Health insurance plans are now not just limited to in-patient hospitalization benefits but they will also cover your outpatient expenses. You no longer have to be hospitalized for at least 24 hours to avail mediclaim benefits. Instead, you can visit your insurer’s network hospital for OPD treatment and save on the doctor’s consultation fees. Read on to know more about cashless OPD health insurance plans.
*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply
*Tax benefit is subject to changes in tax laws. Standard T&C Apply
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Some insurance companies have introduced this concept few years back but strictly on the basis of reimbursements according to which the insured will get the money later on when he puts in a claim. Before this concept, the insured used to get the benefits only in case of 24 hours hospitalization. Now this change is further modified for more flexibility and comfort of people. Cashless OPD is a welcome as well as lucrative move insurance companies have taken.
Offering vouchers for various services like consultation and pharmacy is a good idea and is implemented by Apollo Munich’s Maxima. Antony Jacob, the MD and CEO of HDFC ERGO Health Insurance (Formerly known as Apollo Munich) has informed that their vouchers for OPD treatment with sub-limits are available on designated outlets with the option of reimbursement in case the hospital is not in the network list. Obviously these vouchers can’t be used n number of times and for unlimited benefits as per the rules of business to avoid any misuse. So, these vouchers are of Rs. 600 along with caps on the number of times the insured can consult the doctor.
Growing medical inflation is becoming a major concern for people which can unexpectedly shatter their budget. People are becoming more aware about the ways through which they can minimize the medical costs. This concept could attract more people to go for health insurance. Health is the fastest-growing segment when it comes to nonlife insurance business. Even an incurred claim ratio (claims paid to premium earned) of 96.43% in health has given profit to the insurers. Policyholder may get a tax break as the government is seeking for the promotion of health insurance.
From Rs 11,777 crore in 2011 to Rs 13,975 crore in 2012-13, health insurance premiums have grown 18.66%. Where non-life insurance has grown 17.5%, health segment has shoot up its growth with 30%.
IRDA has brought uniformity in health insurance policies by issuing certain guidelines which have standardize commonly used medical terms, procedures, exclusions and claim forms.
So, along with doing business, insurance companies are also making the life of people comfortable and more secure.
Disclaimer : *Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.