Opting for an outpatient department (OPD) rider can help reduce out-of-pocket expenses such as doctor’s fees, diagnostic costs and pharmacy. While a standard health insurance covers inpatient expenses, adding a rider is a flexible and cost-effective way to enhance the coverage for individuals with chronic conditions who require frequent medical attention.
In metros, the average cost of OPD services can range anywhere between Rs 1,500 to Rs 2,000 per doctor consultation and diagnostic tests may cost Rs 8,000-10,000. An OPD coverage will offer financial protection for medical expenses that do not necessitate hospitalisation.
An OPD rider is a cost-effective option as the premium starts from as low as Rs 700 per year. Siddharth Singhal, business head, Health Insurance, Policybazaar.com, says on an average, adding OPD coverage would increase the total health insurance premium by just 8-10%. “These plans offer OPD coverage ranging from Rs 5,000 to `Rs 30,000. With their easy availability, countless benefits and affordability, their demand is steadily increasing,” he says.
Scope of coverage OPD riders typically cover consultations, diagnostics, coverage of prescribed medications from the pharmacy bills, dental treatment, etc. Some health insurance plans might have a waiting period or exclude pre-existing diseases conditions. So, if you have any pre-existing medical conditions, check whether they are covered and understand the waiting periods or exclusions that may apply. It is advisable to prefer cashless OPD coverage for seamless transactions over the reimbursement-based plans.
