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A Safety Net Worth Having - Vol 10

Health insurance isn't a simple subject — not here in the United States, and certainly not in India, where the concept of purchasing coverage is still relatively new, particularly for women from lower-income communities. When you're managing tight finances and immediate needs, paying a monthly premium for something you might need someday can feel like a luxury you simply can't afford.

MarketPlace understood that. And we also understood that as the artisans were getting older, the stakes of going uninsured were getting higher.

So we got to work. We organized workshops to help women understand what health insurance actually covers and what it means for their families. And we worked to make it financially possible: MarketPlace covers 75% of the premium, the cooperatives contribute 15% from their earnings, and the women themselves pay just 10%. Each policy covers a family of four — the artisan, her husband, and their two children.

Family of five with a dog, posing for a photo at a celebration with balloons and a cake.

It took about six months of conversations and trust-building before women began to feel the value of it. But by 2017, the shift was real.

Four women sitting on a patterned rug, engaged in conversation.

The results have been meaningful. Women are visiting doctors without the dread of an unmanageable bill waiting on the other side. More than seven artisans have had cataract surgeries — procedures they might have delayed indefinitely without coverage. People are getting care when they need it, not just when they have no other choice.

Woman in a medical setting with a patient, wearing a face mask.

Two stories stand out.

When Bhakti Sodaye's husband Sandip was diagnosed with a serious case of hepatitis, the road to treatment was complicated — he was transferred across three hospitals before receiving proper care. It was an exhausting and frightening time for the family. Their insurance reimbursed Rs. 85,000, covering 80% of the total cost. Without it, that medical crisis could have become a financial one as well.

Sarita Anil Singh had a different experience — a fever and persistent vomiting that didn't respond to basic treatment. Knowing she had insurance gave her the confidence to seek proper hospital care rather than waiting and hoping it would pass. She was admitted to Modi Hospital, and 95% of her treatment costs — Rs. 43,908 — were covered.

Group of people sitting and working on documents in a room with a banner in the background.

These aren't dramatic stories in the way headlines tend to be. They're ordinary moments of people getting sick, seeking help, and being able to afford it. But for families without a financial cushion, that ordinariness is everything.

Health insurance, it turns out, is about far more than medical bills. It's about being able to make decisions based on what you need — not just what you can afford.

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