How the govt gave the elderly free health cover, and insurers a reality check

In October 2024, the government of India launched the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana, a health insurance coverage for all senior citizens aged 70 and over, regardless of income. This is big news for healthcare in India because for the longest time, this is exactly the age group that has pvt insurance companies have been ignoring.

To give you a clearer picture, a person aged over 60 years pays anything between Rs 30,000–50,000  as annual premium for coverage as low as 5 lakh rupees. Even policies for Rs 6–10 lakh are harder to find and cost Rs 40,000–70,000 annually. That’s about 5X the premium someone younger would pay for the same coverage. And it’s not just the high premiums; these policies are of little help to seniors when they need it the most.

In fact,  more than four out of every five people aged above 60 aren’t covered by any insurance at all. Only 20% of those over 45 years have a health cover. And the rest are just out there vulnerable to emergencies. The reason being: high premiums and meagre coverage.

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**This episode was first published in November 2024

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