In today’s uncertain world, having a health insurance policy is not just a financial choice — it's a family necessity. Despite this, many people either delay buying health coverage or make poor choices while selecting a plan. The consequences? Denied claims, unexpected expenses, and in some cases, a drain on lifelong savings.
Whether you’re buying your first health policy or planning to upgrade an existing one, here’s a comprehensive guide to help you avoid the most common mistakes people make when purchasing health insurance in India.
1. Ignoring the Rising Cost of HealthcareIndia's healthcare costs are increasing by 10–15% every year, thanks to what experts call "medical inflation." What this means is that a surgery that cost ₹2 lakh a few years ago might now require ₹3–4 lakh. Unfortunately, many people underestimate these rising costs and opt for insufficient coverage, thinking it will be enough.
Tip: Always choose a sum insured that accounts for current and future medical expenses. For a family of four in a metro city, a minimum of ₹10–15 lakh is recommended.
2. Choosing Policies Based Only on Low PremiumsLow premiums may seem attractive, but they often come with hidden limitations — sub-limits on room rent, disease-wise caps, long waiting periods, and more. A lower premium could also mean a smaller hospital network, which might leave you struggling during emergencies.
Tip: Evaluate the coverage, exclusions, and claim process in detail, not just the premium cost. A slightly higher premium is worth the peace of mind.
3. Not Checking Room Rent LimitsOne of the most overlooked aspects of a policy is the room rent cap. If your plan allows only ₹2,000 per day for a hospital room and you end up choosing a room worth ₹5,000/day, your entire claim could be reduced proportionally — not just the room cost.
Tip: Look for policies that offer no room rent cap or at least allow single private rooms.
4. Hiding Pre-existing DiseasesMany policyholders don’t disclose existing illnesses at the time of purchase, fearing rejection or higher premiums. But this can backfire badly when it’s time to file a claim. The insurer may reject it outright due to non-disclosure.
Tip: Always be honest about your medical history. It may lead to a short waiting period, but your coverage will remain intact when you need it most.
5. Overlooking Waiting PeriodsMost health insurance plans have waiting periods for pre-existing diseases (usually 2–4 years) and specific treatments like cataract surgery or knee replacement.
Tip: Read the fine print and, if possible, opt for policies with shorter waiting periods. Some insurers offer zero waiting periods for pre-existing diseases under premium plans.
6. Not Considering Lifetime RenewabilitySome policies come with age restrictions, meaning they might not be renewable after a certain age. This can be dangerous, especially as your medical needs increase with age.
Tip: Always pick a plan that offers lifetime renewability — it's your long-term safety net.
7. Ignoring the Network of HospitalsWhat good is a health policy if your preferred hospital isn’t part of the insurer’s cashless network? During emergencies, a wide and accessible hospital network makes a world of difference.
Tip: Check if your nearest and most trusted hospitals are included in the cashless network of the insurer.
Final ThoughtsBuying the right health insurance policy requires careful planning and smart decision-making. It’s not just about protecting yourself from financial risks — it's also about ensuring peace of mind for you and your loved ones.
By avoiding these common mistakes, you can make a well-informed choice that safeguards your health and your savings.