Suggested
General Insurance
Seamless Renewals, Uninterrupted Health Coverage
Coverage Highlights
Get comprehensive coverage for your healthSeamless Renewal Process
Easy online renewal without paperwork.
Continued Coverage
No break in coverage for pre-existing conditions.
Customisable Plans
Option to enhance coverage or add riders.
No-Claim Bonus Benefits
Discounts on premiums for claim-free years.
Hassle-Free Digital Access
Manage policies and claims online.
Inclusions
What’s covered?Hospitalisation due to illness or accidents
Coverage for prescribed diagnostic tests
Doctor consultation fees and treatment costs
Option for maternity and wellness benefits
Organ donor expenses
Exclusions
What’s not covered?Pre-existing conditions if the waiting period is not met
Cosmetic treatments and non-medical expenses
Alternative therapies unless specifically covered
Self-inflicted injuries and substance abuse-related treatments
Experimental or unapproved treatments
Additional Covers
What else can you get?24/7 Health Helpline for medical queries
Digital Claim Submission for faster processing
Online Policy Management and Renewal
Preventive Health Check-up Benefits
Cashless Hospitalisation at Network Hospitals
Coverage Highlights
Know moreInpatient Hospitalisation Expenses
Pre - and Post-Hospitalisation Costs
Daycare Procedures Coverage
Critical Illness Rider Option
Emergency Ambulance Cover
OPD cover in Health insurance is an essential way to manage both inpatient and outpatient medical expenses effectively. At Bajaj Allianz General Insurance Company, we understand the importance of comprehensive healthcare coverage. We offer twice the OPD benefits of the premium you pay, ensuring you and your family receive the best medical care without financial strain.
Health Insurance OPD cover refers to coverage of outpatient services that do not require hospitalisation. These include doctor consultations, diagnostic tests, prescription medications, and minor surgical procedures. Unlike traditional health insurance, which primarily focuses on inpatient care, health insurance outpatient cover ensures that your routine medical needs are also financially supported. Whether it's a regular check-up or a visit to the ophthalmologist, our OPD cover caters to all your outpatient medical expenses, making healthcare more accessible and affordable.
Opting for Health Insurance OPD Cover with Bajaj Allianz General Insurance Company brings numerous advantages:
Covers expenses for doctor consultations, diagnostic tests, and medications without the need for hospitalisation.
Allows multiple claims within the policy year up to the capped limit, ensuring continuous support for your health needs.
Provides access to 18,400+ network clinics and hospitals, facilitating easy and convenient healthcare services.
Premiums paid for OPD cover qualify for tax deductions under Section 80D of the Income Tax Act, offering additional savings.
Unlike traditional plans, OPD coverage does not mandate a 24-hour hospital stay, making it flexible for various treatments.
Get instant access to policy details with a single click
- Doctor Consultations (In-Clinic): Fees are paid for visiting specialists and general physicians.
- Diagnostic Tests: Costs for doctor-prescribed investigations such as Pathology & Radiology Cover.
- Tele Consultancy: Insured Beneficiaries can consult with listed doctors via video, audio, or chat for medical advice on the digital platform, adhering to Telemedicine Practice Guidelines.
- Annual Preventive Health Checkup: You can get a free annual preventive health checkup at network centres, which are cashless and located in designated hospitals or diagnostic centres.
- Cosmetic Treatments: Procedures aimed at enhancing appearance.
- Alternative Therapies: Treatments like Ayurveda, homoeopathy, or naturopathy.
- Overseas Treatments: OPD services are available outside India.
- Preventive Check-ups: Routine health screenings and vaccinations, except post-exposure treatments.
- Prosthetic Devices: Costs for hearing aids, dentures, and other prosthetics.
- Pregnancy-Related Complications: Treatments arising from pregnancy or miscarriage.
- Experimental Treatments: Investigational medical procedures or clinical trials.
Understanding the distinction between daycare treatment and OPD treatment is crucial for effective health coverage:
- Hospitalisation Required: Less than 24 hours of hospital stay.
- Claim Eligibility: Only if hospitalisation does not exceed 24 hours.
- Example: Dental surgery requiring a short hospital stay.
- No Hospitalisation: Treatments and consultations without any overnight stay.
- Claim Eligibility: Coverage for all outpatient services regardless of hospitalisation.
- Example: Regular check-ups or minor surgical procedures not requiring overnight stay.
Differentiating between OPD and IPD treatments helps in selecting the right insurance coverage:
- Nature: Visits to a doctor or clinic for diagnosis and treatment.
- Hospitalisation: Not required.
- Example: Visiting a clinic for a fever or minor injury.
- Nature: Admission to a hospital for extended care and treatment.
- Hospitalisation: Required for more than 24 hours.
- Example: Undergoing heart surgery that necessitates a hospital stay.
Choosing Health Insurance with OPD Cover from Bajaj Allianz General Insurance Company offers several compelling reasons:
- Financial Security: Protects against unexpected outpatient expenses, preventing a drain on your savings.
- Comprehensive Coverage: Ensures both inpatient and outpatient medical needs are met under a single policy.
