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Health insurance board clarifies Rs 100,000 coverage limit

himalaya Diary News Service by himalaya Diary News Service
February 13, 2026
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Health insurance board clarifies Rs 100,000 coverage limit
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The Health Insurance Board has confirmed that the annual Rs 100,000 coverage per family of five remains unchanged under the national insurance scheme. Of the total, Rs 25,000 is allocated for outpatient services and Rs 75,000 for hospitalization and emergency care. Officials say the restructuring is intended to curb excessive outpatient spending, which currently accounts for 70 percent of total claims.

 

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