Health Insurance Board clarifies OPD limit, total coverage unchanged
Summary
The Health Insurance Board clarified that the total annual coverage for families under the health insurance program remains unchanged, with an OPD limit of Rs 25,000 per family and additional amounts available for inpatient and emergency services.
Key Points
- The Health Insurance Board clarified that the total coverage for families of up to five members remains unchanged under the health insurance program.
- The annual outpatient (OPD) limit has been set at Rs 25,000 per family, with an additional Rs 5,000 for each extra member.
- The remaining coverage amount is still available for inpatient (IPD) treatment and emergency healthcare services.
- The decision aims to ensure fair use of resources, prevent misuse, and safeguard the Health Insurance Fund's sustainability.