- Convenience: Facilitates easy access to healthcare services without worrying about additional costs.
- Preventive Care: Encourages regular health check-ups and early diagnosis, promoting better health management.
- Tax Savings: Avail tax benefits on premiums paid, optimising your financial planning.
OPD Cover Health Insurance is ideal for various groups, including:
- Typically, they require more outpatient services than inpatient care.
- Benefit from frequent doctor visits and minor treatments.
- Regular medical consultations and minor surgical procedures may be needed.
- Helps manage ongoing health conditions without exhausting retirement savings.
- Active individuals are prone to workout-related injuries.
- Ensures coverage for outpatient treatments related to sports and fitness activities.
- Members who require regular medical attention and continuous treatment.
- Reduces the financial burden of frequent outpatient visits.
Step-by-Step Guide
How to Buy
0
Visit Bajaj Allianz website
1
Enter personal details
2
Compare health insurance plans
3
Select suitable coverage
4
Check discounts & offers
5
Add optional benefits
6
Proceed to secure payment
7
Receive instant policy confirmation
How to Renew
0
Login to the app
1
Enter your current policy details
2
Review and update coverage if required
3
Check for renewal offers
4
Add or remove riders
5
Confirm details and proceed
6
Complete renewal payment online
7
Receive instant confirmation for your policy renewal
How to Claim
0
Notify Bajaj Allianz about the claim using app
1
Submit all the required documents
2
Choose cashless or reimbursement mode for your claim
3
Avail treatment and share required bills
4
Receive claim settlement after approval
How to Port
0
Check eligibility for porting
1
Compare new policy benefits
2
Apply before your current policy expires
3
Provide details of your existing policy
4
Undergo risk assessment by Bajaj Allianz
5
Receive approval from Bajaj Allianz
6
Pay the premium for your new policy
7
Receive policy documents & coverage details
Purchasing Health Insurance with OPD Coverage from Bajaj Allianz General Insurance Company is simple:
- Visit the health insurance section on our website.
- Use the online health insurance calculator to estimate premiums based on your requirements.
- Select a plan with OPD coverage or add it as an optional rider to your existing health insurance.
- Enter necessary personal and medical information to customise your coverage.
- Complete the purchase through secure online payment methods.
- Receive your policy documents electronically, outlining the OPD benefits and coverage details.
Alternatively, you can consult with a Bajaj Allianz General Insurance Company’s agent for personalised assistance and guidance in selecting the best OPD insurance in India designed for your needs.
Bajaj Allianz General Insurance Company ensures a hassle-free claim settlement process for OPD expenses:
- After availing of OPD treatment, gather all relevant bills and documents.
- Log in to your account online or through the mobile app.
- Submit the required documents to initiate the reimbursement process.
- Visit any of Bajaj Allianz General Insurance Company’s network hospitals or daycare centres.
- Present your e-health card and request a cashless claim at the point of service.
- The company settles the OPD expenses directly with the hospital, minimising out-of-pocket costs.
Our streamlined claim process ensures you receive timely assistance, allowing you to focus on your health without financial worries.
Choosing the best OPD health insurance in India can help you enjoy benefits like:
- Comprehensive Coverage: Our plans cover a wide range of outpatient services, ensuring all your medical needs are met.
- Extensive Network: Access to 18,400+ network of hospitals, clinics, and diagnostic centres across India.
- Affordable Premiums: Competitive pricing with flexible payment options to suit your budget.
- Easy Claims Process: Simplified and swift reimbursement and cashless claim settlements.
- Customer Support: Dedicated support teams are available to assist you with any queries or issues.
- Customisable Plans: You can tailor your health insurance to include OPD treatment coverage and other riders based on your specific needs.
By choosing Bajaj Allianz General Insurance Company, you ensure that you and your family receive the best health insurance outpatient cover for comprehensive protection.
Excellent Service
Bajaj Allianz provides excellent service with user-friendly platform that is simple to understand. Thanks to the team for serving customers with dedication and ensuring a seamless experience.
Amagond Vittappa Arakeri
Mumbai
27th Jul 2020
Swift Claim Settlement
I am extremely happy and satisfied with my claim settlement, which was approved within just two days—even in these challenging times of COVID-19.
Ashish Jhunjhunwala
Vadodara
27th Jul 2020
Quick Service
The speed at which my insurance copy was delivered during the lockdown was truly commendable. Hats off to the Bajaj Allianz team for their efficiency and commitment!
Sunita M Ahooja
Delhi
3rd Apr 2020
Outstanding Support
Excellent services during COVID-19 for your mediclaim cashless customers. You guys are COVID warriors, helping patients settle claims digitally during these challenging times.
Arun Sekhsaria
Mumbai
27th Jul 2020
Seamless Renewal Experience
I am truly delighted by the cooperation you have extended in facilitating the renewal of my Health Care Supreme Policy. Thank you very much!
Vikram Anil Kumar
Delhi
27th Jul 2020
Quick Claim Settlement
Good claim settlement service even during the lockdown. That’s why I sell Bajaj Allianz Health Policy to as many customers as possible.
Prithbi Singh Miyan
Mumbai
27th Jul 2020
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