Health Insurance with OPD Cover
No Capping
on Room Rent
24/7
Customer Support
Zero
Co-payment
No Capping
on Room Rent
24/7
Customer Support
Zero
Co-payment
Buy Health Insurance with OPD Cover Online in India
What is an OPD benefit?
Not every illness or injury needs hospitalization. Consultations, diagnosis and treatments can be done expediently and conveniently without a hospital stay. In the world of healthcare, this is termed as OPD- ‘Out-Patient Department’.
So, what an OPD cover does is, it takes care of the medical bills arising out of the OPD treatment you may need, as per your health condition.
All your doctor consultations for any health condition or injury, or that root canal your dentist suggested you just have to get done! All of these ups and downs in your personal health journey come under OPD.
What is OPD Treatment?
OPD or Outpatient Department treatment refers treatments and diagnosis done on advice of a medical practitioner or doctor, by simply visiting their clinic or even a doctor’s consultation room at a multispecialty hospital.
The important thing to note here is that OPD treatments DO NOT require hospitalization. Hence, this includes treatments for fractures, various necessary dental treatments, and minor surgeries.
Why should I get a Health Insurance with an OPD cover?
Still wondering why? Read on...
What’s great about Digit Health Insurance with OPD cover?
What’s covered in Digit Health Insurance with OPD cover?
Smart + OPD
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OPD Benefits |
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Professional Fees Fees for medically necessary consultations and examinations by medical practitioners to assess your health for any illness. |
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Diagnostic Fees Medically necessary out-patient diagnostic procedures such as x-rays, pathology, brain and body scans (MRI, CT scans) etc... used to make a diagnosis for treatment from a diagnostic center. |
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Surgical Treatments Minor Surgical procedure such as POP, suturing, dressings for accidents and animal bite related outpatient procedures etc. carried out by a Medical Practitioner. |
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Medicine Bills Medication drugs and medicines as prescribed by your medical practitioner. |
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Dental Treatments If your doctor recommends that you really need to get a specific dental treatment done, it will be covered under OPD. |
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Hearing Aids Hearing aids required for serious hearing conditions are covered. |
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Other Benefits |
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All Hospitalization, including for Coronavirus This covers for hospitalization expenses due to an Illness, Accident or even a Critical Illness. It can be used to cover for multiple hospitalizations, as long as the total expenses are up to your sum insured. |
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Daycare Procedures Health insurances generally cover medical expenses only for hospitalizations exceeding 24 hours. This covers for medical treatments undertaken in a hospital, requiring less than 24 hours due to technological advancement. |
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No Age Based Copayment A Copayment refers to the amount of money you need to pay from your pocket, during a health insurance claim. In our plans, there is no age based copayment involved! |
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No Room Rent Capping Different categories of rooms have different rents. Just like how hotel rooms have tarrifs. With Digit, some plans give you the benefit of having no room rent cap, as long as it is below your Sum Insured. |
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No ICU Room Rent Capping ICU (Intensive Care Units) are meant for serious patients. The level of care is higher in ICUs, which is why the rent is higher too. Digit does not put any limit to the rent as long as it is below the your Sum Insured. |
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Cumulative Bonus Get rewarded for every claim free year. If you do not make any claim in a year, some plans reward you with a discount in the next year. This extra discount is called Cumulative Bonus |
10% CB for each claim free year (Up to 50%)
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Road Ambulance Charges Road Ambulance Charges |
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Complimentary Health Checkups Annual health checkups are important to ensure you are aware of your overall health and well-being. This is a renewal benefit that allows you to reimburse your expenses towards any annual medical tests and checkups, at any hospital of your choice. |
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Post Hospitalization Lumpsum This is a benefit you can use to cover all your medical expenses post hospitalization, at the time of discharge. No bills required. You can choose to either use this benefit or use the standard post-hospitalization benefit, through the process of reimbursement. |
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Psychiatric Illness Cover If due to a trauma, one has to be hospitalized for a psychiatric treatment, it will be covered under this benefit. However, OPD consultations are not covered under this. |
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Bariatric Surgery This coverage is for those facing organ issues due to their obesity (BMI > 35). However, in case the obesity is due to eating disorders, hormones or any other treatable conditions, this surgery cost will not be covered. |
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Additional Covers |
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Maternity Benefit with Newborn Baby Cover If you plan on having a baby in the next two years or so, you can opt for this. It covers for child-delivery (including medically necessary terminations), infertility expenses and coverage for the newborn baby up to its first 90 days. |
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Zone Upgrade Every city falls either in Zone A, B or C. Zone A has Delhi and Mumbai. Zone B has cities like Bangalore, Hyderabad, Kolkatta. The zones are divided as per medical costs. Zone A cities have highest medical costs therefore the premium to get a treatment under health insurance in these cities is a bit higher. If you wish to get treated in a bigger city than where you live, you can upgrade your plan for the same. |
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What’s not covered?
The OPD cover excludes expenses incurred towards Spectacles, Contact Lenses and Physiotherapy, Cosmetic Procedures, Ambulatory Devices like Walkers, BP Monitors, Glucometers, Thermometers, Dietician Fees, Vitamins and Supplements.
How to file a Claim?
Who should buy a Health insurance with OPD cover?
Fitness Enthusiasts
We’ve customized a health insurance with OPD cover called the Fit Option for fitness enthusiasts given that, while people like you are extremely fit and less prone to illnesses, you are still prone to gym and workout-related injuries which is where your OPD cover may be very useful for you. Additionally, a health insurance will always help you in your annual tax savings as well.
People between the age group 25-40 years
Most young people today are opting for a health insurance given the cheaper premiums, to complete waiting periods early and of course, to save on tax too. If you’re one of them too- you can opt for a health insurance with an OPD cover. This way, even though you may feel you’re less likely to use other benefits from your health insurance, you will definitely need your OPD benefit for something or the other.
Senior Citizens
Senior citizens are one of those people who probably require a health insurance the most. However, it is important to consider taking one with an OPD cover since apart from what a regular health insurance offers, seniors are usually more likely require OPD treatments like dental treatments and minor surgeries. Hence, a health insurance with an OPD cover will help cover for both regular health insurance benefits and OPD treatments as well.
Working professionals with limited group medical insurance coverage
If you’re someone who already has a group medical insurance from your employer but, want an additional health insurance coverage for better protection, you can opt for a top-up health insurance plan or a health insurance with an OPD cover since a lot of group medical insurance plans don’t include OPD benefits. Hence, an additional health insurance can give you benefits beyond your employer plan and help in your annual tax savings too!
FAQs about OPD Health Insurance
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