Keryl Insurance
Expert Guide

Inpatient vs Outpatient Insurance: What's the Difference?

Understanding the difference between inpatient and outpatient medical insurance coverage is crucial for choosing the right policy. Get expert guidance from Keryl.

Understanding the Key Differences

Inpatient Care

When you're admitted to a hospital and stay overnight or longer. This includes surgeries, deliveries, ICU care, and any treatment requiring hospital admission.

Includes:

  • • Hospital bed and accommodation
  • • Surgical procedures
  • • Maternity and delivery
  • • ICU and critical care
  • • Emergency admissions

Outpatient Care

Medical care where you visit and go home the same day. No overnight stay required. This covers most routine medical services.

Includes:

  • • Doctor consultations
  • • Lab tests and scans
  • • Prescription medications
  • • Minor procedures
  • • Specialist visits

Which Cover Should You Choose?

Inpatient Only

Best for those who want protection against major medical expenses but handle routine care out of pocket.

More affordable premium

Comprehensive

Covers both inpatient and outpatient care. Best for families and those who visit doctors regularly.

Complete peace of mind

Outpatient Only

Rare option. Most insurers bundle outpatient with inpatient for better value.

Limited availability

Important Things to Know

Annual Limits Apply

Both inpatient and outpatient have separate annual limits. Make sure they're adequate for your needs.

Pre-authorization Required

Most inpatient treatments need approval from your insurer before admission.

Network Hospitals Matter

Treatment at non-network facilities may result in higher out-of-pocket costs.

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