(excluding specialized insurers) and TPAs, wherever applicable
Re: Master Circular on Standardization of
Health Insurance Products - Corrigendum
Reference is drawn to the Master Circular on
Standardization of Health Insurance Products issued vide ref no.
IRDAI/HLT/REG/CIR/193/07/2020 dated 22.07.2020.
definition of “Pre-Existing Disease” at Clause 33 of Chapter I under Section 1
of this Master Circular is rectified as under:
33. Pre-Existing Disease (not applicable
for Overseas Travel Insurance):
Pre-existing Disease means any condition, ailment, injury or disease:
a) That is/are diagnosed
by a physician within 48 months prior to the effective date of the policy
issued by the insurer or its reinstatement or
which medical advice or treatment was recommended by, or received from, a
physician within 48 months prior to the effective date of the policy issued by
the insurer or its reinstatement.
(Life Insurers may define norms for applicability of PED
(Note: All existing health insurance products that are
not in compliance with this definition shall not be offered and promoted from
01st October, 2020 onwards)