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Bridging health cover mental healthcare in India

Mental Health: A Rising Concern

  • 1 in 5 adults globally suffer from mental health issues.
  • WHO estimates >$1 trillion productivity loss annually due to untreated mental illness.
  • Post-pandemic awareness has boosted global and Indian attention to mental well-being.

Relevance : GS 2(Health ,Mental Health)

Policy and Legal Framework in India

  • Mental Healthcare Act, 2017: Recognised mental illness at par with physical illness.
  • IRDAI directive: Mandated mental health coverage in all health insurance plans.
  • Result: Inclusion of mental health in India’s mainstream health protection framework.

New Trends in Insurance

  • OPD benefits in health plans now include therapy, counselling, psychiatric consultations — key for mental health, rarely requiring hospitalisation.
  • Mental health-related claims up by 30–50% in past 2–3 years.
  • Indicates a positive behavioural shift: More people seeking help earlier and using insurance to pay for it.

Demographic Patterns

  • Young adults (25–35) are:
    • Leading in mental health-related searchespolicy uptake, and claims.
    • Comfortable with app-based therapyonline consultations.
  • Top conditions claimed:
    • Anxiety (30–35%), Depression (25–30%), Workplace stress, Insomnia.
    • Mostly early to moderate cases, suggesting rising comfort with early intervention.

Women & Mental Health Insurance

  • Women more likely to buy policies with mental health benefits.
  • Driven by life-stage transitions like:
    • Pregnancy
    • Menopause
    • Caregiving roles
  • Reflects a cultural shift toward self-care and emotional well-being.

Geographical Spread

  • Tier 1 cities dominate with over 50% of mental health policy uptake.
    • Due to better access, digital literacy, corporate wellness policies.
  • Tier 2 cities now showing growing interest, indicating broader national awareness.

Workplace Evolution

  • Companies now offer:
    • Wellness programs
    • Access to therapists
    • Stress management workshops
  • Mental health becoming part of employee benefits and corporate culture.

Challenges & Way Forward

  • Despite inclusion, awareness and utilisation remain low.
    • Many unaware their policies include OPD therapy or cashless mental health services.
  • Next priorities:
    • Education: Improve awareness on mental health coverage.
    • Accessibility: Ensure services reach beyond urban elites.
    • Empathy: Normalise mental healthcare as everyday healthcare.
  • Goal: Make mental healthcare inclusive, accessible, and normalised.

June 2025
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