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Care OPD: Coverage for Doctor Visits

The actual cost of healthcare often begins long before a hospital stay with every check-up, test, and follow-up adding to the total. Care OPD is designed to support these everyday healthcare expenses, so you don't have to pay out of pocket for routine care.

Reasons to Choose Care Health Insurance?

Care OPD: Coverage for Doctor Visits
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  • 24*7 Claim and Customer Support

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What is Care OPD?

Most health insurance plans cover hospitalisation but exclude expenses incurred before admission or outside the hospital. Care OPD bridges this gap by covering outpatient expenses such as:

  • Doctor consultations (General Physicians & Specialists)
  • Diagnostic tests
  • Prescribed medicines
  • Follow-up visits

It acts as the missing layer between major medical coverage and daily healthcare spending.

Why OPD Coverage Matters

Ignoring OPD expenses often leads to delayed treatment or repeated out-of-pocket spending.

  • A single consultation may seem small but multiple visits add up
  • Chronic conditions require frequent doctor visits
  • Families with children or elderly members have recurring OPD needs

Care OPD ensures these routine costs don’t become a financial burden. It works best when paired with a comprehensive base plan that covers hospitalisation and major medical expenses.

If you are looking for complete protection beyond just OPD, explore the Care Supreme Health Insurance Plan, which offers coverage for hospitalisation, pre and post-hospital expenses, and unlimited e-consultations.

Explore Care Supreme Plan

Care OPD Variants Explained

Care OPD is available in three variants, allowing you to choose based on your healthcare usage and budget.

Care OPD

Best for individuals who want simple, fixed consultation benefits.

  • Up to 4 general physician consultations per year (₹500 per visit)
  • Up to 4 specialist consultations per year (₹500 per visit)

Out-Patient Consultations

Best for those who prefer flexibility over fixed limits. It allows you to use the amount based on your needs.

  • Total coverage up to ₹5,000/year
  • ₹500 per consultation
  • General Physicians & Specialists physical consultations

Care OPD Plus

Best for those who want higher coverage and lifestyle benefits. Designed for higher usage and preventive health.

  • 4 GP consultations/year (₹1,000 per visit, 10% co-pay)
  • 4 specialist consultations/year (₹2,000 per visit, 5% co-pay)
  • Access to 14 specialists
  • Unlimited fitness sessions
Feature Care OPD Out-patient Consultations Care OPD Plus
General Physician (Physical) 4 visits/year
₹500 per visit
Included in ₹5,000 limit
₹500 per visit
4 visits/year
₹1,000 per visit (10% co-pay)
Specialist Consultations 4 visits/year
₹500 per visit
Included in ₹5,000 limit
₹500 per visit
4 visits/year (14 specialists)
max ₹2,000 per year (5% co-pay)
Co-payment Not applicable Not applicable Applicable (5%-10%)
Extra Benefits Not applicable Not applicable Unlimited fitness sessions on app

List of the Specified Specialist Doctors

The physical consultations with the following 14 specialist types are given below:

  • Pediatrician
  • Obstetrics and Gynecologist
  • Homeopathic Physician
  • Dietician
  • Diabetologist
  • Dermatologist
  • Pulmonologist
  • Psychiatrist
  • Cardiologist
  • Neurologist
  • Orthopedic Surgeon
  • Nephrologist
  • ENT Specialist
  • Gastroenterologis

 

 

 

Who Should Consider Care OPD?

Care OPD is useful if your healthcare needs go beyond hospitalisation.

  • Individuals with frequent doctor visits
  • Families with children or elderly members
  • People managing chronic conditions
  • Anyone looking to reduce out-of-pocket medical expenses

Additional Details

A few important rules that help your decision:

  • Mandatory/Optional: These benefits are optional or mandatory depending on the specific sales proposition.
  • Selection Constraint: A customer can choose either one of the three variants. Related Benefits: Separate from these physical OPD consultations, the base plan also provides unlimited e-consultations with General Physicians.
  • Unlimited Fitness Sessions: With Care OPD Plus, you get unlimited fitness sessions on the Care Health app, helping you stay fit, manage stress, and build better health habits at no additional cost.

When Does Care OPD Actually Help? (Real Use Case)

A family with 2 kids + elderly parent:

  • 6-10 doctor visits/year
  • 2-3 specialist consultations
  • Regular follow-ups

Without Care OPD: ₹5,000-₹15,000 out-of-pocket

With Care OPD: Structured, partially covered expenses

If you are looking for higher coverage along with OPD benefits and enhanced features, you can consider the Ultimate Care Health Insurance Plan, designed for individuals who want wider protection, higher sum insured options, and additional benefits beyond standard plans.

Explore Ultimate Care Plan

Why Choose Care Health Insurance?

Choosing the right health insurance is not just about covering hospital bills, it is about having support at every step of your healthcare journey. With Care Health Insurance, you benefit from:

  • 22,100+ cashless healthcare providers for easy access to treatment
  • 74.5 lakh+ claims settled since inception, reflecting trust and experience
  • 24x7 claim and customer support whenever you need assistance

From hospitalisation to OPD coverage and everyday care, Care Health Insurance helps you manage your health without financial stress.

Voice of Our Customers

Reviews and ratings are coming soon. Please visit again or read all product reviews here.
Rahul Sangwan

My appreciation for your prompt service

Recently, I’ve purchased JOY Maternity insurance for my expecting wife and my experience was excellent with the claim settlement team who helped me deal with all the formalities smoothly. Thank you for making my decision the right one!

Rahul Sangwan

Health Insurance

Samanway Barik

We will continue to avail of your scheme

I ported my healthcare plan last year; it is the wisest decision I made by choosing Care Health Insurance. I recently got admitted due to a viral infection, and all my expenses got covered under my plan.

Samanway Barik

Health Insurance

Soubhagya K Kulkarni

Everything went very smooth

Thank you for helping me when I needed help the most, being in the hospital. Buying Care’s health insurance plan is my best decision so far.

Soubhagya K Kulkarni

Health Insurance

Vaibhav Rai

Really helpful explaining the process in advance

Thank you for helping me with your fastest claim settlement process. I didn’t have to wait much for the approval. Everything was quick and seamless.

Vaibhav Rai

Health Insurance

FAQs

Q.Do I get online consultations included?

Yes, unlimited GP e-consultations are part of the base plan.

Q.Can I choose multiple variants?

No, customers must choose either Care OPD or Care OPD Plus.

Q.Do I get online consultations included?

Yes, unlimited GP e-consultations are part of the base plan.

Q.Is this benefit mandatory?

These OPD benefits are optional or mandatory depending on the specific sales proposition.

Q.What about expenses right before or after surgery?

These are covered separately under the base plan as Pre-Hospitalisation (up to 60 days) and Post-Hospitalisation (up to 180 days) medical expenses as per the plan.

Q.How do I use these services?

Many services, including online fitness sessions for OPD Plus members, are accessible through the Care Health Insurance mobile application.

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Disclaimer: All plan features, benefits, coverage, and claims underwriting are subject to policy terms and conditions. Kindly refer to the brochure, sales prospectus, and policy documents carefully.