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Health Insurance News
THE INSURANCE TIMES
|July 2025
Insurers Roll Out State-Specific Health Plans to Reflect Regional Healthcare Costs
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Amid stark regional disparities in healthcare costs, Indian insurers are shifting from uniform health insurance pricing to state-specific models. Bajaj Allianz General Insurance has introduced tailored health insurance plans with premiums and benefits calibrated to each state's medical cost, infrastructure, and regulatory environment.
This move aims to eliminate inefficiencies in one-size-fits-all pricing and make health insurance more affordable for the underinsured segments. "At present, there is an element of cross-subsidy where people in areas with low-cost healthcare end up subsidising those in high-cost areas," explained Bhaskar Nerurkar, head of health administration at Bajaj Allianz.
Though policies are priced based on the policyholder's current residence, treatment access remains nationwide. Narayana Health had earlier pioneered region-linked insurance tied to its hospitals, while Bajaj Allianz has refined this approach by applying it across states.
"Claims frequency and severity vary significantly across India due to diverse hospitalization causes," added Satish Gidugu, CEO of Medi Assist.
Star Health Insurance and Medi Assist Partner to Launch AI-Powered Claims Platform
Star Health and Allied Insurance has partnered with Medi Assist to implement an AI-powered health claims processing platform, aimed at enhancing efficiency, speed, and transparency in the claims settlement process. This collaboration leverages cutting-edge technology to automate key functions such as claim validation, document verification, and fraud detection, enabling faster approvals and improved customer satisfaction.
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