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General Insurance

Health Insurance With OPD Cover

HealthInsuranceRenewal

Key Features

Seamless Renewals, Uninterrupted Health Coverage

Coverage Highlights

Get comprehensive coverage for your health
  • Seamless 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 more
  • Inpatient Hospitalisation Expenses

  • Pre - and Post-Hospitalisation Costs

  • Daycare Procedures Coverage

  • Critical Illness Rider Option

  • Emergency Ambulance Cover

OPD Coverage in Medical Insurance

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.

What is OPD Cover in Health Insurance?

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.

Benefits of OPD Cover in Health Insurance Policy

Opting for Health Insurance OPD Cover with Bajaj Allianz General Insurance Company brings numerous advantages:

Comprehensive Financial Protection

Covers expenses for doctor consultations, diagnostic tests, and medications without the need for hospitalisation.

Frequent Claims

Allows multiple claims within the policy year up to the capped limit, ensuring continuous support for your health needs.

Wide Network Access

Provides access to 18,400+ network clinics and hospitals, facilitating easy and convenient healthcare services.

Tax Benefits

Premiums paid for OPD cover qualify for tax deductions under Section 80D of the Income Tax Act, offering additional savings.

No Hospitalisation Requirement

Unlike traditional plans, OPD coverage does not mandate a 24-hour hospital stay, making it flexible for various treatments.

Benefits You Deserve

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Region-Specific Premiums

Avail fair and local pricing for premiums as per the healthcare cost of 16 diffe

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Walk to Win

Enjoy up to 10% discount on policy renewal by completing regular step goals

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Super Cumulative Bonus

Get your Sum Insured raised by up to 50% every year up to 200% of Sum Insured

Download Policy Documents

Get instant access to policy details with a single click

Important points to note before buying Health Insurance with OPD Cover

Inclusions

-  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.

Exclusions

-  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.

Difference Between Day Care Treatment and OPD Treatment

Understanding the distinction between daycare treatment and OPD treatment is crucial for effective health coverage:

Day Care Treatment

-  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.

OPD Treatment

-  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.

Difference Between Out-Patient Department (OPD) Treatment and In-Patient Department (IPD) Treatment

Differentiating between OPD and IPD treatments helps in selecting the right insurance coverage:

OPD (Out-Patient Department)

-  Nature: Visits to a doctor or clinic for diagnosis and treatment.

-  Hospitalisation: Not required.

-  Example: Visiting a clinic for a fever or minor injury.

IPD (In-Patient Department):

-  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.

Why Should You Get Health Insurance With an OPD Cover?

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.

Who Should Buy OPD Cover Health Insurance?

OPD Cover Health Insurance is ideal for various groups, including:

Individuals Aged 25 to 40 Years:

-  Typically, they require more outpatient services than inpatient care.

-  Benefit from frequent doctor visits and minor treatments.

Senior Citizens (Above 60 Years):

-  Regular medical consultations and minor surgical procedures may be needed.

-  Helps manage ongoing health conditions without exhausting retirement savings.

Fitness Enthusiasts:

-  Active individuals are prone to workout-related injuries.

-  Ensures coverage for outpatient treatments related to sports and fitness activities.

Families with Chronic Conditions:

-  Members who require regular medical attention and continuous treatment.

-  Reduces the financial burden of frequent outpatient visits.

Step-by-Step Guide

To help you navigate your insurance journey

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

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How to Buy Health Insurance With OPD Coverage?

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.

Claim Settlement Process

Bajaj Allianz General Insurance Company ensures a hassle-free claim settlement process for OPD expenses:

Reimbursement Claims:

-  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.

Cashless Claims:

-  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.

Why Choose Bajaj Allianz General Insurance Company’s Health Insurance?

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.

What Our Customers Say

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.

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Amagond Vittappa Arakeri

Mumbai

4.5

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. 

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Ashish Jhunjhunwala

Vadodara

4.7

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!

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Sunita M Ahooja

Delhi

5

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.

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Arun Sekhsaria

Mumbai

4.8

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!

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Vikram Anil Kumar

Delhi

5

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.

