Cashless Health Insurance: Recent Developments Between Hospitals and Insurers
Published on GoCover Blog • Source: Moneycontrol, 13 September 2025
Cashless hospitalization is one of the most important features in health insurance, offering policyholders the convenience of availing treatment without paying upfront. Recently, however, some discussions between insurers and hospitals have brought attention to how these arrangements work in practice.
Star Health and Hospital Association Discussions
On 12th September 2025, Moneycontrol reported that Star Health and Allied Insurance became the fourth insurer to face pushback from the Association of Healthcare Providers, India (AHPI) regarding cashless services.
According to the report, AHPI has raised concerns about tariff rates and claim settlement practices. The association has given Star Health time until 22nd September 2025 to resolve the matter. If not addressed, hospitals may consider restricting cashless services for Star Health policyholders.
(Source: Moneycontrol, Sept 12, 2025)
Other Insurers Also Involved
This is not an isolated case. Over the past few months, similar concerns have been raised with other insurers, including:
- Bajaj Allianz General Insurance
- Care Health Insurance
- Niva Bupa Health Insurance
In some instances, hospitals had temporarily suspended cashless services before reaching an understanding with insurers.
(Source: Moneycontrol, Sept 2025)
What It Means for Policyholders
- Cashless services continue: For now, cashless treatment is still available. Any restriction would depend on how discussions progress.
- Temporary disruptions possible: If hospitals withdraw, policyholders may need to pay upfront and claim reimbursement later.
- Check hospital networks: Before hospitalization, it’s always advisable to confirm whether the hospital is part of your insurer’s active cashless network.
GoCover’s View
At GoCover, we work with all leading insurance companies to provide the best possible service to our clients. Our aim is to keep you informed about industry developments so you can plan better.
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Disclaimer: Information is sourced from Moneycontrol and is for general awareness. For personalized advice, contact GoCover.