Four-fold surge in mental health consultations_ How much does health insurance cover_

Four-fold surge in mental health consultations_ How much does health insurance cover_


India’s healthcare landscape is evolving, with a newfound emphasis on mental health. The integration of mental health coverage into health insurance policies is pivotal in this transformation. In this guide, we explore the increasing health insurance coverage for mental health issues in India and offer insights on selecting the most appropriate policy.

The Importance of Mental Health Coverage:

Mental health includes psychological, emotional, and social well-being. This significantly impacting overall health and quality of life. The coverage offered by various health insurance plans including family and individual health insurance plans for mental health issues is gaining importance for several reasons:

Destigmatizing Mental Health:

Mental health issues have long carried societal stigma. Inclusion of mental health coverage in insurance policies signals its importance, reducing stigma and promoting equal care for mental and physical health.

Enhancing Accessibility:

Access to mental healthcare has been limited, especially in rural areas. Insurance coverage makes these services accessible and affordable, reducing the financial burden on individuals.

Early Intervention and Prevention:

Mental health coverage encourages early intervention, preventing issues from worsening and reducing long-term healthcare costs.

Holistic Well-being:

Comprehensive health insurance recognizes the link between mental and physical health, promoting overall well-being.

Supporting Families and Communities:

Mental health affects both individuals as well as their families and communities. Insurance coverage extends support to the entire ecosystem.

Economic Relief:

Mental health issues can cause significant economic burdens. Insurance helps alleviate these by covering mental health treatment expenses. Some mental health issues can be exorbitant. To cover such expenses, it is crucial to invest in a medical insurance plan that extends comprehensive coverage for mental health issues.

The Rise of Mental Health Coverage in India:

India’s journey towards mental health recognition and insurance coverage expansion is driven by various factors:

Regulatory Initiatives:

Regulatory bodies like the IRDAI have played a pivotal role by issuing guidelines for mental health coverage. Even the public and private health insurance providers are more willing to extend coverage for mental health issues. Some public health insurance companies even offer this coverage through group health insurance plans.

The Mental Healthcare Act, 2017:

This landmark legislation mandates equal insurance coverage for mental and physical illnesses, reducing disparities. After the roll out of this legislation in our country, the coverage for mental health issues has been booming. Many insurers are offering this coverage to stay ahead in today’s competitive market. On a whole, this act ensures that stigma revolving around mental health is being eradicated.

Changing Attitudes:

Increased awareness and changing societal attitudes have led to greater demand for mental health coverage. As a result, many health insurance companies have started to offer coverage for various mental health issues that have not gained limelight previously. A big thanks to people’s attitude that the coverage for mental health has transcended.

Corporate Initiatives:

Corporations now offer comprehensive health insurance with mental health coverage, setting a positive example for other sectors. Unlike old times, the group health insurance plans started offering coverage for mental health issues including stress, depression, etc.

Increased Availability of Professionals:

A growing demand for mental health services has led to a larger pool of qualified professionals. This in turn has affected the health insurance industry as well. Because many health insurance companies offer wellness services to help people maintain their overall wellness. With increase in mental health professionals, health insurers also include mental health wellness activities such stress management, meditation exercises, yoga, etc., through qualified mental health experts.

Choosing the Right Mental Health Insurance Policy:

With increase in mental health issues and increasing awareness about the same, it has become crucial to carefully select the best health insurance policy that extends coverage for mental health. Selecting the best mental health insurance policy involves the following careful consideration:

Evaluate Your Needs:

Assess your mental health needs, considering medical history, family history, and pre-existing conditions. Make sure to roughly calculate your medical necessities before choosing the health insurance plan.

Coverage Details:

Scrutinize coverage details, ensuring it includes consultations, therapy, hospitalization, and medication for various mental health conditions.

Provider Network:

Check for a broad network of mental healthcare providers, including psychiatrists and psychologists. Because network hospitals provide cashless treatment facilities for eligible mental health conditions. It is important to check the network of hospitals in and your locality.

Pre-existing Conditions:

If relevant, inquire about coverage for pre-existing mental health conditions, considering waiting periods or restrictions.

Claim Process:

Ensure the claim process is straightforward and efficient for timely access to mental health services. Check the claim settlement ratio of the insurance company before picking the plan. A good claim settlement ratio indicates that the insurer has a good track record of settling policyholders’ claims. On the other hand, a bad claim settlement ratio indicates a bad claim history.

In-network and Out-of-network Coverage:

Understand in-network and out-of-network coverage, factoring in costs. Because you cannot avail of a cashless claim in non-network hospitals.

Exclusions and Limitations:

Review exclusions and limitations to manage expectations. You cannot make a claim for the medical services that are not listed under the policy. So it is essential to carefully check the exclusions and limitations such as waiting periods.

Premiums and Deductibles:

Compare premiums, deductibles, and overall costs across policies. Various factors can influence the policy premium so carefully check the costs and out-of-pocket expenses that you may have to spend.

Additional Benefits:

Seek policies with supplementary mental health benefits like wellness programs and helplines. Apart from coverage, these programs help in maintaining the mental health of people through programs such as guided meditation classes, stress management, yoga, etc.

Consult an Expert:

Consider consulting an insurance expert for guidance in navigating policy complexities.


Increasing mental health insurance coverage in India is a vital step towards holistic well-being. While it diminishes stigma, enhances accessibility, and reduces economic burdens, choosing the right policy requires evaluating unique needs, understanding coverage, and considering provider networks, claim processes, and costs.

By making an informed choice, individuals and families can access essential mental health support, contributing to healthier lives. In this changing landscape, where mental health is gaining recognition, the right insurance policy can be a transformative step toward a brighter future.