health plan, you can get a holistic benefit. However, the services may vary based on the provider," he said. Need for subscription model: ‘Health coverage’ generally implies coverage for IPD costs of hospitalization and emergency procedures.
This is because the insurance sector has focused on these expenses alone. But there’s something flawed with this approach. One is unaware that OPD benefits are generally not available with regular health insurance.
Aniruddha Sen, co-founder of Kenko Health, says, “Up to 65% of all healthcare expenses during our lifetime are OPD costs pertaining to doctor consultations, lab tests, medicines, etc.
If health insurance policies are unable to help meet a major chunk of our healthcare expenses, we need to rethink our very notion of health coverage." He further said, “For this, we must draw attention to how such routine expenses make a sizable dent in the savings of an average middle income household in India.