Top 5 Myths About Health Insurance Debunked
🩺 Top 5 Myths About Health Insurance Debunked
Break free from misconceptions and secure your health wisely.
📘 Table of Contents
-
1. Introduction: The Problem with Myths
2. Myth 1: “I Don’t Need Health Insurance – I’m Young and Healthy”
3. Myth 2: “My Employer Health Insurance Is Enough”
4. Myth 3: “All Health Insurance Policies Are the Same”
5. Myth 4: “Health Insurance Only Covers Hospitalization”
6. Myth 5: “I Can Buy Insurance When I Need It”
7. Other Common Myths (Bonus)
8. How to Choose the Right Health Insurance
9. FAQs on Health Insurance Myths
10. Final Thoughts: Empowering You to Decide Better
11. Why Choose Policyfy
🧠 1. Introduction: The Problem with Myths
Health insurance is a financial safety net
. But in India, despite the rise in medical costs and lifestyle diseases, many people still
delay or avoid
buying health insurance. Why?
Because they believe in myths
.
These myths are often passed around by friends, family, and misinformation online. As a result, people either buy the wrong policy, wait too long, or
don’t buy at all
—only to face financial disaster later.
Let’s debunk the top 5 myths about health insurance
so you can make a better decision for yourself and your family.
❌ Myth 1: “I Don’t Need Health Insurance – I’m Young and Healthy”
This is by far the most common misconception. Many people in their 20s and 30s believe they are immune to health problems.
✅ The Truth:
Being young doesn’t make you invincible. In fact, lifestyle diseases like::
-
PCOD/PCOS
High blood pressure
Diabetes
Thyroid issues
Mental health problems
…are being diagnosed in people as young as 22–30
.
Even accidents, infections, or surgeries
can come unannounced.
📉 The Cost of Not Having Insurance
Let’s say you’re 27 and suddenly need an appendix surgery — cost: ₹1.5 to ₹2.5 lakhs at a private hospital. Without insurance, it comes straight out of your savings or credit card.
💡 Why Buying Early Helps:
-
Low premiums
No medical checkups
No pre-existing disease clauses
Early completion of waiting periods
Example:
Rahul, 28, bought a ₹5 lakh policy for just ₹4,200/year. Two years later, he developed gallstones — his insurance covered the ₹1.8 lakh surgery. If he had delayed, it wouldn’t have been covered.
❌ Myth 2: “My Employer Health Insurance Is Enough”
Many salaried professionals rely solely on
corporate/group health insurance.
✅ The Truth:
Employer insurance has limitations:
-
Limited coverage (usually ₹1–3 lakhs)
No control over policy terms
Ends when you leave your job
Often doesn’t cover parents or maternity
No continuity benefits
Stat:
Over 70% of corporate health policies don’t offer coverage for OPD, AYUSH, or chronic illness management.
🔍 Real-Life Scenario:
Anjali lost her job during COVID-19 and shortly after, her father needed hospitalization. Without corporate insurance, she had to pay ₹1.6 lakhs from her PF savings.
✔️ Smart Move:
Always keep a personal health
policy for yourself and your family, even if you're covered at work. Your employer plan is a bonus — not a replacement.
❌ Myth 3: “All Health Insurance Policies Are the Same”
This is another major myth. People assume that all policies offer the same benefits, so they just buy the cheapest one
available.
✅ The Truth:
Every health plan differs in:
-
Sum insured
Room rent limits
Day-care coverage
Maternity benefits
Add-ons like OPD, ambulance cover, organ transplant cover
Buying the wrong plan can lead to claim rejections.
Example:
Two ₹5 lakh policies may sound similar, but:
-
One may restrict room rent to ₹3,000/day
Another may allow any private room
If you’re hospitalized in a ₹5,000/day room and your policy only allows ₹3,000/day, you’ll pay the balance out of pocket.
✔️ Solution:
Use platforms like Policyfy
to
compare plans side-by-side
and choose based on benefits, not just price.
❌ Myth 4: “Health Insurance Only Covers Hospitalization”
This is a partial truth — older policies focused only on
in-patient treatment
. But modern insurance is much more comprehensive.
