One in Three Organisations Offer OPD Insurance Programmes, Reveals New Survey

One in Three Organisations Offer OPD Insurance Programmes, Reveals New Survey

A recent survey conducted by Mercer Marsh Benefits has found that one in three organisations now offer outpatient department (OPD) insurance programmes as part of their employee benefits package. The report, titled "OPD Insurance: Revolutionising Workforce Health Management", also revealed that 61% employees avail of at least one OPD benefit.

Mental wellness consultations represent a mere 6% of all doctor consults, with diabetes, cholesterol, and hypertension having the highest prevalence among employees. The survey highlights a significant shift towards structured and insured approaches to manage employee healthcare costs, as companies move away from the fragmented model of self-funded OPD expenses.

According to the report, 92% of respondents offer company-sponsored programmes with a median wallet size of Rs. 15,000. This shift towards more comprehensive coverage is expected to bring predictability and stability in managing workplace health insurance costs.

The preferred delivery model for OPD insurance showcases a collaborative approach, with 89% of programmes offered by private and standalone health insurers who tap into their financial capacity and risk management expertise.

A growing focus on technology-driven solutions is also evident, with nine out of ten organisations offering company-sponsored OPD programmes that cover both employees and dependents. Younger employees (18-35) have shown a significantly higher preference for tele-consultations compared to older age groups.

The data suggests that employees are primarily utilising OPD benefits for conditions requiring blood tests or other pathology examinations, with 73% of respondents opting for prescription pathology tests. In-centre check-ups remain the preferred mode for annual health checks, followed by home sample collection and a hybrid approach.

Organisations can benefit from this shift in healthcare management by gathering valuable data on employee health trends, which becomes a cornerstone for informed decision-making regarding future healthcare investments. By proactively addressing potential health risks and optimising resource allocation, companies can create a healthier workforce and improved productivity.

The findings of the report are expected to guide organisations as they continue to navigate the evolving landscape of workplace health insurance management.