Pollution is driving up medical bills & health insurance claims!

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Business
Gazal M
19 NOV 2025 | 07:07:07

Pollution is no longer just a health hazard, it’s becoming a financial strain for households. Policybazaar’s latest data shows a sharp rise in pollution-related insurance claims in 2025. The most alarming insight: 43% of these claims are filed for children below the age of 10, indicating how severely young populations are being affected.

Delhi Leads, But the Crisis Is National

While Delhi accounts for 38% of all pollution-linked claims, the problem is spreading across the country. Cities such as Hyderabad, Bengaluru, Pune, and Mumbai are reporting higher claim volumes. Even Tier-2 cities like Jaipur, Lucknow, and Indore are witnessing a growing share of hospitalisation due to pollution-triggered ailments.

The trend repeats each year: a clear spike in claims immediately after Diwali.

Diseases and Hospitalisation Trends

In September 2025 alone, 9% of all hospitalisation claims were linked directly to pollution. The most common medical issues included:

  • Respiratory infections
  • Cardiac complications
  • Eye allergies
  • Skin-related conditions

These illnesses are not only rising in number but also becoming costlier to treat. Treatment Costs Are Climbing Medical inflation is adding to the burden. Policybazaar’s analysis shows:

  • 11% increase in respiratory treatment costs
  • 6% increase in cardiac care expenses

The average claim size now exceeds ₹55,000, and daily hospitalisation costs average ₹19,000.

Impact on Premiums: Location and Season Matter

Insurers are reassessing risks and are now factoring in location-based and season-based pricing. This means residents of high-pollution cities could see higher health insurance premiums in the coming months. How Consumers Can Prepare With pollution now hitting both health and finances, individuals and families should take proactive steps:

  • Review existing health insurance policies
  • Increase the sum insured
  • Ensure children are adequately covered
  • Consider OPD and respiratory care add-ons
  • Prepare for seasonal spikes, especially post-Diwali

The Bottom Line

Pollution has evolved from an environmental and public health issue to a financial challenge. As medical costs rise and insurers reassess risks, families—especially those in polluted cities—must strengthen their health coverage to stay protected.

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