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Difference Between Health and Term Insurance

6 min readby Angel One
Financial planning is built on two pillars: protecting your life and protecting your wealth. This guide explores the critical difference between health and term insurance, ensuring you understand why your portfolio likely needs both.
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Building a good financial strategy requires solid foundation and insurance is one of the crucial pillars, specifically health and term insurance. While health insurance acts as a shield for the living by covering medical expenses and protecting your savings from hospital bills, term insurance serves as a safety net for your family, providing a lump-sum payout to replace your income if you are no longer there.  

Rather than choosing either, understanding the difference between them will help you understand how they are complementary partners, one secures your current wealth, while the other protects your family’s future. This article will break down the mechanics of each, helping you construct a fortress around your wealth. 

Key Takeaways 

  • Distinct Roles: Health insurance pays for medical expenses while you are alive; Term insurance pays a lump sum to your family after your death. 

  • Asset Protection: Health insurance protects your existing savings from being drained by medical emergencies. 

  • Income Replacement: Term insurance replaces the future income you would have earned, ensuring your family's financial survival. 

  • Tax Efficiency: Both offer tax deductions under different sections of the Income Tax Act (Section 80D for Health, Section 80C for Term), maximising your savings. 

What is Health Insurance? 

A simple way to understand what is health insurance, is to think of it as a shield for your savings. 

In today's world, medical inflation is rising at an alarming rate, often double the rate of general inflation. A single hospitalisation for a critical illness or a major surgery can cost anywhere from ₹5 Lakhs to ₹20 Lakhs. For an average middle-class family, this expense can wipe out years of savings or force them into debt. 

A Health Insurance policy is a contract in which an insurer agrees to pay your medical expenses in exchange for a premium. This covers hospitalisation costs, doctor fees, nursing, surgery, medicines, and sometimes even pre- and post-hospitalisation expenses. 

Read More About: Types of Health Insurance 

Key Features: 

  • Cashless Treatment: If you visit a network hospital, the insurer settles the bill directly with the hospital. You don't have to pay cash up front. 

  • Types of Plans: 

  • Individual Plans: Covers a single person. 

  • Family Floater Plans: A single sum assured covers the entire family (husband, wife, and children). If one person uses the money, the remaining balance is available for others. 

  • Critical Illness Plans: These provide a fixed lump sum if you are diagnosed with specific severe illnesses like cancer or heart failure, helping cover costs beyond just hospitalisation. 

  • The "Living" Benefit: The most important aspect is that this insurance benefits you while you are alive. It ensures that you get the best medical care without worrying about the cost. 

What is Term Insurance?  

Now, let's look at what is term insurance is. If health insurance is a shield, Term Insurance is a safety net. 

Term insurance is the purest and most affordable form of life insurance. Unlike "Endowment" or "Money Back" policies that mix insurance with investment, Term Insurance has one singular goal: Risk Protection. 

Purpose and Mechanism:  

You pay a small premium to purchase a large "Sum Assured" (life cover) for a specific period (the "term"). 

  • The Event: If the policyholder passes away during this term, the insurance company pays the entire Sum Assured to the nominee (family). 

  • The Survival: If the policyholder survives the term, there is usually no payout (unless it is a "Return of Premium" policy, which is more expensive). 

Read More About: What is Term Insurance? 

Why is it crucial?

Think about your financial value to your family. If you earn ₹10 Lakhs a year and you expect to work for another 20 years, your "Human Life Value" is roughly ₹2 Crores. If you were to pass away today, your family doesn't just lose you; they lose that ₹2 Crores of future income. 

Term insurance steps in to fill that gap. The payout can be used by your family to: 

  • Pay off liabilities (Home loans, car loans). 

  • Generate a monthly income (by investing the corpus). 

  • Fund future goals (Children’s education, spouse’s retirement). 

It ensures that even if you are not there, your financial promises to your family are kept. 

Term Insurance Vs Health Insurance

To truly grasp the difference between health and term insurance, we must compare them side-by-side. They operate in different lanes of the financial highway. 

The core distinction is the beneficiary. In Health Insurance, the beneficiary is usually the hospital (via cashless claims) or you (via reimbursement). In Term Insurance, the beneficiary is your nominee. 

Here is a detailed comparison of term insurance vs health insurance: 

Feature 

Health Insurance 

Term Insurance 

Primary Objective 

Asset Protection. Prevents savings from being used for medical bills. 

