Top 5 Myths About Health Insurance Debunked

Health Insurance Banner

🩺 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 under Section 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.

Be in touch with us

Policyfy Facebook  Policyfy X  Policyfy Linkedin  Policyfy Instagram  Policyfy Youtube
Disclaimer:-

We clearly state that insurance is a subject matter of solicitation and market risks. It is the responsibility of the customer to understand the limitations of insurance policies and the risks involved. We strongly recommend you to please go through the subject and offer documents carefully. Policyfy intends to provide clear and unbiased information about insurance products and services. We try to offer unbiased, accurate and responsible data to the best of our ability, but in no manner or form are responsible for any discrepancies in the data published on our website/ mobile application.

it is made abundantly clear that Policyfy Insurance Brokers Private Limited, its directors, shareholders, officers and employees and Policyfy.com are in no way responsible to or liable for any one for his/her investment decision, and every prospect/ investor/policyholder shall be solely responsible for the consequences of his/her decision.

For detailed disclaimer please click on the link below

Read more