Care Health Insurance for OPD

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      Care Health Insurance for OPD

      Care health insurance for OPD covers the insured for medical expenses incurred on an outpatient department basis. It pays for physical as well as teleconsultations with doctors, along with pharmacy bills, dental treatments, vision treatments, and diagnostic tests. While most Care health insurance plans with OPD cover have an initial waiting period of 30 days, some cover outpatient treatments after 6 months.

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      Care Health Insurance Plans for OPD

      Here are the different OPD health insurance plans provided by the Care Health Insurance Company:

      Name of the Plan OPD Cover Limit
      Care Ultimate Care Plan Up to ₹50,000
      Care Supreme Plan Up to ₹50,000
      Care Health Insurance Plan Up to ₹50,000
      Care Plus Plan Up to ₹5,000
      Care Senior Health Advantage Plan ₹1,000 to ₹50,000
      Care Classic Plan ₹1,000 to ₹10,000

      Key Benefits of Care Health Insurance for OPD

      Take a look at some of the top benefits of Care health insurance with OPD cover:

      • Broad coverage for OPD treatments for up to ₹50,000
      • Cashless OPD treatments are available at network clinics or hospitals under some plans
      • Up to 30% wellness discount is available in most health insurance plans
      • Up to 15% tenure discount is available
      • Up to 15% loyalty or cross-sell discount is available
      • Up to 15% NRI policyholder discount is available
      • 10% early bird discount is available on purchasing a mediclaim policy before the age of 36 years
      • Up to 10% direct discount is available
      • 5% digital mode discount is available in most plans, including health insurance for senior citizens
      • Up to 5% renewal discount is available
      • Paid health insurance premiums are eligible for tax deduction under Section 80D of the Income Tax Act, 1961.

      Note: The above benefits may vary based on the specific Care health insurance policy.

      Eligibility Criteria for Care Health Insurance for OPD

      Check out the eligibility criteria for buying Care health insurance for OPD:

      Categories Eligibility Criteria
      Adult Child
      Minimum Entry Age 18 years
      45 years (Senior Health Advantage Plan)
      91 days
      Maximum Entry Age 65 years (Care Classic Plan)
      No age limit
      24 years
      Renewability Lifetime

      Inclusions of Care Health Insurance for OPD

      The following inclusions are available under Care health insurance for OPD:

      • Physical consultations
      • E-consultations
      • Dental treatments
      • Vision treatments
      • Diagnostic tests
      • Pharmacy expenses
      • Outpatient mental health treatments
      • Medical devices prescribed by doctors
      • Outpatient therapy expenses
      • Mammography
      • Cervical cancer screening

      Note: The above inclusions may differ across various Care health insurance plans.

      Exclusions of Care Health Insurance for OPD

      Care health insurance for OPD excludes coverage for the following:

      • In-patient treatments
      • Intentional self-injury or suicide
      • Day care treatments
      • Obesity treatments
      • Treatment for alcoholism or drugs
      • Domiciliary hospitalisation
      • Treatment for injuries due to participation in dangerous sports
      • Modern treatments
      • Cosmetic or plastic surgery
      • Unproven treatments
      • Treatment for injuries due to war

      Care Health Insurance for OPD: FAQs

      • Q1. Can I claim OPD in Care Health Insurance?

        Ans: Yes, you can claim OPD expenses in Care health insurance plans that come with OPD cover, such as Care Classic plan, Care Supreme plan, Care Plus plan, etc.

      • Q2. Does Care Supreme cover OPD?

        Ans:  You can claim OPD in Care Health Insurance by submitting the required documents, including test reports and hospital bills, to the insurer. The insurer will verify the documents and reimburse the amount. Alternatively, you can also avail cashless OPD treatment at any network healthcare centres of Care Health Insurance Company under some plans.

      • Q3. How to claim OPD in Care Health Insurance?

        Ans: Yes, Bajaj Allianz health insurance for OPD provides cashless outpatient treatment facilities at network hospitals or service providers.

      • Q4. What is the Care health insurance for OPD cost?

        Ans: The cost of Care health insurance for OPD may vary from one medical insurance plan to another. However, you can check the approximate price of the plan of your choice by using the health insurance premium calculator tool on the website of Policybazaar Insurance Brokers Private Limited.

      Policybazaar exclusive benefits
      • 30 minutes claim support*(In 120+ cities)
      • Relationship manager For every customer
      • 24*7 claims assistance In 30 mins. guaranteed*
      • Instant policy issuance No medical tests*
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      Disclaimer: The list mentioned is according to the alphabetical order of the insurance companies. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website www.irdai.gov.in

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      *We will respond in the first instance within 30 minutes of the customers contacting us. 30-minute claim support service is for the purpose of giving reasonable assistance to the policyholder in pursuance of the claim. Settlement of claim (including cashless claim) is the responsibility of the insurer as per policy terms and conditions. The 30- minute claim support is subject to our operations not being impacted by a system failure or force majeure event or for reasons beyond our control. For further details, 24x7 Claims Support Helpline can be reached out at 1800-258-5881.

      *Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. Policybazaar does not provide any medical or surgical advice or diagnosis and is not responsible for your interactions / treatment by a medical practitioner/hospital. Please consult a registered medical practitioner for any medical or surgical advice. The Information that you obtain or receive from Policybazaar, and its employees, or otherwise on the Website is for informational purposes only. As per the Insurance guidelines, you are allowed to cancel the policy with-in 30 days from the date of Issuance of policy.This option is available incase of policies with a term of one year or more.

      *All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.

      **All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws. GST Exemptions depend on fulfilment of qualification criteria and submission of relevant documents.

      *₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.

      *₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases

      *₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.

      *₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.

      *No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.

      *The values taken for effective cost calculation are indicative values and may change as per the selected plan.

      *Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.

      *Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.

      *The scope of coverage may vary from plan to plan.

      ~Source: Google Review Rating available on:- http://bit.ly/3J20bXZ

      ##On ground claim assistance is available in 114 cities

      Tax Benefits are subject to changes in tax laws. GST Exemption depends on fulfilment of qualification criteria and submission of relevant documents as required by the insurers. For more details on risk factors, terms and conditions, please read the sales brochure and applicable rules and regulation carefully before concluding a sale.

      STANDARD TERMS AND CONDITIONS APPLY. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale.

      Policybazaar is a registered Composite Broker |Registration No. 742, Valid till 09/06/2024, License category- Composite Broker| Visitors are hereby informed that their information submitted on the website may be shared with insurers.

      Policybazaar Insurance Brokers Private Limited | CIN: U74999HR2014PTC053454 | Registered Office - Plot No.119, Sector - 44, Gurgaon, Haryana - 122001 Contact Us | Legal and Admin Policies

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