Archive · 30 Sep 2025
Health Insurance: Bigger Coverage Isn't Always Better
Imagine health insurance like a safety net.
Having a bigger net isn't always better.
Sometimes, a really big net costs so much you can't afford it later, when you need it most.
Experts say a ₹10-15 lakh cover is often enough.
They also warn about sneaky clauses in policies.
For example, if you stay in an expensive hospital room, your insurance might not pay for the whole cost.
Also, if you hide information on your application, it may cause problems when you try to make a claim.
Excessively large health insurance coverage can become unaffordable as one ages.
Shrehith Karkera suggests ₹10-15 lakh cover for most people.
Top-up plans can face stricter scrutiny during claims.
Improper disclosure of medical history in the application form can lead to claim issues.
Unjustified hospitalization and unreasonable charges are potential claim denial issues.
- Who
- Shrehith Karkera (co-founder of Ditto Insurance)
- What
- Discussed health insurance coverage, challenges, and potential pitfalls.
- When
- At the Mint Money Festival, FY24
- Where
- India
- Why
- To educate on balancing value and expense, and the importance of sustainable health insurance.
Consumer
Insurance Providers
Pricing and Practices
Consumer
Customers may experience rising premiums and unfavorable customer practices.
Insurance Providers
Insurance providers may need to raise premiums to maintain profits due to high distribution costs and emphasis on retail health.
Claims Processes
Consumer
Consumers may face claim denials due to unclear clauses.
Insurance Providers
Insurers scrutinize claims to ensure they are justified.
- Recommended Cover
- ₹10-15 lakh
- Average Payout
- ₹2.8 lakh
- Focus
- Catastrophic and recurring events
- Persistency Low
- Policies often discontinued due to high premiums
- Retail Health Insurance Holders (FY24)
- 56 million
- Indian Population
- 1.4 billion+