BEST GROUP INSURANCE SCHEME FOR EMPLOYEES

Group Health Insurance

Provide mediclaim benefit to your employees, their spouse, kids, and parents from top insurance companies

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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

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

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

Testimonials

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

Group Health Insurance

Group health insurance is a policy that provides medical insurance to a large number of people. These people are typically employees or members of an organization. The policyholder, often the employer or organization, buys the plan and pays the fees. The group members get the policy's advantages.

The role of a group health plan or group mediclaim policy is to provide affordable and accessible healthcare coverage to a large number of people.

These plans typically offer comprehensive Group Medical Coverage, including preventive care, medical procedures, prescription drugs, and other healthcare services. Group health insurance for Employees may also offer additional benefits such as wellness programs, health education, and access to telemedicine.

Example Of Group Health Insurance

Many companies offer employer-sponsored health insurance as one example of medical insurance for employees. In this plan, the employer pays some of the premium and the employee pays the rest from their salary.

Employee group health insurance covers various medical services like doctor visits, hospital stays, prescription drugs, and preventive care. Some plans may also include dental and vision coverage.

Professionals or trade associations offer association health insurance to their members, which is another example of group health plan. These plans offer cheap health coverage for self-employed people and small business owners who can't get traditional employer-sponsored plans.

We can tailor group health insurance plans to meet the association's needs. These plans may offer various coverage options and cost-sharing agreements. But, these plans may not have the same rules and protections as regular health insurance plans.

How Group Health Insurance Works?

Here are the steps to understand how group health insurance works and how to obtain it.

Group Formation : People or organizations form a group to get health insurance coverage.

Selection Of A Plan : The group selects a Medical Insurance for Employees that meets their needs and budget. The group or a designated representative, such as an employer or association, may select the plan.

Premium Payments : The employer or organization pays for the group members' health insurance.

Risk Pooling : Group members pay premiums to cover the cost of medical claims made by any member of the group. This spreads the risk among more people, lessening the effect of expensive claims on any single person.

Coverage Benefits : The health insurance plan covers various medical services like doctor visits, hospital stays, medications, and preventive care. The specific benefits and coverage levels may vary depending on the plan selected.

Claims Processing : When a group member receives medical care, they submit a claim to the insurance company for reimbursement. The insurance company processes the claim and pays the provider directly or reimburses the member for their out-of-pocket expenses.

Cashless Claim Settlement : Group health insurance offers cashless claim settlement, enabling medical treatment without upfront cash payment by the insured. The insurer settles the bill directly with the healthcare provider.

Who should consider purchasing a group health insurance plan?

Insurance companies design group health insurance plans for groups of people who want to obtain health coverage together. Here are some examples of who might consider purchasing a group health insurance plan-

Employers :Employers may offer group employee health insurance to their employees as part of their benefits package. This can help attract and retain talented employees and improve employee satisfaction and productivity.

Professional Or Trade Associations : Professional associations often provide group health insurance to members as a valuable membership perk. This can help self-employed individuals and small business owners obtain affordable health coverage.

Community Organizations : Non-profits and community groups offer health insurance to aid member well-being and community health.

Religious Organizations : Religious groups can provide health insurance to their members to help care for and support their community.

Other Groups : Friends or family can collectively purchase group health insurance for shared health coverage and benefits.

Why Protect Your Employees’ Health With A Group Health Insurance Plan?

Below given is the curated list of the benefits offered to employees with a group health insurance plan-

Attract & Retain Talented Employees : Providing a good health insurance plan for employees can help attract and keep talented staff.
Workers prefer companies with health insurance and may choose to stay or accept job offers from companies that provide health coverage.

Improve Employee Health & Productivity : Providing health insurance coverage can help improve employee health and productivity. When workers can get preventive care and medical treatment, they are more likely to stay healthy and productive at work.

Reduce Absenteeism & Presenteeism : When workers are sick, they may need to take time off from work. This can result in a decrease in productivity and an increase in expenses for the employer. Health insurance can lower absenteeism and presenteeism, improving productivity and cutting costs for employers.

Protect Against Financial Hardship : Medical expenses can be a significant financial burden for employees and their families. By providing health insurance coverage, employers can help protect their employees against financial hardship caused by unexpected medical emergency.

