In Bihar, Maharashtra, Karnataka and Gujarat, fewer than 40% of the households had at least one member covered by health insurance, according to the National Family Health Survey-5 (2019-20). Also, in these States, the number of household members who generally chose to go to private-sector clinics/hospitals for treatment was relatively higher than in other regions. So, households in these States spent more on health as the average expenditure for hospitalisation cases was seven times higher in the private sector compared to the public sector, according to the latest NSSO report on health. While the problem was acute in these four States, insurance coverage was in general very low across many States.
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