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BFSI Chronicle, 11  Edition September2022
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           under health insurance or a health scheme, according  premiums? Will incur expenditure when as it comes.
           to the National Family Health Survey (NFHS-5).  They consider insurance talks about only possibilities
           This converts to about 30 per cent women and 33  of undesired incidents and so why to think of that.
           per cent men in the 15-49 age group. During NFHS-  Large chunk of population does not have proper
           4, only 29 per cent of surveyed households had at  idea and understanding of the products. The genuine
           least one member covered by health insurance or a  marketing for the same is need of the day. Indian
           health scheme. Almost half (46 per cent) of those with  social boundations like gender problems why to
           insurance are covered by a State health insurance  invest for girl child, other related  family has not done
           scheme and about one-sixth (16 per cent) are covered  so why to go for it. All these issues can be sorted out
           by Rashtriya Swasthya Bima Yojana (RSBY). As many  by spread of proper awareness and effectively making
           as 3-6 per cent of women and 4-7 per cent of men are  people to be convinced
           covered by the Employee State Insurance Scheme
           (ESIS) or the Central Government Health Scheme  Present  status
           (CGHS).The percentage of households in which at      One effective component to improve penetration
           least one member is covered is highest in households    is Foreign Direct Investment (FDI). It can help
           with a Christian head (55 per cent). Additionally, the   improve insurance awareness and reach in the
           insurance coverage is slightly higher in rural areas (42   country. The current walk in FDI from 49% to
           per cent) than in urban (38 per cent). (Jadhav, 2022)   74% in the insurance segment can boost the
                                                                   health insurance industry in this course of
           How to Increase the Depth of  Health Insurance          effective penetration.
           Penetration ?
                                                                Designing A Low-Cost Comprehensive Health
           Economic Survey of 2020-21, speaks about insurance      Insurance Product for The Missing Middle
           coverage dissemination in India improved only           (Aayog, 2021) In the absence of a low-cost
           marginally from 2.71 per cent in 2001 to 3.76 per cent   health insurance product, the missing middle
           in 2019. India, thus, remains far behind its regional   remains uncovered despite the ability to pay
           counterparts. The major issues concerning this are:     nominal premiums. A comprehensive product
                                                                   designed for this segment – improving upon the
              high premium expenses                              existing Arogya Sanjeevani plan and offering
              ordinary working-class families                    out-patient cover – can expand health insurance
              Lack of marketing                                  coverage (Aayog, 2021)
              Lack of acceptance
              Lack of awareness                               Health insurance companies have invested
              Social boundations                                 in groundbreaking technologies such as
                                                                   automation, AI, and big data. Internet of Things
           The problem of high premiums can be resolved via        (IoT) helps in deriving extensive data and
           government insurance schemes as we can witness          insights to assist risk controlling devices and
           by Ayushman Bharat Yojana, Aam Aadmi Bima               techniques
           Yojana. Ordinary working-class people wherever
           they happen to work are not insured by their  Call of the Time
           employers. So all employers big or small should be      The most important focus is to on justified
           made mandatory for incorporating health insurance       coverage of the health  insurance schemes.
           schemes for their employees.  Another problem is of     Justified coverage has to be on the basis of
           acceptance, not only illiterate but highly educated     regions and people’s richness scale.
           people take insurance as negative. Their arguments
           are Why to talk of mishaps? Why to pay high          T he skewness of the coverage of health


                                                                              The Institute Of Cost Accountants Of India

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