✅ The Truth:
Good health plans now cover:
-
Day-care treatments (like cataract, chemotherapy, dialysis)
Maternity and newborn cover
AYUSH treatments (Ayurveda, Yoga, Siddha, Unani, Homeopathy)
Ambulance charges
Vaccinations & wellness checkups
Organ donor expenses
Pre- and post-hospitalization (30–60 days before/after)
OPD (available in certain plans or as add-ons)
Stat:
Over 540+ treatments don’t need a full day of hospitalization and are still covered by most modern policies.
Example:
Megha had a minor cyst removal done in a few hours. Her policy covered it completely — even without 24-hour hospitalization.
❌ Myth 5: “I Can Buy Insurance When I Need It”
This is one of the most dangerous myths.
Insurance is not a cure — it’s a shield you need
before the storm.
✅ The Truth:
You cannot buy insurance
and claim for a treatment the same week. Most policies have:
-
30-day initial waiting period
1–4 years waiting period for pre-existing diseases
9 months–3 years for maternity claims
Specific treatments (hernia, knee surgery) also have delays
If you wait till you fall sick, it’s already too late.
Example:
Vikram postponed buying insurance until he turned 40. By then, he was diagnosed with diabetes. The insurer increased his premium by 60% and added a 3-year waiting clause
for any diabetes-related claims.
-
📝 Bonus: Other Common Myths You Should Ignore
⚠️ “Only the policyholder gets tax benefits”
Anyone who pays the premium for
self, spouse, children, or parents
can claim underSection 80D
.⚠️ “I can’t have two health policies”
You can! In fact, if one doesn't cover the full claim, you can
use the second policy
to cover the balance.⚠️ “My claim will definitely be rejected”
Claim rejections only happen if you:
-
Don’t disclose pre-existing diseases
Submit wrong documents
Don’t follow policy conditions
A genuine case, filed correctly, has over
95% claim success rate.
🛍️ How to Choose the Right Health Insurance Plan
🎯 Checklist:
-
1. Choose the Right Sum Insured
₹5–10 lakh is ideal for individuals; ₹10–25 lakh for family plans.
2. Understand the Room Rent Limit
Go for no cap or private room eligibility.
3. Look for Cashless Hospital Network
Check if your preferred hospital is covered.
4. Check Waiting Periods
Shorter waiting for maternity, pre-existing conditions is better.
5. Add Add-ons
Zero-dep, OPD, and critical illness add-ons can boost coverage.
6. Insurer Claim Ratio
Choose a company with 90%+ claim settlement.
Policyfy can help you compare, filter, and buy
the right plan in minutes.
❓ FAQs: Busted Myths, Straight Answers
Q1: Can I buy health insurance for my parents even if they have diabetes?
Yes, but with some waiting periods or loadings. Several senior citizen plans accept pre-existing conditions.
Q2: Is OPD treatment covered in all policies?
Not always — it's either available in premium plans or as an add-on.
Q3: Can I switch my policy to another insurer?
Yes. Portability allows you to carry forward benefits like waiting periods to a new insurer.
Q4: Does AYUSH really get covered?
Yes, many insurers now cover Ayurveda, Homeopathy, and Yoga-based treatments if taken at registered centers.
Q5: Can I claim for annual health check-ups?
Many modern policies offer 1 free health check-up every 1–3 claim-free years.
🧠 Final Thoughts: Empowering You to Decide Better
Myths have cost people lakhs in treatment and regrets. Don’t let that happen to you.
The best time to get health insurance is before you need it
. Don’t buy it based on myths. Buy it based on facts, your lifestyle, and your family’s needs.
Health is wealth — and health insurance is your financial bodyguard.
🏥 Why Choose Policyfy?
-
✅ Compare 30+ insurers at once
✅ Get expert, unbiased advice
✅ Maternity, OPD, and family cover options
✅ Track your claim status from one place
✅ Get pre-approval support and paperwork help
Your health is your responsibility — we’re just here to help protect it.
Visit Policyfy Health Insurance Page today
and say goodbye to myths, and hello to smart protection.