World Heart Day: 63% fall in health insurance claims for heart disease

There has been a steep 63% fall in the number of claims related to heart diseases in the past two years, as revealed by the General Insurance data. Compared with 7,360 claims in 2019-20, there were only 2,737 claims till August 2021.

Women have shown a sharper fall in the number of claims at 63.8% compared with 62.4% for men. This aligns well with the findings of a recent survey by ICICI Lombard, which claims that nearly 87% women suffering from heart diseases are regular with their health check-ups compared with 74% men. The survey was conducted among 1,493 people across the country, in September 2021.

Among cities, Kolkata has seen the steepest fall of 74.9% in the number of claims, followed by 71.6% for Chennai and 70.6% for Pune. As far as surgeries are concerned, there has been a decrease in both elective and non-elective surgeries during Covid, with the numbers falling by 50.5% and 64.3%, respectively.

Despite the fall in claims numbers for heart diseases, as many as 68% people have bought additional health covers since Covid, while 15% people are planning to increase it. This is probably because in the past two years 69% women and 43% men who were suffering from heart ailment, contracted Covid, while nearly two-thirds of the respondents faced heart-related issues after contracting Covid.

Subsequently, more than two-thirds of the respondents have started eating healthy and exercising regularly to stay fit, claims the survey. Besides, 46% people believe health insurance has become a necessity, while one in three believe health insurance is more important now compared to pre-Covid time.

Payout for women has fallen by 57.1%, for men by 55.2%

Gender 2019-20 2020-21 2021-22 (till Aug)
No. of claims Payout No. of claims Payout No. of claims Payout
Male 5,327 680 4,616 646 2,001 304
Female 2,033 212 1,638 182 736 91
Total 7,360 892 6,254 829 2,737 395

Kolkata has seen the sharpest fall of 74.9%

City No. of claims % age fall in
no. of claims
2019-20 2021-22 (till Aug)
Mumbai 1,252 403 67.8%
Delhi NCR 1,127 395 64.9%
Hyderabad 565 211 62.6%
Chennai 500 142 71.6%
Bengaluru 435 159 63.4%
Pune 371 109 70.6%
Kolkata 335 84 74.9%
Ahmedabad 148 75 49.3%

Source: ICICI Lombard claims data

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