Key Points

Industry leaders reveal just 37% of Indians have health coverage despite growing medical costs. Complex jargon like "co-pay" and high distribution costs deter buyers, especially in rural areas. Experts propose hyper-local education drives and visual policy explanations in regional languages. The call is clear: insurers must simplify products and rebuild trust to make coverage accessible.

Key Points: Experts Push for Simpler Health Insurance to Boost Awareness Day

  • Only 37% Indians have health cover due to complex terms and low trust
  • Urban-rural divide persists despite Ayushman Bharat efforts
  • 30% premiums lost to admin costs, hurting affordability
  • Experts demand regional-language campaigns and visual explanations
3 min read

Insurance Awareness Day: Experts say it's time to simplify and educate to improve health insurance penetration

Insurance leaders highlight low health coverage rates, urge simplification and hyper-local education to bridge India's 37% health insurance gap.

"People may own a policy but lack clarity on coverage—we must reimagine insurance with the customer at its core. – Saurabh Vijayvergia, CoverSure CEO"

By Nikhil Dedha, New Delhi, June 28

On the occasion of Insurance Awareness Day, several insurance providers and experts in an exclusive conversation with ANI shared their insights on the challenges facing the insurance sector in India, especially in critical segments like health and life insurance.

The experts also offered suggestions to bridge the awareness and adoption gap.

One of the key challenges highlighted by industry leaders is the low insurance penetration in health and life segments, despite the growing need.

Health insurance, in particular, continues to be seen as optional by many, unlike motor insurance which is mandatory. The lack of awareness, limited financial literacy, and cultural mindset that "I won't fall sick" contribute to low adoption.

Additionally, complex terms like "waiting period" or "co-pay" confuse first-time buyers, further discouraging them from purchasing policies.

Saurabh Vijayvergia, Founder & CEO of CoverSure, pointed out that insurance often fails to feel practical or personal to the customer.

He said, "People may own a policy, but often have little clarity on what it actually covers, how to claim, or whether it even meets their real needs. The challenge isn't just about affordability, it's about whether insurance is designed to genuinely serve and support the buyer. To drive real adoption, we need to reimagine insurance with the customer at its core."

According to Quickinsure, an online insurance comparison portal, while awareness has improved in urban areas, there's still a long way to go in Tier 2 and Tier 3 cities, and rural regions.

They highlighted that only about 37 per cent of Indians have any form of health cover.

Quickinsure said in a statement, "Most importantly, product simplification and transparent communication remain critical; we need to make insurance easier to understand and more relevant to people's everyday lives."

It also noted that affordability, lack of trust due to past claim issues, and complex product structures continue to act as barriers.

The role of the government in driving insurance awareness was also discussed.

While initiatives like IRDAI's Consumer Education Website and Ayushman Bharat are steps in the right direction, experts believe more targeted and localised efforts are required.

Vijayvergia of CoverSure suggested that awareness campaigns must be "hyper-local, involve families, and treat insurance literacy much like a public-health drive."

Quickinsure added that public-private partnerships, school programmes, and NGOs can play a major role in spreading awareness from the ground up.

Experts also stressed that the industry needs to address internal inefficiencies before seeking policy changes like GST waivers.

A significant concern is that over 30 per cent of health insurance premiums are taken up by distribution and administrative overheads, which do not add direct value for policyholders.

Private players also see an opportunity to close the awareness gap through simpler products and better engagement.

Quickinsure emphasised simplifying how insurance is explained, using regional languages, relatable examples, and visual formats. They also stressed the importance of post-sale support, particularly during the claims process, to build lasting trust.

Overall, industry leaders agree that insurance will only become widely adopted when it is easy to understand, accessible, and designed to fit into real lives. Awareness, affordability, and trust are at the heart of increasing penetration.

- ANI

Share this article:

Reader Comments

P
Priya S
Insurance companies themselves make policies so complicated! Last time I tried to claim, they rejected saying it was a "pre-existing condition" which wasn't clearly mentioned in 20-page document. Simplify first, then educate! 😤
A
Aman W
Good article. In villages, people still depend on chit funds for medical emergencies. Govt should make simple ₹5-10/day insurance plans with local agents who can explain in local dialects. Ayushman Bharat is good but needs more publicity.
S
Sarah B
As an NRI, I'm shocked how few Indians have health cover. In US it's mandatory. Maybe India needs to make basic health insurance compulsory like car insurance? The middle class especially needs this safety net.
V
Vikram M
Insurance agents only care about commissions! They sold my mother useless policy without explaining exclusions. Now IRDAI should make companies responsible for agent training. Common man can't understand these jargons like "co-pay", "deductible".
K
Kavya N
True! We need insurance education in schools/colleges. Young earners should know importance from start. My company gave health insurance but I didn't understand benefits until HR explained in simple Hindi. More visual explanations needed 🎥
R
Rajesh Q
Government hospitals

We welcome thoughtful discussions from our readers. Please keep comments respectful and on-topic.

Leave a Comment

Minimum 50 characters 0/50