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On the impact of co-payments on the utilisation of care and its implications

 

Emerging Project Lessons

Choosing the co-payment option shows that members are willing to self-regulate. Contrary to expectations, four out of five federations where enrollments were done by Bharati Axa General Insurance opted for the co-pay option, which shows that members are willing to self-regulate. Even in the fifth one, where both co-pay and non co-pay options were used, most members chose the co-pay option. Members feel that requiring a co-payment will reduce the likelihood of excessive and false claims being filed since claimants have to pay a share of the costs. It is interesting to note that the same pattern was not observed with the two federations associated with the second insurer (HDFC Ergo); as members of only one federation opted for the co-payment option. It will be interesting to track the impact of this variation as the project develops.

 Date of last Learning Journey update: June 2011