AYUSH Treatment in Health Insurance: Meaning, Importance and Steps To Apply

AYUSH is an abbreviation for Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy. These are the ancient Indian systems of medicine that have helped mankind fight rare disorders for centuries. As modern medicine has progressed and humankind is discovering unique solutions to rare diseases, health insurance is becoming more holistic. IRDAI recently came out with instructions for all health insurance providers to provide coverage for AYUSH treatment in health insurance. Moreover, the insured will also get options to choose which treatments of AYUSH they want their health insurance to cover.

Benefits Of Health Insurance With AYUSH Treatment

AYUSH treatment insurance has a range of benefits to look at.

Cost-Effectiveness

AYUSH coverage is quite affordable compared to other treatment methods. In India, the cost of healthcare has spiked by 14%, making access to necessary healthcare a privilege. AYUSH offers a comprehensive and affordable alternative to the rising cost of healthcare, which is why most people still prefer using its methods.

Holistic Approach

Pacing with the changing lifestyle, healthcare has also evolved, but with more complexity. There are different treatments for different disorders, making healthcare treatment daunting. AYUSH treatment insurance offers varied alternative treatments such as homeopathy or yoga according to the disorder. Unlike traditional medicines, where first the actual symptoms are considered, AYUSH therapy tends to change the dietary patterns of the individual instead. This makes AYUSH treatment take a different route and offers holistic health solutions.

Read to know in detail about the types and benefits of health insurance in India.

Lower Side-Effects

One of the distinct characteristics of AYUSH therapy is that it provides solutions with minimal side effects. An ayurvedic treatment covered under mediclaim mainly depends on the ancient ayurvedic practices, which believe in changing the food habits of people and lifestyles instead of administering medicines. Moreover, you can also take AYUSH therapy along with the conventional therapy. Modern health insurance covering ayurvedic treatment provides complete coverage for yoga or homeopathy treatment at a minimal premium. Check Covrzy for detailed information on checking the plans for AYUSH treatment.

AYUSH Coverage Details: Know The Coverage

The benefits offered by AYUSH treatment in health insurance differ across insurance providers. While some insurance providers may get you coverage for critical illness cured by AYUSH treatment, some may offer coverage for yoga admission. Before you sign up with an insurance provider, always take a look at the offered plans, the policy coverage, the treatment add-ons, and more. Let’s check out which expenses are covered by the insurance providers for the AYUSH scheme:

• All treatment costs related to ayurvedic treatment, yoga, Unani, Siddha, and homeopathy are duly covered with the AYUSH insurance scheme.
• Yoga Course enrolment fees as paid by the policyholder
• Any healthcare add-on coverage
• All treatment costs in a healthcare unit recognized by the National Accreditation Board of Health (NABH) or Quality Council of India (QIC) The coverage can be based on the nature of AYUSH treatment, the practitioner, and the place where the treatment center is located.

Exclusions of AYUSH Insurance Scheme

An ayurvedic treatment covered under mediclaim is the best in the context of most other remedial measures. But, there are also certain exclusions based on the individual insurance company. Some of these exclusions can be any yoga or ayurvedic consultation expenses which are done outside a certified hospital. When you’re reaching out for AYUSH health insurance, always reach out to your insurer directly to resolve any ambiguities. Time to check out all these exclusions here:

• Alternate treatment costs such as any other treatments other than AYUSH treatment
• Costs incurred for hospitalization evaluation expenses
• Costs incurred for any treatment under any hospital that is not recognized under the Ministry of Ayush
• Costs incurred in any non-hospital or non-healthcare facility such as home-based healthcare
• Outpatient treatment that does not include in-hospitalization expenses
• All post and pre-hospitalization expenses
• Rejuvenation costs through any yoga or ayurvedic treatment

Know more about what is OPD and check its insurance coverage details.

Application Process for AYUSH Treatment In Health Insurance

Claiming the benefits of health insurance covering Ayurvedic treatment is easy with a step-by-step process. Although a few steps may seem new to you, yet with Covrzy guided steps you can easily apply without hassles.

Selecting a Registered Practitioner

First, check out if the hospital or healthcare unit is approved by the Ministry of Ayush. All insurance providers providing mediclaim for ayurvedic treatment first will be checking on if the hospital is an approved one, thus note to check this box.

Pre-authorization

Few insurers will need pre-authorization to ensure that the policyholder is eligible for the AYUSH coverage. However, this is not always mandatory and may vary across insurers. Call your insurer to understand if pre-authorization is obligatory.

Treatment and Documentation

You will be required to submit these documents for availing claim for the AYUSH insurance scheme: Identity proof of the policyholder (Aadhar Card/Voters ID) Healthcare admission receipt Mediclaim certificate Policy claim certificate

Filing a Claim

Once you have submitted the required documents, you need to file the claim with your insurer. Contact your insurance provider directly with all the supporting documents and reach out to file the claim for Ayurvedic health insurance.

Claim Settlement

After your claim is submitted, the insurer will examine the papers and decide regarding the claim. The settlement might take some time.

Once your claim has been verified, you will receive a message regarding the claim settlement. In addition to that, you will be receiving a claim settlement ID too. Depending on the health insurance covering ayurvedic treatment, your provider will be crediting the insurance to your Aadhar-linked bank account.

Conclusion

AYUSH treatments are initiated by the Indian government to prevent disease through an affordable and indigenous treatment method. Although the coverage benefits may vary across the insurers, the process to apply for insurance is the same. AYUSH remedy checks on the causative factors to heal, such as changing the lifestyle of the patient. Moreover, because it has too few side effects, many insurance providers provide AYUSH treatment in health insurance as a coverage benefit. Before purchasing the policy, ensure transparency by first scrutinizing the policy papers and obtaining clarifications from your insurer whenever necessary.

Buy Employee Health Insurance In Easy Steps With Covrzy

With IRDAI-licensed advisors, Covrzy aims to provide you with a complete walk-through to purchase the right wellness scheme. Get in touch with us today to book a free consultation meeting, where you can opt-in for the best insurance plan for your employee in just a few steps.