Health Insurance with OPD coverage, Is it worth it ?

People are becoming more conscious of the importance of health insurance as a result of Covid-19. It's no longer a choice but a need. There were other limits shown by this pandemic: basic health insurance only covers inpatient expenditures and does not cover out-of-hospital expenses such as doctor's fees and diagnostic charges and homecare packages. During the pandemic, the exclusion of outpatient charges emerged as a serious problem for a country where over 60% of health spending is paid out of pocket for normal medical bills. Outpatient expenses including doctor's fees, diagnostic costs, and pharmacy charges are often not covered by most health insurance plans.

While purchasing OPD plans, what should you keep in mind?

Before purchasing an OPD plan, it is crucial to make sure that there are adequate network hospitals where the doctor can be consulted quickly.

On top of all of this, OPD plans have a difficult time processing claims since they operate on a reimbursement model. Claimants are needed to fill out a form, provide invoices, and other paperwork in order to get the money.

What should you do next?

For obvious reasons, OPD plans are not widely used in India because of the expensive premiums and the difficulty of tracking them. As a result, most firms do not reimburse out-of-pocket expenses (OPD).

OPD coverage can be purchased as part of more costly plans if a person desires comprehensive protection but is not concerned about paying a large premium for it.

OPD coverage can be purchased as a stand-alone insurance or as an add-on to the standard policy. Before making a purchase, be sure to verify the policy's coverage, exclusions, and network of providers in your region.