Friday, May 22, 2026

How much Mediclaim is Necessary for a Layman in India



*By CA Neha Sunil Vora*

*Chartered Accountant & CEO, Renatus Cancer Centre*

*Why Mediclaim is No Longer Optional*


In my professional journey across finance and healthcare, one reality has become very clear — **a medical emergency is not just a health crisis, it is a financial crisis.**


Healthcare costs in India are rising sharply, and most people are still underprepared.


Today:

* A basic hospitalization in a private hospital can cost ₹1–3 lakh

* Surgeries can go up to ₹5–10 lakh

* Critical illnesses can cost ₹10–25 lakh or more

For a layman, these are not small numbers. These are life-altering expenses.

Without proper mediclaim, people are forced to break savings, liquidate investments, or take loans at the worst possible time.


*The Reality Most People Ignore*


Despite rising costs, a large number of individuals still:

* Rely only on employer-provided insurance

* Take minimal coverage of ₹2–3 lakh

* Or postpone buying insurance altogether


This approach is financially risky.

Medical inflation in India is approximately **10–15% every year**. This means healthcare costs are doubling much faster than most incomes.


*A Ground Reality from Healthcare*

As the CEO of a Renatus cancer centre, I have seen situations that numbers alone cannot explain:

* Families delaying critical treatments due to lack of funds

* Patients worrying more about bills than recovery

* Years of savings getting exhausted within a few months

In cases like cancer, treatment costs can range from ₹5 lakh to ₹25 lakh or even higher depending on complexity.


At such times, mediclaim is not just a financial tool ,it becomes a lifeline.

What seems “sufficient” today can become completely inadequate tomorrow.


 *A Practical and Smarter Approach*

From a financial planning perspective, health insurance should be structured, not randomly purchased.


A more practical approach is:

* Maintain a base policy of ₹5–10 lakh

* Supplement it with a super top-up plan of ₹15–20 lakh


This structure ensures higher protection without putting pressure on your annual premium outflow.


 *What You Must Evaluate Before Buying Mediclaim*

A well-informed decision is more important than a quick decision.

Before choosing a policy, carefully evaluate:


* Room rent limits and hidden caps

* Waiting periods for pre-existing diseases

* Claim settlement track record of the insurer

* Coverage for major and critical illnesses


A policy that looks affordable but fails at the time of need is not a good policy.


*Final Perspective*

As a Chartered Accountant, I strongly believe in *wealth creation*.

As someone working closely in healthcare, I strongly believe in **wealth protection.**


Ignoring health insurance is not saving money — it is exposing yourself to financial uncertainty.


 One Line to Remember


**“You can rebuild wealth, but a medical emergency should not be allowed to destroy it.”**

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