Let us include OPD in our health insurance policies.

Let us include OPD in our health insurance policies.

OPD coverage is equally important. Are we living in mid-eighties when Mediclaim product was developed with coverage for Curative treatment?

The News item as above shows the importance of Diagnostic tests where small amount would have saved pain and agony to Joshi/Mishra, their families and the claim which insurance company will have to pay. Imagine the productivity loss which the employer of Joshi/ Mishra has suffered.

The time has come when we should introduce health insurance which offers OPD coverage.

Product Innovation is coming in Health Insurance Industry in India

Max Bupa is expected to start their operations in near future and it is good to know that product to be introduced will come out with innovative features, which we have covered in our blogs from time to time. The company is starting with 6 metropolitan cities. Instead of focusing on too many hospitals, focus will be on treatment of policy holders in the best hospitals. We understand that 20 best hospitals have been empanelled in Delhi area.

Salient points of comparison between products available presently with that of Max Bupa are:

• Focus on metro cities
• Focus on upper segment or upper middle segment of society
• Use of smart cards
• Will not use TPAs
• For those opting for sum assured of Rs.15 lakhs – use of helicopter permitted for evacuation in case of emergency
• Max sum assured of Rs. 50 lakhs
• Reimbursement of medical tests cost incurred at the time of making proposal
• OPD coverage - yes
• Annual medical checkup
• A qualified doctor will be acting as your Relationship Manager – who will guide you on phone from time to time. He will even visit you when you are in hospital for serious ailment.