Does the following statement imply convexity?
Your proposed inequality is certainly true, and indeed an equality, whenever $f$ is additive, but one can build almost-arbitrarily-bad additive functions by considering a Hamel basis for $\mathbb R$ as a $\mathbb Q$-vector space. Such functions (if not continuous) are bounded neither above nor below on any interval, hence not convex.
EDIT with more details: As @LiviuNicolaescu points out, every convex function is continuous, so it suffices to produce an example of a discontinuous such function. These exist (given choice, at least) in abundance, but here's one example. Let $\mathcal B$ be a Hamel basis of $\mathbb R$ (i.e., a basis for $\mathbb R$ as a $\mathbb Q$-vector space) containing $1$, and let $x$ be any element of $\mathcal B \setminus \{1\}$. Let $f$ be the unique $\mathbb Q$-linear extension to $\mathbb R$ of the characteristic function of $\{x\}$, viewed as a function $\mathcal B \to \mathbb R$. Since $f$ satisfies $f(a + b) = f(a) + f(b)$ for all $a, b \in \mathbb R$ (by $\mathbb Q$-linearity), it satisfies your proposed inequality, and indeed makes it an equality. Since $f$ vanishes on $\mathbb Q$ (because it vanishes at $1$ and is $\mathbb Q$-linear), if continuous, it would have to vanish everywhere; but it takes the value $1$ at $x$.
Any linear function ($f(x+y)=f(x)+f(y)$)satisfies the above, and there are linear functions which are not convex assuming choice (using basis $\mathbb R/\mathbb Q$); measurability or local boundedness near a point excludes those.
Picking small $h$ (s.t. $x+h<y$) and using above inequality for $x+h$, $y$, $y+h$, $y-2x$, we get that above inequality implies convexity for the mean of two numbers ($2f(y)\le f(x)+f(y-2x)$) and that implies full convexity whenever $f$ is locally bounded near a point (which is equivalent to measurable in this context).