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Health Insurance Plans with OPD Expenses Coverage Benefits

opd insuranceWhat is OPD Insurance Cover?

OPD is an abbreviation of Out Patient Department, which is a new coverage, offered under the health insurance policies from insurance providers. Most health insurance plans are known for its hospitalization expenses coverage and this reduces the chance of coverage for Out Patient Department expenses.

Before mentioning the list of top health insurance plans that offer OPD coverage, read what all expenses are included under OPD coverage.

Health insurance plan with OPD coverage offers health check-ups expenses, doctor’s consultation fees, medication bills, dental treatment expenses, diagnostic tests charges, etc.

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Why it is Important to Buy Health Insurance Plan with OPD Insurance Coverage:

  • Health Insurance plans that offer OPD cover helps you to avail the claim expenses along with the hospitalization expenses.
  • When you compare the health plan with OPD coverage with regular health insurance policies, you will find greater benefits such as tax benefits associated with these plans. You can claim tax deduction for the premium paid towards such health insurance policies.
  • Almost every health insurance policies that offer OPD coverage, provides reimbursement option for the expenses incurred multiple times during the policy tenure.
  • Out Patient Health Services include a great number of benefits and hence greater number of transactions. This feature makes the value of a health insurance policy that offers OPD cover higher than that of a regular health insurance plan.
  • Regular health insurance policies offer coverage only for 24 hours hospitalization, but under the plan that covers OPD expenses.
  • You can file a claim for OPD expenses within 90 days of issuance of the health insurance policy

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Top Companies offering OPD (Out Patient Department) Cover::

Health Insurance Plans Features
Bajaj Allianz Tax Gain Plan
  • It offers tax benefits as per the guidelines under Section 80D of the Income Tax.
  • You can avail cashless facility through 5000+ network hospitals in India.
  • Out Patient Department cover can be claimed easily and quickly.
  • This plan also covers the ambulance expenses up to Rs. 2000.
ICICI Lombard Health Advantage Plus Plan
  • The entry age for this policy is between 5 and 70 years.
  • The OPD cover offered under this plan is up to Rs. 10,000.
  • This cover also includes maternity benefits for new born baby and pregnant woman.
Apollo Munich Maxima Plan
  • The entry age for this policy is 91 days to 65 years.
  • Premium on the policy depends on the age of the insured.
  • This policy covers expenses related to dental treatment, contact lenses, etc.
  • Outpatient benefits under this plan include doctor’s consultation fees, medication expenses, specialist services charges, diagnostic tests expenses, health check-up expenses.
  • Maternity benefits include cover for new born baby and the pregnant woman.
Max Bupa Heartbeat Platinum Plan
  • Maternity benefits include cover for the newborn and pregnant woman, it covers vaccination expenses.
  • There is no minimum/ maximum age for buying this plan.
  • If the Out Patient treatment cover is not utilized during a policy year, 80% of the same will be added to the next policy period.
  • Premium on the policy depends on the age of the insured.
  • This policy also offers tax benefits to the policy holder, according to Section 80D of the Income Tax.
SBI General Arogya Plus Policy
  • Plan options: Individual and Family where the sum assured can be either equal to or less than that for the individual
  • Minimum/Maximum plan subscription can be 3 Months and 65 Years
  • Policy Tenure: 1 Year/ 2 Years/ 3 Years
  • Sum assured options: 1 Lakh, 2 Lakh, and 3 Lakh
  • OPD Reimbursement is subject to Age, family type, and plan type.
  • Annual Premium: Rs. 8,900, Rs. 13,350, and Rs. 17,800 for the sum assured options being Rs. 1 Lakh, Rs. 2 Lakh, and Rs. 3 Lakh
  • Coverage for up to 142 OPD (Daycare) procedures.

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