Health Insurance: Take OPD Cover In Your Plan

It’s crucial to maximise your health insurance and ensure you have ideal coverage because healthcare is becoming more expensive, and the percentage of out-of-pocket costs is rising. Insurance companies now provide various choices to tailor coverage to individual client’s medical requirements.

Evaluate your current insurance and consider switching to a policy with cashless OPD, a daily cash rider, guaranteed cumulative bonus, and reduced sub-limits.* n addition, take a top-up and add a few necessary riders to complete the insurance coverage. Consider switching to a plan with these benefits from the same or a different health insurer if your current plan does not offer them. *

  • Cashless OPD*

While a basic health insurance policy only covers hospitalisation, many healthcare expenses are associated with doctor visits, medications, and diagnostic tests. Cashless OPD coverage benefits individuals with high out-of-pocket expenses or parents of frequently ill children needing over-the-counter meds or testing.

The cashless OPD program includes coverage for professional fees, diagnostics, medications, fracture treatments, dental care, and minor surgeries at accredited facilities.* However, the majority of insurance does not cover OPD costs for eyeglasses, contact lenses, ambulatory aids like walkers, etc. Choose health insurance with OPD coverage.

Guaranteed Cumulative Bonus

Consider a policy with a guaranteed cumulative bonus that, for the same premium, guards against the loss of cumulative bonus after a claim. A few health insurance plans guarantee cumulative bonuses of 25–30% per year, up to 200% of the covered amount, regardless of claims. *

After a few years of renewal, search for a policy that provides a loyalty concession on the appropriate premium. Certain insurers provide further reductions if the insurance is renewed through or standing order using a credit card or direct debit from a bank account.

Restore Benefits, Riders*

Choose a policy that pays restoration benefits if hospitalisation causes the sum covered to be used up within the policy year. It is the perfect component of a family floater plan. The family members continue to get coverage on the restoration of the sum insured even after the base cover of the floater has been used up.

A health insurance plan with a high deductible or co-pay should be avoided. Although it might lower your premium, your out-of-pocket costs will increase. Choose a higher base plan and larger super top-up deductible instead. Most health insurance policies offer necessary riders, such as coverage for critical illnesses, that you can select based on your needs for an additional fee. ##

  • Cashless OPD covers professional expenses, prescription drug costs, diagnostic costs, fracture care, dental care, minor surgery, etc.
  • For the same premium, guaranteed cumulative bonus guards against the loss of cumulative bonus after a claim. *
  • To make the insurance comprehensive, include necessary riders and a top-up plan.

Make sure you renew your health insurance on time.

In conclusion, including OPD cover in your health insurance plan is a wise decision. This addition not only offers financial assistance for outpatient expenses but also contributes to comprehensive coverage, ensuring that you and your family have access to a wide range of medical services when needed. Prioritizing OPD coverage can lead to better overall healthcare and peace of mind for policyholders, making it a valuable component of any health insurance plan.*

*     Standard T&C Apply

##     All savings are provided by the insurer as per the IRDAI-approved insurance plan. Standard T&C apply

Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.