Compliance With The Law : In some cases, the law requires employers to provide health insurance coverage to their employees. In fact, the ACA says that big employers must give health insurance to their full-time workers if they have 50 or more.

Advantages Of Group Health Insurance Plan

Group health insurance plans offer several advantages to both employers and employees. Below listed are some of the key advantages of this plan-

Lower Costs : One of the main advantages of a group health insurance plan is lower costs. When many people join t, they share the risk, and the cost of insurance can be cheaper than buying it individually.

Tax Benefits : Employers can deduct group health insurance premiums as a business expense, resulting in tax advantages.

Conformity With Legal Requirements : The law may require employers to provide health insurance coverage to their employees. A group health insurance plan can help ensure compliance with legal requirements.

What Employers Should Look For When Buying A Group Health Insurance Plan In India?

When purchasing group health insurance in India, employers must consider various factors to choose the appropriate plan for their employees. Here are some things to look for-

Coverage :Employers seek policies with complete coverage: in/out-patient care, pre-existing conditions, and maternity benefits.

Network Hospitals : Employers should check the list of network hospitals that the insurance provider has tied up with. This can help ensure that employees have access to quality healthcare facilities without having to pay out-of-pocket expenses.

Premiums : Employers should compare premium rates from different insurance providers to find a policy that offers good value for money. However, they should not compromise on coverage for the sake of lower premiums.

Waiting Period : Employers should check the waiting period for pre-existing conditions and maternity benefits. Certain policies have up to 2-year waiting periods for pre-existing conditions, potentially detrimental to employees.

Claim Settlement Ratio : Employers should check the claim settlement ratio of the insurance provider. This can help insurers ensure timely and hassle-free settlement of claims.

Additional Benefits : Employers should look for policies that offer additional benefits such as wellness programs, health check-ups, and telemedicine services. These can help promote employee wellness and reduce healthcare costs.

Customer Service :Employers should check the customer service record of the insurance provider. This can help ensure that employees have access to prompt and efficient service in case of any issues or concerns.

What does Group Health Insurance cover and not cover?

Group health insurance policies in India typically provide coverage for a range of medical expenses incurred by the insured employees. Presented below is a list outlining what group health insurance generally includes and excludes.

Covered :

Hospitalization Expenses :This includes room rent, boarding, nursing, surgeon fees, anesthesia, blood, oxygen, and related expenses.

Pre & Post-Hospitalization Expenses : This covers pre and post-hospitalization costs like tests, consultations, and medications for complete medical coverage.

Daycare Procedures : This includes medical procedures that don't require overnight hospitalization, such as cataract surgery, chemotherapy, and dialysis.

Maternity Expenses : This includes expenses related to childbirth and complications arising during pregnancy.

Ambulance Charges : This includes transportation expenses incurred in an ambulance.

Pre Existing Diseases :Coverage extends to pre-existing diseases, considering waiting periods and terms outlined in the policy agreement.

Not Covered :

Cosmetic Treatments :This includes treatments for improving appearance, such as plastic surgery and hair transplants.

Alternative Treatments : Coverage encompasses alternative treatments like ayurveda, homeopathy, and naturopathy that modern medicine may not recognize.

Dental Treatments : This includes treatments for dental problems, unless specifically covered under the policy.

Non-Medical Expenses : This covers non-medical expenses like phone, entertainment, and personal charges not tied to treatment.

Self-Inflicted Injuries : This includes injuries resulting from deliberate acts of the insured person, such as suicide attempts.

War-Related Injuries : This includes injuries resulting from acts of war, terrorism, or rebellion.

Coverage and exclusions differ between policies. Employers must review terms before choosing employee health insurance.

How To Claim Under Group Health Insurance?

The process for group health insurance claim in India typically involves the following steps-

Inform The Insurer :Firstly, you should Inform your insurance broker or your insurer about your claim. Customers can do this by calling the customer care number or submitting an online claim form.

Submit Documents : The next step is to submit the necessary documents to support the claim. This includes the claim form, medical bills, hospitalization records, diagnostic reports, prescriptions, and any other documents as required by the insurer.

Authorization : The insurer will review the claim and may request additional documents or information. After authorizing the claim, the insurer will issue an authorization letter to the hospital or provider.

Reimbursement : If the insured person has paid the medical bills, they can submit the original bills and receipts for reimbursement. The insurer will process the claim and reimburse the eligible expenses as per the policy terms and conditions.

