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people had coverage for mental illness. During the COVID-19 pandemic, however, people’s mental health became as important as their physical health. As of October 2020, the World Health Organization (WHO) said that about 7.5% of the Indian population had mental disorders. According to another report, about 1 in 20 people in India have problems with their mental health.
So, the IRDAI told all insurers that by October 2020, they should have plans in place to cover the treatment of mental illnesses as part of health insurance. Even so, implementation was slow, and in the end, the insurance regulator told insurance companies to change their health insurance plans so that they cover the cost of treatment for mental illnesses by October 31, 2022.
Do health insurance plans cover psychological disorders?
According to the Mental Healthcare Act, 2017, yes, health insurance in India covers mental disorders under the mental illness cover. With this law in place, health insurance plans will treat mental illnesses the same way they do physical injuries and pay for the costs of their treatment. Also, benefits like free treatment and a bonus for not making a claim apply to both physical and mental illnesses, including psychological disorders.
But different insurance plans cover psychological disorders in different ways. Some plans may only cover the cost of hospitalisation, but OPD plans may pay for outpatient consultations and therapies used to treat a mental disorder.
In general, health insurance for psychological disorders covers the costs of hospitalisation, outpatient visits, diagnostic procedures, medications, road ambulance service, therapies, counselling, room rent, rehabilitation, etc., but this depends on the policy the policyholder buys. Policyholders should read their policy documents to find out what kind of coverage they have.
How long it takes for health insurance to cover psychological disorders