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Corporate medical insurance is a shared safety net, not an unlimited healthcare wallet.[Courtesy]
In many organisations, employees frequently assume that employer-sponsored insurance can support unlimited medical claims without consequence. This is a misguided misconception. The reality is that insurance is a shared ecosystem, and therefore misusing a policy does not just hurt the insurer; it directly threatens the sustainability of the cover for everyone in the company.
Most instances of insurance misuse are not deliberate attempts to defraud the system. Instead, the damage comes from a collection of seemingly minor, everyday choices that bleed the system.
Some employees engage in consultation swapping by allowing an uninsured friend or relative to use their medical card. Others drive up routine care inflation by visiting high-cost specialists or emergency rooms for minor issues like a common cold, instead of utilising general practitioners or telemedicine.
