Day Care Treatment Vs OPD In Health Insurance
A single hospitalization that stretches more than
a week is usually enough to wipe your savings clean. The only way by which you
can receive the best in medical care while also protecting your hard-earned money
is by opting in for health insurance. Indeed, health insurance holistically
protects your physical, mental, and financial well-being.
Now, buying health insurance for the first time
can be a bit confusing. While reading the fine print, you may come across
several terms that might seem alien to you. You might feel tempted to just skip
the jargon; however, doing that would leave you with incomplete information.
And, that is not ideal when buying something as important as health insurance.
Two of the most common terms in healthcare and health insurance that are often the subject of confusion
are day care procedures and OPD. In this article, we aim to help you understand
the differences between these two terms in healthcare and how your insurance
covers them.
Day Care Procedures and OPD – The Definitions
Day care procedures and OPD are often assumed to
be two terms used for the exact same thing. However, they are different from
each other. The line of difference is quite a fine one so, let’s separate them
by looking at their individual meanings.
Day care procedures
A
day care procedure is a type of medical procedure that is carried out in a
hospital but, does not require overnight hospitalization. The treatment is
usually completed within a few hours. The patient may then go home the same
day.
Some
examples of day care procedures are chemotherapy and cataract surgery.
OPD
OPD
stands for outpatient department. In OPD care, the patient receives medical
treatment at the doctor’s clinic without having to go to the hospital. OPD care
too is usually completed within an hour or so post which, the patient may go
home.
When
you head over to your doctor for general consultation, this procedure comes
under the purview of OPD care. A dental treatment, such as root canal, is also
considered as an OPD procedure.
Day Care Procedures and OPD – Claiming Coverage
Your health
insurance plan will
have its own clauses which list out how day care procedures and OPD will be
covered. Here is a brief look at how most health insurance providers
accommodate these medical expenses within their policies.
Day care procedures
Day
care procedures usually come under cashless claims if the treatment is done at
one of the insurance provider’s network hospitals. You need to keep the
insurance company notified before you get the procedure done. If you choose to
get admitted at a non-network hospital, you may send your proof of treatment
and get reimbursed for your expenses as per your health insurance provider’s
terms and conditions.
OPD
Many health insurance policies do not pay for OPD
procedures. Therefore, you must check whether OPD coverage is offered in your
policy, if you deem this to be an important feature. Do note that even if OPD
expenses are covered, this coverage will be subject to certain sub-limits that
have been laid down by your insurance provider.
It is extremely important that you understand
every detail of your health insurance policy. Knowing what to expect will help
you choose the right policy and prevent any surprises later on when you have to
make a claim. We hope this article helped you understand the fine line of
difference between day care procedures and OPD. Finally, do remember to renew
your health insurance on time to enjoy all the benefits the policy holds. Take
care and stay fit!
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