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For tackling unforeseen health expenditure and improving healthcare accessibility in general, it is important that people should not only be aware but also be covered under health insurance schemes. The present study was conducted with the aim to assess the health expenditure, health insurance awareness, and coverage among rural households. This was a community-based cross-sectional study carried out in randomly selected families falling under a rural health block in Jammu district of Jammu Kashmir, Union Territory. A predesigned, p