When you plan to buy health insurance, it is vital to know all the detailed technical terms of health insurance. It is essential to know all the inclusions and exclusions health insurance has with more attention to choosing the best policy for you.
These days, medical technologies are much more advanced than before. They offer solutions for various problems to restore your health. Everybody can not afford a hospital's expenses, so a health insurance policy can help manage all the costs efficiently. Because it covers many hospitalisation expenses and significantly reduces your financial burden, you can choose OPD treatment or a daycare treatment according to your need.
But, not all health insurance is suitable for you. You should evaluate them with extreme care. A policy buyer should know all the policy's benefits, so let's deep dive into the OPD & daycare treatment plans health insurance has and what you should choose according to your need.
OPD is also called the Outpatient Department. It is when you visit the doctor in their clinic for consultation. In OPD treatment, patients get treated in a day based on their condition. The patient does not require any hospitalisation, and they can go back to their home after the treatment. Most health insurance companies offer health insurance with OPD cover. Your health insurance policy will also have an OPD treatment list containing all the entrances eligible for OPD treatment. So, you need not be confused about what condition is covered under the OPD treatment in your health insurance policy.
A daycare treatment is when you need to be hospitalised for a day or less than 24 hours and receive treatment under local or general anaesthesia. This can be a root canal treatment, Dialysis, cataract surgery or a minor accident. You should understand what daycare treatment from different sources will help to claim the amount accordingly.
When you purchase a health insurance policy, make sure to understand the meaning of daycare treatment and the list of conditions that comes under the daycare treatment plan so that you do not face any unwanted financial burden during an emergency treatment protocol.
There are a few pointers to keep in mind when you are going to consider an OPD treatment cover in your health plan;
● Choosing a comprehensive policy: When you are planning to buy a health policy, selecting the plan offering OPD coverage is wise. Do not go with the add-on policy because you need to pay extra money.
● Documentation: The documentation of health insurance with OPD cover is lengthy, so you need to keep the documents and bills handy for a hassle-free process.
● Good coverage: Before buying a plan, you should ensure that it offers good coverage for OPD treatment because it has a sub-limit. You should know what OPD means in the hospital, which will help you claim the amount quickly.
● Terms & Conditions: You must read through the terms and conditions of the plan before purchasing it because some insurance does not offer OPD coverage.
These are some crucial factors listed below that you must consider before purchasing a daycare treatment coverage;
● Type of policy: Select the type of policy coverage which fulfils your requirement, whether it is an individual or a family floater option.
● Coverage amount: While selecting the daycare treatment coverage, you should check the coverage amount wisely. In return, you can claim the amount as soon as possible.
● Co-payment clause: Some health insurance policies have a co-payment clause; in that case, you have to bear a certain percentage of treatment expenses.
● Medical procedure: You should know what daycare treatment is and what type of medical procedures are covered under that health insurance plan. This will help you to choose the best suitable policy for you.
● List of hospitals: Before choosing the daycare treatment policy, you need to gather all the information about the listed hospitals. This will help you to choose the daycare hospital near your location.
Before purchasing a health insurance plan, you should evaluate the difference between the OPD and daycare treatment plans. It enables you to select the policy according to your needs. A few basic differences are listed below:
● Nature of treatment procedures: OPD cover is suitable for you if you do not need in-patient hospitalisation but need to visit the hospital regularly for your treatment. On the other hand, the daycare treatment is suitable for those who need costly emergency treatments like chemotherapy, dialysis etc.
● Waiting period: The waiting period for the OPD treatment plan is less than 90 days. But the daycare treatment waiting period can go up to 4 years for any pre-existing conditions.
● Level of coverage: Not all insurance provides coverage for OPD treatment. Some of them offer coverage within the sub-limit and overall insured amount. However, a daycare does not involve a sub-limit and includes coverage up to the sum insured amount you chose.
In the end, Buying a health insurance plan is not an easygoing job. You must know the difference between OPD and daycare treatment plans. It will help you choose the right health insurance policy so that you can access quality treatment in times of uncertain conditions rather than worrying about the cost of treatments.