[13] EVALUATING THE EFFICACY OF CASHLESS HEALTH INSURANCE SERVICES IN INDIA

ARTICLE INFO: Date of Submission: May 27, 2025, Revised: June 10, 2025, Accepted: June 18, 2025, https://doi.org/10.56815/ijmrr.v4i2.2025.166-181

Abstract

Health insurance is a rapidly developing service sector in India. As India's economy expands people in both urban and rural regions becoming more educated and health-conscious, contributing to increased demand for better healthcare and health insurance. In India, both the government and commercial sectors offer health insurance options. Since deregulation, private sector insurance enterprises have entered into the market, offering innovative remedies for consumers with excellent product. Liberalization encouraged foreign businesses to enter the health insurance industry. Government recently announced 100% FDI towards the health insurance sector. As a result, the health insurance business has been growing. The Indian government is working on improving healthcare and insurance services. The present government recently proposed comprehensive health insurance. Through new scheme Ayushman Bharat, Government tried to provide free medical care, including insurance for serious diseases, to the poor population and government servants. The increasing number of educated young, awareness regarding lifestyle diseases, and tax advantages have prompted growth in the health insurance market, leading it to be the fastest growing non-life insurance category. Companies are concentrating on customer satisfaction, decreasing costs, and incorporating new technologies to generate prosperity. Due to certain difficulties faced by the consumers’ while lodging a claim in reimbursement process and getting the amount of claim. Cashless service was introduced by the service providers to minimise those issues faced by their consumers. The insurance companies are providing this cashless feature to the customers for their convenience during sudden hospitalisation. This article examines the current state of cashless health insurance in India, including their future prospects and difficulties.