OPD Coverage in Inidan Healthcare Setting.

The presentation talks about the OPD coverage capacity and conditions in India.
Also suggests about the improvements that can be made in order to have a smooth functioning of OPD Coverage in India.
Brings about the current situation and drawbacks of Indian OPD Coverages.

1. OPD Insurance Coverage in India Presented By: Group 4 MBA Healthcare Management

2. OUR TEAM SHIVANSH SONALI MUSKAN KAPIL RIYA SHARMA POOJA DAS MUSKAN GOEL DAMINI DHRITI Coll. RAJ MANN LOVISH

3. OUR TEAM SHIVANSH SONALI MUSKAN KAPIL RIYA SHARMA POOJA DAS MUSKAN GOEL DAMINI DHRITI Coll. RAJ MANN LOVISH

4. What is opd coverage ? OPD Insurance refer to health insurance coverage that includes expenses related to OPD visits. Key Features of OPD Insurance: Consultation Fees, Diagnostic Tests , Minor Procedures, pharmacy bills.

5. Healthcare infrastructure includes hospitals, clinics, primary health centers, and a network of healthcare professionals ranging from doctors to community health workers. Healthcare landscape in India CHALLENGES FACED PUBLIC PRIVATE LIMITED ACCESSIBILITY FINANCIAL CONSTRAINTS

6. Need For OPD Coverage FINANCIAL PROTECTION HIGH OUT PATIENT COSTS PREVENTIVE CARE

7. Statistics for out patient visits in India FINANCIAL PROTECTION HIGH OUT PATIENT COSTS PREVENTIVE CARE

8. Costs covered under OPD coverage Dentistery Consultation Pharmacy Diagnostics Surgery Tax Saving Infertility Treatments Preventive Care Child Care Routine Examinations Vaccinations Investigative tests Medicines Diagnosis OPD treatments outside India

9. Benefits of OPD insurance Financial Coverage for expenses 01 Access to quality Healthcare services 02 Preventive Healthcare 06 Convenience and Flexibility 07 Reduced financial burden 03 04 05 08 Comprehensive coverage Peace of mind Tax benefits

10. Key features of OPD Insurance Policy Coverage Limits Co-Payments Network Hospitals Pre and Post- Hospitalization Day Care procedures Specific Treatments Claim Process Policy Exclusions Renewability and Waiting period Additional Benefits

11. Difference between OPD Insurance and Regular Health Insurance COVERAGE Premium costs Target audiance Hospitalization, Surgeries, Inpatient treatments High Individuals/families for major medical emergiencies Consultations, Diagnostics, Preventive care Low Individuals/families for routine healthcare expenses REGULAR HEALTH INSURANCE OPD INSURANCE

12. Why is OPD Coverage trend increasing? The Changing Landscape of Employee Well-being Empowering Proactive Health Management Fostering Employee Loyalty and Retention

13. Challenges and Limitations High Claims Ratio Moral Hazards Fraudulent Claims Network Management For Insurance providers : For Insurance Policy Holders : Co-Payments and Deductibles Coverage Exclusions Limited Coverage Amounts Network Restrictions

14. Top Organizations providing OPD Coverage in India Health Insurance Company Health Insurance Policy With OPD Cover Claim Settlement Ratio Bajaj Allianz Tax Gain 92.24% Care Health Insurance Care 95.47% Max Bupa GoActive & Heartbeat 89.46% HDFC Ergo Health Maxima 86.52%

15. Suggestions to Improve OPD Coverage in India Network Expansion Education Initiatives Transparency in Coverage and pricing

16. THANK YOU