Cashless Facility : If the hospital is part of the insurer's network, the insured person can avail of cashless treatment. In this case, the insurer settles the bills directly with the hospital, subject to the terms and conditions of the policy.

Documents Required For Group health Insurance Claim Process

Required documents for group health insurance claims vary by insurer and policy terms. However, here is a list of some of the commonly required documents-

Claim Form :Fill and submit a standard form to initiate the claims process.

Medical Bills : The insured person needs to submit the original bills and receipts for all medical expenses incurred. Include provider details, service date, and charged amount in itemized documents.

Hospitalization Records : If hospitalized, provide records like discharge summary, admission notes, and medical files.

Diagnostic Reports : Provide diagnostic reports for tests or procedures conducted during medical treatment.

Prescription Records : If prescribed medication, provide prescription details: medicine name, dosage, and quantity.

Other Documents : Depending on treatment, the insurer may ask for more documents like doctor's certificate, lab reports, and discharge summary.

How Is A Group Health Insurance Different From An Individual Health Insurance?

Aspect	Group Health Insurance	Individual Health Insurance
Coverage	Covers a group of people, such as employees or members of an organization.	Covers an individual and their dependents.
Premium	Premiums are generally lower, based on group size and claims history.	Premiums are generally higher, considering individual's age, health history, and factors.
Underwriting	Limited or no medical underwriting, as risk spreads across the group.	Requires medical underwriting, possibly excluding pre-existing conditions or imposing waiting periods.
Benefits & Customization	The policy offers customization options.	Allows for greater customization of benefits and coverage based on individual needs and preferences.
Portability	Not portable, coverage ends when the employee leaves the group.	Coverage remains portable, continuing beyond leaving the employer or organization.
Renewal	Groups determine renewal, available on an annual basis.	Individuals control renewal, with annual options.
Cost Sharing	Employers and employees typically share cost.	Individuals fully bear the cost sharing.

How To Buy & Renew Group Health Insurance Plan Online from SecureNow?

To buy or renew a group health insurance policy online from SecureNow, you can follow the below steps:

Visit the SecureNow Website :Go to the official website of SecureNow at securenow.in

Click On 'Group Health Insurance' : Go to SecureNow's homepage and select 'Group Health Insurance' from the menu.

Options to 'Purchase' and 'Renew' : Select the appropriate option based on your requirement.

Fill In The Details : Provide the necessary policy information for purchase or renewal, including organization name, employee count, sum insured, etc.

Get A Quote : Once you have filled in the required details, you will get a quote for the policy. Review the quote and proceed to the next step.

Upload Online Employee Data : HR can upload employee data online for enrollment and update company PAN and GST for mandatory e-KYC.

Make The Payment : Choose the payment mode and make the payment for the policy.

Receive The Policy :Once the payment is successful, you will receive the policy on your registered email ID.

Policy Issuance TAT : The insurance provider typically issues the group health insurance plan within 7-10 working days after underwriting.

If you face any difficulties during the process, you can contact the SecureNow customer support team for assistance.

Frequently Asked Questions

Maternity or pregnancy benefits in group health insurance cover the cost of medical care related to pregnancy and childbirth. These benefits may include coverage for prenatal and postnatal consultations, delivery charges, hospitalization costs, and other related expenses. Some group health insurance policies also provide coverage for complications arising during pregnancy and childbirth.

Individuals generally cannot buy group health insurance on their own. Employers or organizations often buy group health insurance for their employees or members. Certain insurers might extend group health insurance plans to self-employed or association-affiliated individuals.

No, group health insurance is not mandatory for employers or organizations to provide to their employees or members. However, in some countries, like the United States, employers must provide health insurance to their employees. If not, they are subject to penalties as stipulated by the Affordable Care Act (ACA).

You should consider getting a group health insurance cover for your employees as soon as you start hiring them. Offering health insurance as a benefit can help attract and retain top talent and improve employee satisfaction and productivity. Additionally, having health insurance coverage can protect your employees from unexpected medical expenses and provide them with access to quality healthcare.

Corporate health insurance plan or corporate medical insurance can be cheaper than individual plans. Companies negotiate lower premiums because of their buying power and larger coverage. However, factors like company size and policy benefits underlie these variations.

