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Chandigarh, 8th December, 2025: ManipalCigna Health Insurance has reported a substantial rise in respiratory-related claims during the winter months, with the company’s six-year analysis showing that seasonal respiratory claims surged by over 321 percent between 2020 and 2024. This four-fold increase highlights the growing impact of worsening winter air quality across the country.
City-level data shows that Tier 2 and Tier 3 cities account for more than 84 percent of all respiratory claims, making them as affected as urban clusters. Among metros, Delhi NCR contributes 6.5 percent of respiratory claims, the highest among Tier-1 cities, mirroring its previous chronic winter smog levels. Bengaluru and Mumbai contribute 4.5 percent and 4.2 percent respectively, confirming that pollution-linked respiratory conditions extend beyond North India.
In 2024, respiratory conditions made up 18.8 percent of all seasonal (winter) disease-related claims, led by COPD and asthma, followed by lung diseases caused by external agents and ARDS. These illnesses are known to intensify during high particulate and toxic pollutant exposure, reinforcing the health risks caused by winter smog.
The findings underline rising respiratory vulnerability nationwide, cutting across major metros as well as emerging urban centres.
Dr. Vidyadhar Dhaware, Head of Claims and Provider Network, ManipalCigna Health Insurance, said, “In recent years, we have observed a clear rise in respiratory diseases during the winter months, which closely mirrors the increase in smog and particulate pollution. Patients across age groups report coughing, wheezing, breathlessness, and heightened asthma or COPD flare ups. Polluted air weakens the lungs natural defence system and makes individuals more susceptible to infections and complications. Children, the elderly, and people with pre-existing respiratory conditions are particularly vulnerable. During this period, it is crucial to limit outdoor exposure, use protective masks, improve indoor air quality, and seek timely medical care if symptoms escalate.”
