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Should Insurance Cover Genetic Obesity Treatments?

The World Health Organisation’s 2022 reports reveal that one in eight people in the world is living with obesity. The number has doubled since 1990. Though obesity is mainly considered a lifestyle condition, studies show that 40% to 70% of obese cases are attributed to genetics. Some mutations like LEPR, MC4R and POMC genes are directly linked to the severe onset of obesity and related complications. Take the case of young girl Asha, aged 23, who has just started her career. She struggles to reduce her weight despite a strict diet and exercise plans. After countless efforts, she had to seek medical advice to combat health issues resulting from her obesity. This is when the genetic tests revealed that inherited MC4R mutations were the culprit that was affecting her metabolism. The surgery and the treatment plan suggested to her would cost around INR 6,00,000. Her insurance company refrain from giving an approval, labelling this treatment/surgery as medically not necessary or cosmetic in nature. Hence, the diagnosis has come with both relief and worry for Asha. This story highlights the growing debate on –Should there be health insurance coverage for genetic obesity treatments?

Health

Should Insurance Cover “Preventive” Cosmetic Surgeries?

On a rainy Sunday morning, Meera, a 30-year-old IT professional in Bengaluru, is contemplating a hard decision of whether to get a mastectomy done or not. She has a history of breast cancer in the family. Considering the heredity, the doctor has advised her to undergo a mastectomy for reconstruction as a preventive surgical procedure. However, her health insurance company has not given her approval to claim, labelling the procedure as ‘cosmetic surgery’. Stories like this highlight the health insurance dilemma around preventive cosmetic surgeries. Let us explore what preventive cosmetic surgeries are, why there is a growing demand and the insurance industry’s stance on covering these procedures.

Health

How Urban vs. Rural Healthcare Gaps Reflect in Premiums

India’s 65% of the population lives in rural areas. But 75% of the healthcare infrastructure is concentrated in the main cities and urban areas, making access difficult for the majority of the population in rural areas. This disparity in healthcare affects every aspect, from doctor availability to insurance penetration. Let’s take two different scenarios to understand the impact of healthcare disparity in rural and urban India. 40-year-old Ashok in a remote village in Uttar Pradesh had to travel 40 km on a borrowed bike to get his ailing father admitted for treatment at a district hospital nearest to his village. When he arrived after a long two-hour travel, the district hospital was short of equipment and specialist doctors. Two main things to notice here are – delayed treatment, lack of quality and too much out-of-pocket expenses. Now, let us imagine a contrast scenario of a family in Mumbai that has quick access to a hospital, doctors and multispeciality hospitals all at a distance of a few kilometres. These differences make a huge impact on the health insurance premiums. Let’s explore how this healthcare gap shapes health insurance risk assessment and impacts the insurance premium.

Term

How Term Insurance Helps Women Entrepreneurs Secure Loans?

Behind every successful woman entrepreneur is great leadership, practical ideas, and smart financial planning. Businesses require constant fuel in the form of capital, and loans are a go-to option for many entrepreneurs. However, lenders do not base their decisions solely on an idea’s potential; they also look for repayment capacity and financial security. This is where term insurance can play a critical role. For entrepreneurs, term insurance not only provides protection for their families but also strengthens their position to secure a loan. Wondering how? Let's discuss this in detail!

Car

How Seasonal Road Trips Are Linked to Claim Spikes

There are always two sides to a road trip story. On one side is the freedom you seek. You are the real boss who is in control of the wheel: no fixed schedules, flexibility to stop wherever you like, listening to your favourite playlist, munching as and when you please, and much more. Such reasons make seasonal road trips a cherished ritual for many. The road trip could include driving into the hills during the summer, a coastal escape during monsoons, heading home for the festive holidays, and so on. The other side of the story is often overlooked. It is the story of surging car insurance claims. These usually spike around festive or seasonal breaks. This is typically because seasonal road trips often come with the hidden risks of festive fatigue, overexcitement, and negligence, which can lead to mishaps, paperwork, and more. This highlights the importance of being prepared and having comprehensive car insurance before you plan your road trips. After all, only the happy memories from a trip should last, not the stress.

Car

How Hybrid Cars Are Changing Premium Structures Globally

When you plan to upgrade and buy a new car, a lot of planning goes into it. You typically start by making a budget, calculating the fuel costs, estimating the resale price, and evaluating all its safety and comfort features. These days, another aspect is factored in, where you also weigh the environmental impact of your car. The option of hybrid cars has indeed impressed many. Just like other fuel cars, hybrid cars also require car insurance. As a vehicle owner, you would know that car insurance is more than just a legal mandate. It serves as a safety net, covering your vehicle and protecting your financial expenses in the event of car damage.

Jio Insurance Broking Ltd

Jio Insurance Broking Limited
IRDAI License No: 347,
Direct Broker (Life & General),
Valid upto: 11/03/2028
(Renewable)

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