likely to improve persistency and penetration in India’s health insurance market,” he noted.\n
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\n The move also reinforces the importance of accurate disclosures and robust underwriting. Insurers are now expected to ask precise, unambiguous questions in proposal forms and perform more thorough pre-issuance risk assessments.\n\n
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\n According to Srinivasan, Galaxy Health Insurance has revised its proposal forms to be simple, relevant, and clear, ensuring transparency at the entry stage.\n
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\n In practical terms, insurers are recalibrating risk assessment and documentation standards. “We focus on minimal, relevant, and recent documentation, along with medical tests, tele-medical evaluations, and digital health data, to reduce disputes at the claims stage,” Srinivasan said.\n
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\n For claims management, the shorter moratorium is likely to improve efficiency and predictability. Faster processing, better coordination between underwriting and claims teams, and reduced investigation timelines for long-tenured policies are expected to enhance customer experience while maintaining regulatory compliance.\n","readDurationInMinutes":"3","author":{"name":"CNBC TV18","logo":"https://glance-mob.glance-cdn.com/public/bubble/jpeg/ecc3d19b-fc52-4a39-881c-5b0936ae723b.jpeg"},"ism":false,"analyticsResponses":[{"measurementId":"383191425","type":"COMSCORE"}],"pointerSummary":["IRDAI cut health insurance moratorium to 5 years, boosting policyholder protection.","After 5 years of continuous coverage, claims won't be rejected (except fraud).","Insurers revise forms & risk assessment for clearer disclosures & faster claims."],"tags":["IRDAI","HealthInsurance","PolicyholderProtection","InsuranceRegulations","India","MoratoriumPeriod","ClaimRejection","GalaxyHealthInsurance","GSRinivasan","FinancialServices"],"redirectionEnabled":false,"consent":true}

Health insurance moratorium cut to five years: How policyholders can secure claims earlier

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