Group Health Insurance - Buy Group Medical/Mediclaim Policy for Employee
BEST GROUP INSURANCE SCHEME FOR EMPLOYEES

Group Health Insurance

Provide mediclaim benefit to your employees, their spouse, kids, and parents from top insurance companies
Contact Details>>Employee Count>>Quotes

Compare quotes in 2 steps

Customise benefits based on your budget.

Group Health Insurance
Contact Details>>Employee Count>>Quotes

Compare quotes in 2 steps

Customise benefits based on your budget.

Trusted Benefit Platform

Dashboard

A dashboard for you to view and manage your policies

Reimbursement Via App

Register, submit and track your reimbursement claims.

Centralised Support

Connect with single contact for all support queries

Cashless Via App

Electronic mediclaim cards and insurance reminders

Endorsement Ledger

Real time estimate of CD balance is available

Dashboard

A dashboard for you to view and manage your policies

Reimbursement Via App

Register, submit and track your reimbursement claims.

Centralised Support

Connect with single contact for all support queries

Cashless Via App

Electronic mediclaim cards and insurance reminders

Endorsement Ledger

Real time estimate of CD balance is available

Top Most Trusted Insurers

Book your Insurance in Simple steps

Finalise the Plan

Collect Employee Data

Make Payment Online

Get Policy

Get E-Cards

Make Claims

Claims Helpline

Add and Delete Employee

1) Finalise the Plan

Delight your Employees With Our Add-On Plans

BRONZE

Free

Key Account Manager

Mobile App:Cashless eCard and Reimbursement eClaims

Claim status on app

HR Dashboard

SILVER

Rs. 100/ per employee

All feature of Bronze

General Physician Video consultation: 2 per employee

wellness webinar: 1 per month

Quarterly premium client engagement call

GOLD

Rs. 750/ per employee

All feature of Silver

Specialist Video consultation: 2 per employee

Basic health check-up on 9 parameters

Top-up insurance of 10 lacs Sum assured with 5 lacs Deductible for self, spouse, and 2 children (max age:40)

Claims support for personal health insurance plans

PLATINUM

Rs. 2500/ per employee

All feature of Gold

Specialist Video consultation: 4 per employee

Advanced health check-up on 25 parameters

Top-up insurance of 10 lacs Sum assured with 5 lacs Deductible for Father and Mother (max age:70-for top 10% of employees)

Buy Now Pay Later OPD Upto 10K per employee

Senior Citizen helpline

BRONZE

Free

Key Account Manager

Mobile App:Cashless eCard and Reimbursement eClaims

Claim status on app

HR Dashboard

SILVER

Rs. 100/ per employee

All feature of Bronze

General Physician Video consultation: 2 per employee

wellness webinar: 1 per month

Quarterly premium client engagement call

GOLD

Rs. 750/ per employee

All feature of Silver

Specialist Video consultation: 2 per employee

Basic health check-up on 9 parameters

Top-up insurance of 10 lacs Sum assured with 5 lacs Deductible for self, spouse, and 2 children (max age:40)

Claims support for personal health insurance plans

PLATINUM

Rs. 2500/ per employee

All feature of Gold

Specialist Video consultation: 4 per employee

Advanced health check-up on 25 parameters

Top-up insurance of 10 lacs Sum assured with 5 lacs Deductible for Father and Mother (max age:70-for top 10% of employees)

Buy Now Pay Later OPD Upto 10K per employee

Senior Citizen helpline

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Know More

Group Health Insurance Vs Individual Health Insurance

Claim Settlement of Insurance Companies

How Does Cashless Claim Work

How Does Reimbursement Claim Work

How Does Endorsement Process Work

Know More

Group Health Insurance Vs Individual Health Insurance

Quick Guide to Group Health Insurance

Definition of Group Health Insurance Policy

A group health insurance policy is essentially a mediclaim policy taken by an organization for its employees. A group medical insurance provides coverage to the whole group under one umbrella plan. Premium is paid by the organization. Organization can cover the employee and their direct dependents including spouse,children and parents. Such a plan can be customized depending upon the budget and requirements of the client.

