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Benefits of Health Insurance with OPD Cover in India

31 October, 2023

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Health insurance with OPD cover

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Visiting a hospital is something that everyone does at least once in their lives, if not for themselves, then for others. However, no one anticipates injuries or illnesses. They are unpredictable and can strike at any time in life. In recent years, medical procedures have seen a substantial increase in treatment cost. Therefore, it is essential to have a financial safety net. And what’s better than having a health insurance plan as a safety net? With an adequate health insurance cover, you don’t have to worry about the rising medical costs. Furthermore, a health insurance plan comes with several benefits that helps in getting pre and post-hospitalization care as well. One such feature is OPD cover. This blog will answer the queries like what is OPD coverage, what are its benefits and who can avail of its services.

 

What is OPD Cover?

Outpatient Department or OPD treatment refers to those cases where the treatment or diagnosis is done the doctor by simply visiting their medical institution. OPD treatments are those that do not necessitate admission to a hospital. You can simply walk into a clinic and get the consultation or treatment done without getting admitted. OPD includes treatment for fractures, several necessary dental treatments, and minor surgeries. Though these treatments do not take much time, they can be costly. But, don’t worry! These medical expenditures are covered by health insurance policies. Thus, one should always look an insurance plan with OPD cover.

 

Who Should Opt for OPD Cover Health Insurance Plans?

Now that you know what is OPD coverage, another important question rises, who should opt for outpatient coverage? Anyone and everyone should opt for a plan that provides outpatient coverage, especially those who visit the doctor regularly for consultations.

 

Most young people nowadays choose health insurance because of the lower premiums, the ability to complete waiting periods sooner, and, of course, the tax savings. You can get outpatient health insurance If you are one of them. This way, even if you believe you are less likely to use other benefits from your health insurance, you will undoubtedly require your OPD benefit at some point.

 

If you already have group medical insurance through your employer but want to supplement it, you can select a top-up healthcare plan. You can choose health insurance with OPD coverage, as many group medical health plans do not include OPD benefits. As a result, additional health insurance can supplement the benefits provided by your existing plan while also contributing to your annual tax savings!

 

Benefits of having an Outpatient Department Coverage:

In India, OPD costs can account for up to 62% of total medical costs. Having OPD coverage can help you in many ways. The benefits of having healthcare insurance with OPD coverage are:

 

  • A health insurance policy with OPD cover enables reimbursement of the OPD expenses within 90 days of payment.
  • The sum assured for health insurance with OPD benefit is based on the age of the policyholder.
  • The claims under the OPD insurance plans are determined based on the sum assured.
  • Individuals who have more expenses because of pharmacy bills experience respite because OPD cover includes the pharmacy bills.
  • Health insurance plans that cover OPD expenses enable individuals to claim medical reimbursements multiple times over the policy term.
  • Insurance with OPD cover offers more tax benefits on the premiums paid.
  • Health insurance policies that cover OPD expenses help the insured person to cover pre-and post-hospitalization expenses which can at times be greater than the hospitalization expenses.  

 

In medical treatment, OPD is the first point of contact. It also facilitates hospital admission screening and investigations. Niva Bupa provides GoActive medical insurance plan, which includes cashless OPD coverage. It assists policyholders in saving their hard-earned money that would otherwise be spent on routine hospital visits. The benefits of OPD coverage are included in the base premium.

 

It offers ten reimbursable/cashless OPD consultations within network hospitals. It covers consultations with specialists, general practitioners, paediatricians, dentists, and orthopaedics, as well as any other doctor the policyholder requires.

 

As we all know, healthcare costs are sky-rocketing these days. Thus, having health insurance with OPD cover will make sure that a simple visit to the doctor does not cost you your finances. So, what are you waiting for? Buy a suitable health insurance plan or group health insurance that provides coverage for your OPD requirements and other medical needs.

 

 

 

 

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