Myth or coverage: experience and expectation of policyholders from health insurance during COVID-19 in the NCR region of India
Abstract This study intends to determine whether and to what extent policyholders admitted to the hospital for COVID-19 treatment receive financial support from their health insurance. The researcher interviewed 67 health insurance claimants in the NCR region's several cities—some in Uttar Prad...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-08-01
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| Series: | Future Business Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43093-023-00209-0 |
| _version_ | 1797736382570954752 |
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| author | Nikita Singhal Almas Sultana Shikha Goyal |
| author_facet | Nikita Singhal Almas Sultana Shikha Goyal |
| author_sort | Nikita Singhal |
| collection | DOAJ |
| description | Abstract This study intends to determine whether and to what extent policyholders admitted to the hospital for COVID-19 treatment receive financial support from their health insurance. The researcher interviewed 67 health insurance claimants in the NCR region's several cities—some in Uttar Pradesh, Delhi, Haryana, and Rajasthan. They also interviewed various insurance system participants, including branch managers, agents, and hospital staff, to obtain an overview of policyholder experiences and insurer challenges. For analysis, qualitative research techniques have been used. This research is helpful in various situations when people are hospitalised for planned and unanticipated reasons by recommending what insurance companies should do to protect the interests of their customers. For the Indian insurance industry and regulator/supervisory authorities, the COVID-19 pandemic incidents can be a lesson about their strengths and weaknesses. According to this research, service-level agreement violations, procedural bottlenecks, and lack of clarity and awareness are the problems policyholders face when pursuing claims. The challenges insurers confront in serving their client's needs are maintaining operations in the face of financial stress and changing regulatory compliances, on the one hand, and helping policyholders by resolving their claims and raising awareness, on the other. |
| first_indexed | 2024-03-12T13:12:58Z |
| format | Article |
| id | doaj.art-07876e2f86b8417c9bb7f314726376e4 |
| institution | Directory Open Access Journal |
| issn | 2314-7210 |
| language | English |
| last_indexed | 2024-03-12T13:12:58Z |
| publishDate | 2023-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Future Business Journal |
| spelling | doaj.art-07876e2f86b8417c9bb7f314726376e42023-08-27T11:19:27ZengSpringerOpenFuture Business Journal2314-72102023-08-019111710.1186/s43093-023-00209-0Myth or coverage: experience and expectation of policyholders from health insurance during COVID-19 in the NCR region of IndiaNikita Singhal0Almas Sultana1Shikha Goyal2School of Commerce and Management, IIMT UniversityDepartment of Commerce, Aligarh Muslim UniversityACCF, Amity UniversityAbstract This study intends to determine whether and to what extent policyholders admitted to the hospital for COVID-19 treatment receive financial support from their health insurance. The researcher interviewed 67 health insurance claimants in the NCR region's several cities—some in Uttar Pradesh, Delhi, Haryana, and Rajasthan. They also interviewed various insurance system participants, including branch managers, agents, and hospital staff, to obtain an overview of policyholder experiences and insurer challenges. For analysis, qualitative research techniques have been used. This research is helpful in various situations when people are hospitalised for planned and unanticipated reasons by recommending what insurance companies should do to protect the interests of their customers. For the Indian insurance industry and regulator/supervisory authorities, the COVID-19 pandemic incidents can be a lesson about their strengths and weaknesses. According to this research, service-level agreement violations, procedural bottlenecks, and lack of clarity and awareness are the problems policyholders face when pursuing claims. The challenges insurers confront in serving their client's needs are maintaining operations in the face of financial stress and changing regulatory compliances, on the one hand, and helping policyholders by resolving their claims and raising awareness, on the other.https://doi.org/10.1186/s43093-023-00209-0Health insurancePolicyholdersClaimCOVID-19IRDAI |
| spellingShingle | Nikita Singhal Almas Sultana Shikha Goyal Myth or coverage: experience and expectation of policyholders from health insurance during COVID-19 in the NCR region of India Future Business Journal Health insurance Policyholders Claim COVID-19 IRDAI |
| title | Myth or coverage: experience and expectation of policyholders from health insurance during COVID-19 in the NCR region of India |
| title_full | Myth or coverage: experience and expectation of policyholders from health insurance during COVID-19 in the NCR region of India |
| title_fullStr | Myth or coverage: experience and expectation of policyholders from health insurance during COVID-19 in the NCR region of India |
| title_full_unstemmed | Myth or coverage: experience and expectation of policyholders from health insurance during COVID-19 in the NCR region of India |
| title_short | Myth or coverage: experience and expectation of policyholders from health insurance during COVID-19 in the NCR region of India |
| title_sort | myth or coverage experience and expectation of policyholders from health insurance during covid 19 in the ncr region of india |
| topic | Health insurance Policyholders Claim COVID-19 IRDAI |
| url | https://doi.org/10.1186/s43093-023-00209-0 |
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