10% Health Insurance Co-Pay: What You Pay Now?
India's General Insurance Council is considering making a 10% co-pay mandatory in all retail health insurance policies, capped at ₹5 lakh per claim. This means you'd pay 10% of every hospital bill yourself, even if you're fully insured.
A ₹5L hospitalisation bill could cost you ₹50,000 out-of-pocket — that's 5 months of groceries for a middle-class family.
Your health insurance may soon force you to pay 10% of every hospital bill
Key Takeaways
Check your current health policy's co-pay clause right now — log into your insurer's portal or dig out your policy document and search for 'co-payment'.
Calculate your worst-case out-of-pocket cost: take your sum insured, assume a ₹5L claim, and see if you can absorb ₹50,000 — if not, build a medical emergency fund.
If you're renewing soon, ask your insurer or broker whether any co-pay changes will apply at renewal and get the answer in writing before signing.
India's General Insurance Council is considering making a 10% co-pay mandatory in all retail health insurance policies, capped at ₹5 lakh per claim. This means you'd pay 10% of every hospital bill yourself, even if you're fully insured.
Here's what happened: The General Insurance Council is evaluating a rule that would make a 10% co-pay mandatory across all retail health insurance policies in India.. The proposed co-pay would be capped at ₹5 lakh per claim, meaning policyholders pay 10% of any bill up to ₹5 lakh from their own pocket.. Senior citizens and those with high-value policies face the biggest impact, as they file larger and more frequent claims than younger policyholders..
What you should do: Check your current health policy's co-pay clause right now — log into your insurer's portal or dig out your policy document and search for 'co-payment'.. Calculate your worst-case out-of-pocket cost: take your sum insured, assume a ₹5L claim, and see if you can absorb ₹50,000 — if not, build a medical emergency fund.. If you're renewing soon, ask your insurer or broker whether any co-pay changes will apply at renewal and get the answer in writing before signing..
If your policy currently has zero co-pay, renewal is when insurers can legally revise terms — read every renewal notice line by line, not just the premium figure.
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This article is reported by GoCredit's Editorial Team based on the source above. GoCredit synthesises, contextualises, and adds India-borrower-relevant analysis. We are not the original publisher.
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