Why Employer Health Insurance Is Not Enough
- Kaustubh Kale

- Jul 25
- 3 min read
Updated: Jul 26

For many salaried employees, health insurance is one of the most valued workplace benefits. Since the employer provides medical cover, it is easy to assume that there is no need to purchase a separate policy. However, relying entirely on employer-provided health insurance can leave you financially vulnerable when you need protection the most.
Your Cover Is Linked to Your Job
The first concern is continuity. Your employer’s health insurance is linked to your employment. The moment you resign, take a career break or retire, the cover may stop.
A medical emergency, however, will not wait for you to join your next organisation. Your next employer may also provide a lower cover or may not offer health insurance at all. A personal policy ensures that your protection continues regardless of changes in career and life.
Plan for Health Like You Plan for Retirement
The same logic we apply to retirement planning should also apply to health insurance. We invest during our earning years so that our accumulated investments can support us when the salary stops.
Similarly, we should purchase personal health insurance while we are young and earning so that the policy continues to protect us after retirement, when we may no longer have an employer.
You May Not Get It Later
Insurance should ideally be purchased when you do not urgently need it, so that it is available when you actually do.
If a person develops a serious illness or medical condition later, an insurer may reject the proposal altogether.
As you grow older, the probability of developing medical conditions also increases, which may affect your eligibility for a comprehensive policy. Insurance companies are comfortable covering uncertain future risks, but they may be unwilling to fully cover illnesses or complications that are already known. Buying early reduces this risk.
Complete the Waiting Period Early
Most health insurance policies have waiting periods for specific diseases, treatments and pre-existing medical conditions. When you purchase the policy at a younger age, these waiting periods can be completed while you are healthy.
By the time you genuinely need the cover, the policy is likely to be more usable and comprehensive.
Employer Cover Is Often Inadequate
Employer-provided insurance is insufficient. A low sum insured may not be sufficient in the event of a critical illness, major surgery, serious accident or prolonged and recurring hospitalisation. The employee and family may still have to pay a substantial portion of the medical bill from their savings.
In extreme situations, inadequate insurance is also one of the reasons families are forced to seek financial help or raise money through crowdfunding platforms.
Employer Cover Lacks Necessary Product Features
Since companies purchase group policies for a large number of employees, the cover may come with limitations such as a low sum insured, room-rent restrictions, disease-wise sub-limits, limited restoration benefits or exclusions for certain non-medical expenses.
Treat Employer Cover as an Additional Benefit
The practical approach is to treat employer-provided insurance as an additional benefit, not as your only protection. Purchase an independent health insurance policy for yourself and your family with a sufficient sum insured and suitable features.
When we purchase a mobile phone, we rarely choose only the most basic model. We look for the features, efficiency and reliability that suit our needs. Health insurance deserves similar attention.
The objective should be to purchase a personal, sufficient and comprehensive policy with necessary features, rather than relying entirely on a basic employer-provided cover.
(The author is a Chartered Accountant and CFA (USA). Financial Advisor. Views personal. He could be reached on 9833133605.)




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