Posted on: Jun 12, 2025 | 3 mins | Written by: HDFC ERGO Team

How Being Overweight Affects Your Health Insurance Policy

How Being Overweight Impacts Your Health Insurance

When you think of health insurance, weight may not be the first factor that comes to mind. However, your Body Mass Index (BMI) plays a significant role in determining your insurance premium and policy terms.

BMI is a simple calculation based on height and weight. Health professionals use it to categorise individuals into different weight brackets: underweight, normal weight, overweight, and obese.

BMI below 18.5: Underweight

BMI between 18.5 and 24.9: Normal

BMI between 25 and 29.9: Overweight

BMI 30 and above: Obese

Insurance providers use this measure to assess risk. A higher BMI often correlates with increased health risks such as diabetes, hypertension and cardiovascular conditions.

How Being Overweight Impacts Health Insurance

Being overweight may affect your policy in several ways:

1. Higher Premiums

Overweight individuals are generally seen as higher-risk applicants. Insurance providers may charge higher premiums to offset the risk of claims related to obesity-linked health issues.

2. Medical Underwriting Scrutiny

Medical underwriting is the process by which insurers evaluate your health status before issuing a policy. If you're overweight, insurers may request additional medical tests, such as blood sugar, cholesterol, or cardiac screenings.

3. Policy Rejections or Riders

In extreme cases of obesity, an insurance provider may decline your application or offer coverage with exclusions (riders) for obesity-related illnesses.

4. Limited Benefits

Some insurers offer fewer benefits or impose longer waiting periods for overweight individuals. For example, coverage for lifestyle diseases may only start after a prolonged waiting period.

Common Health Risks Associated With Obesity

Health insurance companies base their premium calculations on potential future claims. Obesity increases the risk of several chronic conditions, such as:

• Type 2 Diabetes

• High blood pressure (hypertension)

• Heart disease

• Sleep apnoea

• Joint disorders (like arthritis)

• Certain cancers (e.g., breast, colon)

These medical conditions often require long-term treatment, hospitalisation and medication, raising the cost of claims.

How Insurers Determine Premiums for Overweight Individuals

Insurers consider several factors before offering health cover:

• BMI level

• Age and gender

• Pre-existing conditions

• Family medical history

• Lifestyle habits (e.g., smoking, alcohol consumption)

If your BMI is over 30, the insurer might add a loading fee, which is an additional charge on your premium. This loading could range from 10% to 50% depending on the severity and associated risks.

Steps You Can Take to Lower Premiums

Being overweight may not disqualify you from getting health insurance, but you can do a few things for affordable coverage. These are:

• Maintain or Reduce Weight:

A healthy diet and regular exercise can help bring your BMI to a normal range.

• Undergo Preventive Health Check-ups:

These help in the early detection of any complications.

• Avoid Unhealthy Habits:

Quit smoking and limit alcohol intake.

• Choose Wellness Programmes:

Some insurers offer discounts or incentives for policyholders who participate in wellness programmes.

Importance of Health Insurance When Overweight

Having health insurance is even more critical if you are overweight. You may be more prone to chronic illnesses, which require ongoing treatment and hospital visits.

• Health insurance covers consultation, diagnostics and treatment

• Cashless hospitalisation makes it easier to access emergency care

• Preventive health check-ups may be included in your plan

• Financial burden from expensive medical procedures can be mitigated

These benefits of health insurance offer you financial support and peace of mind.

Tips to Manage Weight for Better Insurance Outcomes

• Stay Active:

Aim for at least 150 minutes of moderate exercise per week

• Eat Balanced Meals:

Include vegetables, fruits, lean proteins, and whole grains

• Hydration:

Drink enough water to aid digestion and metabolism

• Adequate Sleep:

Helps regulate hormones that control hunger and metabolism

Can Weight Loss Affect Your Existing Premium?

Yes, in some cases. If you show significant improvement in your health, insurers might reassess your risk profile during policy renewal. You may need to submit medical records or undergo another round of medical tests.

Conclusion

Being overweight can influence your health insurance policy in terms of premiums and benefits. However, it doesn’t mean you should go without cover. In fact, you may need it more than ever. A comprehensive policy offers protection, access to preventive care and support during medical emergencies.

It is wise to understand how your lifestyle impacts your health insurance premiums and take steps towards a healthier life. That way, you can unlock the many benefits of health insurance while improving your long-term well-being.


Disclaimer: The above information is for illustrative purposes only. For more details, please refer to the policy wordings and prospectus before concluding the sales.


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