Medical Emergencies Drive 11% of Personal Loans as Indians Borrow for Essentials and Aspirations
Paisabazaar's comprehensive study of 2,889 personal loan borrowers across 23 Indian cities reveals that medical emergencies drive 11% of personal loans, with higher rates in Tier 1 cities (14%) compared to Tier 3 cities (8%). The research shows 48% borrow for essential expenses while 36% seek aspirational upgrades, with Tier 3 residents 2.4 times more likely to use loans for daily needs. Concerning trends include 25% of borrowers not evaluating alternatives and only 7% fully understanding credit score implications despite widespread awareness.

*this image is generated using AI for illustrative purposes only.
Medical emergencies have emerged as a significant driver of personal loan demand in India, accounting for 11% of all personal loan borrowing according to a comprehensive consumer research study by Paisabazaar. The study, titled "The Personal Loan Story", provides detailed insights into borrowing patterns across different city tiers and demographic segments based on in-depth interviews with 2,889 personal loan borrowers across 23 cities and towns in India.
Healthcare Costs Drive Urban Borrowing
The research reveals a clear urban-rural divide in healthcare-related borrowing patterns. Medical emergencies and healthcare expenses show higher prevalence in metropolitan areas, with Tier 1 cities recording 14% of personal loans for medical purposes compared to 10% in Tier 2 cities and 8% in Tier 3 locations. This disparity points to the impact of rising medical costs and limited health insurance coverage in urban centers.
| City Tier: | Medical Emergency Loans | Daily Needs Borrowing Pattern |
|---|---|---|
| Tier 1 Cities: | 14% | Lower dependency |
| Tier 2 Cities: | 10% | Moderate dependency |
| Tier 3 Cities: | 8% | 2.4x higher than Tier 1 |
Essential vs Aspirational Borrowing Patterns
The study demonstrates a clear split between necessity-driven and lifestyle-oriented borrowing. Nearly half of all borrowers (48%) utilized personal loans to meet essential expenses including household needs and urgent home repairs, while 36% borrowed for aspirational purposes such as lifestyle upgrades. Business-related borrowing represented a smaller segment at 16% of total loans.
City-tier analysis reveals that borrowers in Tier 3 cities demonstrate significantly higher dependence on credit for basic necessities, being 2.4 times more likely to take personal loans for day-to-day needs compared to their Tier 1 counterparts. This trend highlights the economic pressures faced by residents in smaller cities and towns.
Life Events and Business Financing
Life events, particularly weddings and celebrations, account for 11% of personal loan borrowing nationwide. Tier 1 cities lead this category with 14% of borrowers using personal loans for such occasions. The research also identifies a growing trend of salaried individuals leveraging personal loans to fund family businesses or side ventures, representing 9% of total borrowing.
| Purpose: | Percentage of Borrowers | Key Insights |
|---|---|---|
| Essential Expenses: | 48% | Household needs, urgent repairs |
| Aspirational Needs: | 36% | Lifestyle upgrades |
| Business Related: | 16% | Including side businesses (9%) |
| Life Events: | 11% | Weddings, celebrations |
| Medical Emergencies: | 11% | Higher in urban areas |
Digital Adoption and Credit Awareness Gaps
Despite the expansion of digital lending platforms, the study reveals limited online adoption with only 32% of borrowers obtaining personal loans through digital channels. Many borrowers continue to prefer traditional offline channels for their borrowing needs.
The research uncovers significant gaps in financial literacy and borrowing behavior. A concerning 25% of borrowers did not evaluate alternative credit options before taking personal loans, with this tendency reaching 31% among Gen Z borrowers. While 98% of respondents claimed familiarity with credit scores, only 7% demonstrated complete understanding of how credit scores impact loan approval processes and pricing decisions.
Market Implications
The findings highlight the diverse motivations driving India's personal loan market, from urgent medical needs to aspirational lifestyle choices. The pronounced city-tier differences in borrowing patterns reflect varying economic conditions and financial infrastructure across urban and semi-urban markets. The study's insights into digital adoption rates and credit awareness levels provide valuable indicators for lenders and policymakers addressing financial inclusion and literacy initiatives.
