Income Replacement. Replaces the breadwinner's income after death. 

When does it pay? 

During medical emergencies/hospitalization while the policyholder is alive. 

Upon the death of the policyholder during the policy term. 

Who gets the money? 

The Hospital or the Policyholder (Reimbursement). 

The Nominee (Family members). 

Benefit Type 

Indemnity. Pays the actual cost of treatment up to the limit. 

Fixed Benefit. Pays the entire Sum Assured regardless of actual financial loss. 

Premium Cost 

Higher relative to cover. Increases with age significantly. 

Very Low. A small premium buys a large cover (e.g., ₹1 Cr cover for ₹10k/year). 

Tax Benefit (India) 

Premiums eligible for deduction under Section 80D. 

Premiums eligible for deduction under Section 80C. 

Frequency of Claim 

Can be claimed multiple times a year up to the limit. 

One-time claim. The policy terminates after the payout. 

Benefits of Health Insurance and Term Insurance Plans 

Why do financial planners insist on having both? Because they solve different problems. Relying on one to do the job of the other is a recipe for disaster. 

Benefits of Health Insurance 

  1. Access to Quality Healthcare: With a robust health plan, you don't have to compromise on the quality of doctors or hospitals due to lack of funds. 

  1. Preservation of Savings: It prevents you from liquidating your long-term assets (such as breaking a Fixed Deposit or selling Mutual Funds) to pay for a short-term emergency. 

  1. Tax Efficiency: Under Section 80D, you can claim tax deductions up to ₹25,000 for yourself (and family) and an additional ₹50,000 for senior citizen parents. This reduces your taxable income significantly. 

  1. No-Claim Bonus: If you stay healthy and don't claim in a year, insurers often increase your coverage amount for free as a reward. 

Know More About: Section 80D 

Benefits of Term Insurance 

  1. High Cover at Low Cost: This is the cheapest way to buy a large safety net. For a young individual, a cover of ₹1 Crore might cost less than a monthly pizza dinner. 

  1. Financial Freedom for Heirs: The lump sum payout allows your family to live debt-free. They can pay off the home loan immediately, ensuring they always have a roof over their heads. 

  1. Peace of Mind: Knowing that your family will not be financially dependent on relatives or charity in your absence provides immense psychological relief. 

  1. Tax Savings: The premiums are eligible under Section 80C (limit of ₹1.5 Lakhs), and, importantly, the death benefit received by the nominee is generally tax-free under Section 10(10D). 

Know More About: Section 80C 

Conclusion 

In the debate of term insurance vs health insurance, there is no winner. They are not substitutes; they are two wheels of the same bicycle. 

If you have Term Insurance but no Health Insurance, a major illness could drain your bank account while you are alive, leaving you with no money to pay the Term Insurance premiums. 

If you have Health Insurance but no Term Insurance, you are protected while alive, but your family is left vulnerable to financial ruin if you pass away prematurely. 

A sound financial plan requires a balanced approach. 

  1. Buy Health Insurance to protect your current wealth from doctors and hospitals. 

  1. Buy Term Insurance to protect your family's future wealth from life's uncertainties. 

Evaluate your needs, consult a financial advisor if necessary, and ensure both these pillars are firmly in place before you start building the rest of your investment portfolio. 

FAQs

Term insurance is a life cover, not a disease cover. It pays out on death due to any cause (illness, accident, natural causes), with the exception of suicide within the first year of the policy. It does not pay for treatment of diseases; that is what health insurance is for. 

The primary "perceived" disadvantage is that if you survive the policy term, you get no money back (unlike endowment plans). It is a pure expense for risk protection, similar to car insurance—you only benefit if the unfortunate event occurs.

There is no single "best" plan. A suitable plan is one that offers adequate coverage (minimum of ₹5-10 Lakhs), has a large network of cashless hospitals, has no restrictive room-rent limits, and has a high Claim Settlement Ratio. 

Yes, absolutely. In fact, it is highly recommended to hold both concurrently as they serve different purposes—one covers medical costs while you are alive, and the other provides financial support to your family after death. 

Yes, you can stop paying premiums and let a term policy lapse at any time. However, if you have just bought it, there is usually a 15-30 day "Free Look Period" where you can cancel and get a refund. For older policies, stopping payment simply ends the coverage. 

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