Nithin Kamath warns depending only on corporate health insurance may not be enough; here’s what salaried people should know

Many salaried employees mistakenly believe their employer's health insurance is sufficient. However, corporate plans often have hidden limits and may not grow with your needs. Zerodha co-founder Nithin Kamath emphasizes the importance of a persona...

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Nithin Kamath flags gaps in Corporate health insurance. Read on to know how employer health insurance actually works. (AI Generated image)
Many salaried employees believe that the health insurance their employer gives them is sufficient, but that changes when they actually need it.

From claim restrictions to inadequate coverage over time, depending solely on corporate insurance can leave significant gaps. Recently, Zerodha co-founder Nithin Kamath brought this issue to light, emphasizing the importance of having your own health policy.

In a post on X (formerly Twitter), Kamath wrote:


Genuinely surprised by how many people have never bought a personal health policy because they assume their employer's group cover is enough. Most employer plans are negotiated on cost, not comprehensiveness.

Use the corporate cover for claims, keep your personal policy clean and let the no-claim bonus build. But the policy that protects you when it actually matters is the one you own, Kamath highlighted.


Why employer health insurance may not be enough


Kamath highlighted that while corporate health insurance is useful, it is often designed with cost efficiency in mind rather than comprehensive coverage. Read on to know how employer health insurance actually works and what the important facts people must know:

1. Hidden limits can reduce your claim payout


According to his tweet, employer policies usually come with room rent sub-limits. These don’t just limit room charges, they can proportionately reduce other expenses such as:

  • Surgeon fees
  • Procedure costs
  • And everything else in the claim

2. Buying insurance later can cost more


If you develop a medical condition while relying on employer insurance and later try to buy a personal policy, insurers may classify it as a pre-existing condition, he remarked.
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Someone who buys a personal health policy at a younger age, say 25, completes the necessary checks early, builds a long policy history, and is likely to pay lower premiums over time. In contrast, purchasing a new policy later, especially with pre-existing conditions, can be significantly more expensive.

3. Your coverage may not grow with your needs


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A Rs 5–10 lakh cover may seem sufficient in your 20s, but with medical inflation around 14% annually, it may fall short later, Kamath explained.

Corporate policies typically remain fixed, while personal policies allow:
  • Coverage upgrades
  • Add-ons and flexibility

4. No tax benefit on employer-paid premiums


Premiums paid by your employer do not qualify for tax deductions. However, a personal policy allows you to claim tax benefits under Section 80D every year.

5. The smarter approach


Employer-provided health insurance comes with a low sum insured, changing terms and, most importantly, uncertainty in case of a job change or a career break. Thus, building a large personal health policy is non-negotiable, particularly in high-inflation urban markets.

Kamath suggested a strategy that involves:

  • Using employer insurance for claims
  • Keeping your personal policy clean
  • Letting your personal policy build a no-claim bonus over time
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