Why Does the 25-35 Age Group Dominate Health Insurance Claims in India?

As the costs of medical attention continue to rise, this generation is turning to health insurance plans not just as a fallback option but as a smart financial tool – reshaping how we view health insurance plans. 

But what’s really causing this shift in health insurance claims? Let’s break it down. 

1. Lifestyle-Driven Health Issues 

Long work hours, grab-and-go meals, endless screen time, and lack of exercise are common among young adults, contributing to health issues like hypertension, anxiety disorders, and diabetes. These problems are not just minor inconveniences to the regular lifestyle; in some cases, they lead to medical treatments or even hospitalisations that result in health insurance claims. As a result, more young adults are making health insurance a priority - often right after landing their first job - because paying a premium is much easier than footing an unexpected hospital bill.  

2. Better Awareness and Financial Literacy 

This new working generation is more financially informed than ever. With access to finance influences, digital content, and insurance comparison tools, young adults understand the importance of getting a comprehensive health insurance plan early. They are no longer waiting for a medical emergency – they are planning ahead. Expert platforms like Paybima help them find their ideal coverage, ensuring they are covered in case of minor as well as major healthcare needs. As a result, young adults are making smart decisions, contributing to the shift in health insurance claims by age. 

3. Rising Healthcare Costs 

The cost of quality medical attention in India is skyrocketing. A simple outpatient procedure or a diagnostic test can cause a financial issue if not planned properly. The 25 – 35 age group, with its preference for reliable and quick care, tends to rely on private healthcare facilities. Since these facilities readily accept health insurance for non-critical treatments, this has led to a spike in health insurance claims for such treatments.  

4. Limited Corporate Coverage 

Most corporate employee benefit plans include an employer-provided health insurance plan that covers the employee up to a certain limit. The premiums for this coverage are covered by the employer. Therefore, the insured does not have to think twice before asking for insurance claims for routine treatments. However, these plans also come with limited benefits. So, with the help of online platforms like Paybima, young professionals can review and supplement their corporate insurance plan with another robust plan to cover all bases. This allows them a base to fall back if their corporate coverage does not cover any specific treatment or procedure. 

5. COVID-19 and Its Aftermath 

The COVID-19 pandemic has surely changed how young Indians view healthcare. This generation has witnessed their parents and other senior family members get seriously ill – in fact, many in this age group experienced this themselves, mixed with post-viral complications and anxiety-related concerns. This has caused a spike in doctor consultations, leading to diagnostics and even hospital stays – many of which are covered by health insurance claims. As a result, more young adults use their health insurance to get the maximum benefit. 

6. Parenthood and Maternity-Related Claims 

Most individuals living in the 25 – 35 age range are starting families, leading to a rise in maternity and parenthood-related health insurance claims. From prenatal check-ups to newborn care, the medical expenses can add up – especially if you are looking for reliable care in private hospitals. This results in more and more maternity-related health insurance claims coming from young adults in this age range, thus contributing to the trend of shifting the volume of health insurance claims by age.