Video-to-Audio generation has made remarkable strides in automatically synthesizing sound for video. However, existing evaluation metrics, which focus on semantic and temporal alignment, overlook a critical failure mode: models often generate acoustic events, particularly speech and music, that have no corresponding visual source. We term this phenomenon Insertion Hallucination and identify it as a systemic risk driven by dataset biases, such as the prevalence of off-screen sounds, that remains completely undetected by current metrics. To address this challenge, we first develop a systematic evaluation framework that employs a majority-voting ensemble of multiple audio event detectors. We also introduce two novel metrics to quantify the prevalence and severity of this issue: IH@vid (the fraction of videos with hallucinations) and IH@dur (the fraction of hallucinated duration). Building on this, we introduce HALCON to mitigate IH. HALCON follows a three-stage procedure: it first generates initial audio to expose hallucinated segments, then identifies and masks the corresponding unreliable video features, and finally regenerates the audio using the corrected conditioning. Experiments on several mainstream V2A benchmarks first reveal that state-of-the-art models suffer from severe IH. In contrast, our HALCON method reduces both the prevalence and duration of hallucinations by over 50\% on average, without degrading, and in some cases even improving, conventional metrics for audio quality and temporal synchronization. Our work is the first to formally define, systematically measure, and effectively mitigate Insertion Hallucination, paving the way for more reliable and faithful V2A models.