Can you claim insurance for AYUSH? What policyholders must know

Subscribe to enjoy similar stories.The government is revamping Ayurveda institutes, modernizing hospitals, upgrading research and globalizing traditional systems for medical tourism, as announced in Union Budget 2026.Morbidity codes for Ayurveda, Siddha and Unani systems have now been incorporated into the World Health Organisation’s International Classification of Diseases, and an index for the International Classification of Health Interventions through traditional medicines has also been agreed upon.This could, in time, position India as a hub for Ayurvedic and traditional medicine treatments.But can treatments at AYUSH centres be claimed in a cashless manner like allopathic procedures?The answer lies in how insurers currently interpret such treatments.Health insurance policies state that “inpatient treatments under Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy are covered.”For cashless claims, treatments must be taken at network hospitals. Reimbursement claims — where patients pay first and submit bills later — can be more complicated.Given the early stage of such claims, insurers and third-party administrators (TPAs) are balancing two competing pressures: honouring AYUSH claims as mandated by the government and Insurance Regulatory and Development Authority of India (Irdai), while protecting portfolios from treatments that are not medically mandatory but taken for rest, restoration or wellness — where billing limits may not be clearly defined.The ecosystem for cashless claims is still evolving.