Functioning of a Group Health Insurance Policy

Group health insurance scheme are offered as healthcare benefits to employees. A basic plan is selected for all the employees while members can choose to add dependents based on their requirement and policy conditions. A group health insurance acts in a distributed manner, wherein a larger group pays towards bearing health issues for the less fortunate ones. So, the premiums become less as overall risk taken by the insurance company is spread across the group, this reduces the scale of insurer’s liabilities.

Key Features of Group Health Insurance Policy

Group health insurance plans generally cover the employee, their spouse and children. Some group health policies also allow addition of dependent parents.These health insurance policies provide cover for pre-existing ailments, maternity, day-care charges and even ambulance charges in some cases. Medical insurances for employees generally offer a cashless hospitalization at network hospitals. Some health insurances also provide reimbursements and covers for pre and post-hospitalizations also

Benefits of Group Health Insurance Policies for employees

  • Extensive coverage: Most group health insurance policies provide coverage for most kind of hospitalization and daycare procedures.
  • Coverage for pre-existing ailments: Pre-existing ailments are covered from Day 1, i.e., all diseases are covered from the day of joining the group insurance policy scheme without any waiting period.
  • No waiting period for specific ailments: Generally, individual health insurance policies have waiting periods for specific diseases such as cataract, hernia and knee replacement. This can vary between 12-48 months. But for the group insurance policies, this waiting period is waived.
  • Maternity Coverage: Most group insurance plans taken for self and family provide maternity cover for both C-section and normal delivery. Some plans also cover the new-born expenses.

    • Benefits of Group Health Insurance Policy for Employers

  • Cost Saving: Premiums of group employees are nominal and far less as compared to individual policies. As a group medical policy has risk distributed across the group, so the premiums tend to be lower.
  • Garnering goodwill of employees: When an employer shows responsibilities of taking care of the health and well-being of their employees, proven results show that employees’ productivity and loyalty to their employers increases. This also increases employee retention and sets the employer at par against other competitors in the eyes of the employees.
  • No medical underwriting: Most group health insurance plans have no clause associated with buying them, they are simple to understand and operate. They do not have pre-medical tests or paperwork associated that saves time and cost.
  • Easy Claim settlement process: Claim settlement is one major aspect of group health insurances. There are dedicated teams for claim settlements and hence the processing becomes faster.

    • Parameters for buying a Group Health Insurance Policy in India

  • Select the right sum assured based on prevalent cost of treatment in your location and preferred hospitals
  • Define the family size to be covered as coverage is possible for self, spouse, children and parents/parent-in-laws Choose a room rent limit keeping in mind the type of privacy you want to over to employees for their hospitalization Opt for a wide network of hospitals to enable cashless claims.
  • Ensure all waiting period have been waived, so that employees can benefit from the group health policy from day one rather than having to pay premiums for years and wait to receive benefits out of it
  • Look for additional covers such as: maternity, day-care covers and other benefits that always add to effectiveness of a group health insurance policy for your employees.

    • Rationale to protect your employees’ health from Group Health Insurance Policy

    Employee retention rate has been proven to be higher for organizations that value their employees and provide added services to them. Group health insurance policy is a value-added benefit for the employees and it motivates them to perform better. So, if you cover your employees in sickness, their performance also improves.

    Necessity of Group Health Insurance

    Employees who are eligible for ESI get health insurance coverage under that scheme. There is no mandatory provision to provide health insurance coverage for Non-ESI employees. However, this has become a market norm for employers to provide a group health insurance benefit. High quality employees, when they select an employer, tend to enquire about such benefits. Presence of attractive group health insurance plans helps attract talent.

    Expenses covered in a Group Health Insurance Policy

  • Room charges, ICU charges and hospital charges
  • Surgeon and medical practitioner charges
  • Medications prescribed for active line of treatments
  • Day-care treatments like cataract, chemotherapy and dialysis
  • The above list are a few important heads under which expenses are reimbursed in the policy. In some group policies, there may be capping or restrictions for each sub-heading.

