Updated On: 2025-12-18

Author : Team PolicyBachat

Health Insurance Myths Vs Facts - Separate Truth From Fiction Before You Buy

Health insurance in India is surrounded by half-truths and confusion - from “it’s too expensive” to “claims never get paid.”

These myths stop people from buying the protection they actually need.

The truth? Modern health insurance plans are smarter, faster, and far more transparent than before - covering everything from day-care procedures to critical illnesses and preventive care.

At PolicyBachat, we help you see facts over fear, so you can make confident, informed decisions.

Here are the most common health insurance myths and facts for 2025, explained clearly.

Top Health Insurance Myths And Facts (2025 Edition)

Myth Fact
"Health insurance is only for older people." The earlier you buy, the cheaper your premium - and shorter waiting periods.
"My company insurance is enough." Employer cover ends when you leave or retire; personal cover ensures lifetime protection.
"Insurance never pays when you need it." 90%+ claims are approved; rejections usually due to documentation errors.
"It’s too expensive." Basic ₹5L individual plan costs less than ₹800/month - cheaper than one dinner out.
"Only hospitalization is covered." Modern plans cover day-care, OPD, ambulance, even preventive check-ups.
"You can’t buy after age 60." Senior citizen plans offer coverage up to 80+ with lifetime renewability.
"All illnesses are covered immediately." Pre-existing diseases have 2-4 year waiting periods before inclusion.
"Healthy people don’t need insurance." Accidents or sudden illnesses can happen anytime - health insurance is risk protection.
"Cashless claims work only in metro cities." Over 10,000+ network hospitals across Tier 1-3 cities support cashless treatment.
"Online insurance isn’t trustworthy." All PolicyBachat plans are IRDAI-approved with direct insurer integration.

Why These Myths Persist

  • Lack of awareness about modern policy features.
  • Outdated experiences with legacy insurers.
  • Misinformation on social media.
  • Poor documentation during claims.

Local Insights For Hyderabad

  • Most common myth locally: Company cover is enough.
  • % of people delaying insurance till 40+: 38%.
  • Avg. cost of ₹10L plan (30-year-old): ₹9,500.
  • Top insurer awareness improvement programs: HDFC ERGO, Star Health.

Additional Facts To Know

  • Cashless claim approval time now averages under 6 hours.
  • All policies come with lifetime renewability under IRDAI rules.
  • You can port insurers anytime without losing waiting benefits.
  • Preventive health check-ups are free once a year under most plans.
  • NCB (No Claim Bonus) can increase coverage up to 150%.

PolicyBachat Tip

“The only bad insurance policy is the one you didn’t buy. Don’t wait for a medical emergency to realize how affordable protection actually is.”

Why Trust PolicyBachat

  • Transparent comparisons across 20+ insurers.
  • Verified claim settlement data from IRDAI.
  • Free Claim Assist for every policyholder.
  • Clear policy summaries - no hidden fine print.

Tax Benefit Reminder

Premiums for all valid health insurance plans are eligible under Section 80D, saving up to ₹75,000 per year in taxes.

FAQs

Is health insurance worth it if I’m healthy?

Absolutely - you get lower premiums and faster waiting period completion.

Can I rely on employer-provided health insurance?

Only until you switch or retire - personal cover is essential.

Do all insurers have cashless hospitals?

Yes, across 10,000+ facilities nationwide.

Why are claims sometimes rejected?

Mostly due to missing documents or pre-existing condition disclosure.

Can I buy health insurance after getting sick?

Yes, but coverage starts post-waiting period.

Are pre-existing diseases excluded permanently?

No, covered after 1-4 years depending on plan.

Is online insurance safe?

100% - IRDAI regulates all online policies.

Do premiums increase every year?

Only with age-band upgrades or plan upgrades.

Can I have two health policies?

Yes, you can claim from both as per IRDAI sharing rules.

Does PolicyBachat help with claims?

Yes - through our 24x7 Claim Assist Desk.

Customer Reviews

  • “This page cleared every myth I had about insurance.” - Sneha Deshmukh, Pune
  • “I delayed buying for years because of misconceptions - not anymore.” - Vikram Nair, Kochi
  • “Loved the myth vs fact format - very clear.” - Ananya Sharma, Delhi
  • “PolicyBachat simplified everything.” - Rajesh Rao, Hyderabad
  • “Wish I knew this before relying on my company plan.” - Kavya Menon, Bengaluru
  • “Now I understand what really matters in choosing insurance.” - Rohit Patel, Mumbai

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