Around 68% of Indians have inadequate health insurance coverage: survey | spcilvly

About 68 percent of Indians have less than $10 lakh in health insurance coverage, while 27 percent have less than $5 lakh, revealed a survey conducted by insurance company ACKO in six metropolitan cities of India.

In the survey, which covered more than 1,000 people in the age group of 28 to 55 years, ACKO found that after the COVID-19 pandemic, awareness about health insurance has increased.

However, he also added that the health coverage of most Indians is insufficient compared to medical expenses.

Among other details, the insurance company said that although 60 percent say they understand the terms and conditions of the policy, their knowledge is mainly limited to cash treatment, accident coverage and 100 percent payment of bills .

Additionally, 60 percent of respondents do not plan to purchase health insurance with more than $10 lakh coverage, while 65 percent believe that $10 lakh health cover is enough for them.

Aside from this, 64 percent said they have not increased coverage and kept it the same as the previous year.

Full invoice payment:

Regarding this parameter, 46 percent of policyholders stated that their health policy covers the entire “hospitalization plus consumables”, while 59 percent of potential buyers are looking for policies with payment of 100 percent of the bill .

Likewise, 27 percent are unaware of the waiting period and stated that ‘there are no waiting periods in health insurance policies’, and 31 percent feel that they are covered from day 1.

Other parameters:

The survey even revealed that among current and potential policyholders, family floater policies are the top favorites, at 71 percent and 72 percent, respectively.

Citing reasons, policyholders said the plans offer them the option of including their parents, spouses and children in the same policy.


Deterrent factors working against health insurance companies include slow claims settlement process, partial payment of bills and inadequate hospital network.

The survey found that 43 percent find the complaint resolution process cumbersome. Furthermore, 47 percent of policyholders and 56 percent of potential buyers consider the lack of a 100 percent payment service for their bills to be a deterrent. Inadequate network hospitals make 41 percent of policyholders and 44 percent of potential buyers uninterested in health policies.

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Updated: September 7, 2023, 12:59 am IST

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