    • Expenses not covered in Group Health Insurance Policy

  • Treatment undertaken abroad, hospitalization for less than 24 hours even in India and lack of active line of treatment
  • Fertility treatments, cosmetic treatments and gender change surgeries
  • Domiciliary hospitalization
  • Expenses for vitamins, tonics not part of hospitalization
  • Intentional self-injury
  • This list only entails a few important expenses that are not covered under a group health insurance policy.

    • Process to apply for Group Health Insurance

    Group health insurances can be applied both online and offline. Offline you’ll have to book an appointment with a SecureNow representative. In cities where we have our branch, we would be happy to meet you in person. For online fulfillment, you can explore the quotations available on our website. If you are in a city, where we do not have a branch, we would be happy to engage with you over email and video conference.

    Claim process for a Group Health Insurance Policy?

    There are two claim processes pertaining to your health insurance policy.

  • A Cashless Claim Processing :When you opt to get treated for hospitalization at a network hospital of your insurance provider, you can avail a cashless claim processing. Here you reach the hospital, show your health e-card at the TPA helpdesk, get treated and the bills will be settled directly between the hospital and the insurance company.
  • A Reimbursement Claim Processing :When you have an emergency hospitalization and you do not get treated at a network hospital, then with all the required documents like: the filled claim form, original bills and prescriptions, etc. you’ll have to apply for a reimbursement process after your treatment.

    • Documents Required for Making a Group Health Insurance Claim

    Following are the documents required for making a group health insurance reimbursement claim if you are getting treated/hospitalized at a non-network hospital:

  • Duly filled claim form
  • Certificate for active line of treatment from the medical practitioner
  • Treatment and discharge summary from the hospital
  • Prescriptions, original medical bills and receipts

    • Purpose of a Group Health Insurance for Employees

    A group health insurance plan is designed to provide medical coverage for a group of people. It is generally purchased by organizations to provide additional medical coverage to their employees as an added benefit and the premium amount of the group medical insurance plan is paid by the employer.

    Difference between a Group Health Insurance Policy and an Individual Health Insurance Policy

    The primary difference between a group health insurance policy and an individual health insurance policy is the volume, i.e., a group insurance policy is bought for a set of people who are part of a group and thus the coverage is shared amongst that particular group of people under a certain condition. But an individual policy only covers one particular individual or a family. When we do bulk buying, like in the case of a group insurance policy, we are able to negotiate higher benefits at lower prices.

    Frequently Asked Questions

    Most group health insurance policies that cover self and spouse offer a maternity benefit for both c-section and normal delivery. This coverage could be with or without a waiting period. Generally, a waiting period of 9 months could be applied. Typically, there is a sub-limit for maternity expenses under the overall sum assured. The sub-limit is set differently for normal and c-section deliveries. The sub-limit could range between Rs. 25,000 to Rs. 1 Lac.
    Group health insurances, as the name suggests, are bought by employers or organizations for their employees or a group of people. But your group insurance policy can be customized for individuals based on requirements.
    Group health insurance coverage for Non-ESI employees was never mandated by IRDAI. However, the Government had mandated group health insurance for employees only for the first 3 months during the lockdown to safeguard health and safety of the employees. However, this has become a market norm for employers to provide a group health insurance benefit because an attractive group health insurance plan helps attract talent into the organization.
    Group health insurances can be bought anytime based on your requirements and are renewed yearly. Generally, organizations after crossing the 10-employee mark, opt for a group health insurance policy. It is essential as an employer to safeguard the health and well-being of their employees; hence a group health insurance is a must.
    Getting group health insurance as an employer will always be cheaper owing to the distribution of risk and premium between a larger group. Group health insurances also offer a wider range of coverage for a nominal premium, while an individual health insurance policy may cost you a hefty sum and accompany a lot of clauses for availing benefits.