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Prithbi Singh Miyan

Mumbai

4.6

27th Jul 2020

FAQs

Can I avail of tax deductions on health insurance plans with OPD cover?

Yes, premiums paid towards health insurance OPD cover qualify for tax deductions under Section 80D of the Income Tax Act, helping you reduce your taxable income.

Can I buy an insurance plan that covers only OPD treatment?

While most OPD insurance in India is offered as an add-on to existing health policies, some insurers may provide standalone OPD plans. It’s advisable to check with Bajaj Allianz General Insurance Company for available options.

When are the instances when I can utilise my OPD cover?

You can use your OPD coverage for minor surgeries, doctor consultations, diagnostic tests, and other outpatient services that do not require hospitalisation.

What are the sum insured options available under the Outpatient Care Insurance Policy?

Sum insured options for OPD coverage typically range from INR 10,000 to INR 1,00,000, depending on the plan selected and individual needs. Bajaj Allianz General Insurance Company offers flexible options to suit various requirements.

Is dental covered in OPD?

No, they are not covered under OPD coverage in our health insurance policies.

Is day care treatment and OPD the same?

No, daycare treatment involves hospitalisation for less than 24 hours, whereas OPD treatment does not require any hospital stay. Both are covered differently under health insurance policies.

What is the main function of OPD?

The main function of OPD is to provide diagnosis and treatment for medical conditions that do not require hospitalisation, ensuring timely and efficient outpatient care.

What is OPD registration?

OPD registration involves enrolling at a clinic or hospital’s outpatient department to receive medical consultations and treatments without being admitted as an inpatient.

What is the waiting period for an OPD health insurance policy?

The waiting period is typically shorter compared to inpatient coverage, often ranging to 45 days.

Why is medical insurance necessary for your health?

Medical insurance provides financial protection against unexpected medical expenses, ensuring access to quality healthcare without depleting your savings

How many dependent members can I add to my family health insurance pla

You can add your spouse, children, parents, and other dependents as per the policy terms, ensuring comprehensive family coverage.

Why should you compare health insurance plans online?

Online comparison helps you find the best plan that suits your needs and budget, offering a clear understanding of coverage and benefits.

Why should you never delay the health insurance premium?

Delaying premiums can result in policy lapse, losing coverage benefits and financial protection, and may lead to difficulties in renewing the policy.

How to get a physical copy of your Bajaj Allianz General Insurance Com

Request a physical copy from the insurer or take a printout of the digital policy document received via email.

Is there a time limit to claim health cover plans?

Claims should be made within the stipulated time as per the policy terms to avoid rejection and ensure timely processing.

What are network hospitals in health insurance?

Network hospitals are those with tie-ups with the insurer, offering cashless treatment facilities, simplifying the claim process for the insured.

How do you buy Bajaj Allianz General Insurance Company Health Insuranc

Visit the website or app, select the desired plan, fill in personal details, compare options, and make the payment to receive the policy document via email.

Which is better: health insurance or medical insurance?

Health insurance offers broader coverage, including pre and post-hospitalisation expenses, while mediclaim policy primarily covers hospitalisation costs, making health insurance more comprehensive.

Do you need Rs. 1 crore health insurance?

A Rs. 1 crore health insurance plan provides extensive coverage for high medical expenses, offering comprehensive financial protection against significant healthcare costs.

Which health insurance is the best?

The best health plan offers comprehensive coverage, cashless treatment at network hospitals, a high claim settlement ratio, and excellent customer support.

What are the four common health insurance plans?

The four common health insurance plans are individual, family floater, critical illness, and senior citizen health insurance, each catering to specific needs and demographics.

Which is the best health insurance provider in India?

The best health insurance provider in India is Bajaj Allianz General Insurance Company. We offer comprehensive plans, a wide network of hospitals, a high claim settlement ratio, and responsive customer service.

Why should you never delay the health insurance premium?

Delaying premiums can result in policy lapse, losing coverage benefits and financial protection, and may lead to difficulties in renewing the policy

Is there a time limit to claim health cover plans?

Claims should be made within the stipulated time as per the policy terms to avoid rejection and ensure timely processing
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