A floater sum insured extends coverage to multiple individuals under a combined amount. In contrast, a non-floater sum insured policy allocates separate coverage amounts to each individual covered.
The main difference is in coverage distribution: floater policy shares coverage, non-floater policy is individual based.

A corporate buffer covers unforeseen healthcare costs. It's for employees not under standard insurance. It covers medical costs that go beyond policy limits. Also, for employees not covered by the policy.

Modern treatments covered under a group health insurance plan or corporate medical insurance plans can vary depending on the specific policy. Further, it may include treatments such as chemotherapy, radiotherapy, dialysis, organ transplants, robotic surgeries, and stem cell therapy. Some policies may also cover alternative treatments such as Ayurveda, yoga, and naturopathy, among others.

The Insurance Regulatory and Development Authority of India (IRDAI) has established rules and guidelines for group health insurance policies. Rules address policy tenure, benefits, coverage, premium rates, claims, and grievance redressal in group health insurance. While providing group health insurance policies, insurers must adhere to these rules.

The count of covered children in a group health insurance policy varies based type of health insurance plan / policy terms. However, most policies allow for the coverage of up to four children. The age limit for coverage can also vary but typically ranges from 18 to 25 years, depending on the policy.

A group health insurance covers diverse individuals: employees, dependents (spouse, children), and sometimes parents or in-laws. Some policies may also cover retired employees, temporary or contract workers, and partners or directors of a company, among others.

Group health insurance offers multiple advantages. These include cost savings through lower premiums, comprehensive coverage for a large group, and easy healthcare access. Additionally, deductibles or copays might be lower. It can also be a valuable employee benefit, improving job satisfaction and retention rates.

Group mediclaim for employees is not devoid of limitations. These include limited coverage options, employer dependence, flexibility constraints, portability limitations, and less policy control. Also, limitations might apply to provider choice. Pre-existing conditions might not have immediate coverage.

Coverage of vaccinations under a group health insurance policy depends on the insurer and policy specifics. Some policies may cover certain vaccinations as a preventive measure, while others may not. It is important to check the policy documents or consult with the insurer to understand the coverage for vaccinations.

Group health insurance usually covers COVID-19 testing, hospitalization, treatment, unless it's a pre-existing condition. However, policy coverage varies with limits and exclusions, including those for pandemics or epidemics, in specific policies.

Top-up and super top-up plans add extra coverage to group health insurance. A top-up plan offers extra coverage beyond a specific limit. On the other hand, a super top-up plan covers after reaching the limit multiple times in a policy period. This can help increase coverage limits at a lower cost.

Yes, many insurers offer mobile apps that allow policyholders and insured members to submit and track group health insurance claims. These apps typically provide access to policy information, claims status updates, and other relevant features. The availability and specific features of the app may vary depending on the insurer and policy.

In a group health insurance plan, every insured member gets a health card. It has policy details like policy number, names, validity, and coverage. People use this card to prove insurance while receiving medical assistance at a network hospital.

To get a Group Health Insurance health card online, log in to the insurer's website or app. Subsequently, proceed to access the section dedicated to health cards for downloading the form. From there, the insured member can select the relevant policy and download the health card in a printable format. Further, you can also store the health card digitally for convenient access.

Yes, the employer's group health insurance can cover a husband and wife when the policy allows family coverage. Certain policies might limit covered dependents or ask for extra fees for family members coverage. Make sure to review policy terms.

Several factors influence the cost of a group health insurance policy. These include the group's size, member characteristics, coverage types, past claims, and risk profile based on age and occupation.

Yes, you can usually customize room rent limits in a group health insurance policy. Employers can choose to offer different room rent limits based on the coverage tier or the specific needs of their employees. However, it is important to check the policy terms and conditions to ensure that the customization is possible.

Yes, you can usually customize room rent limits within a group health insurance policy. Based on their employees' needs, employers can opt for varying room rent limits. However, policy terms determine the customization options available.

In health insurance, disease-wise capping restricts the highest claimable sum for a specific illness or medical condition. If treatment expenses surpass the set cap, policyholders must personally cover the extra costs. Insurance companies frequently utilize disease-wise capping to manage expenses and curb excessive claims.

When choosing the optimal group health insurance in India, consider coverage, hospital network, sub-limits, co-payment, and waiting periods. Additionally, evaluate premium rates and the insurer's reputation. It is also important to assess the policy's suitability based on the company's requirements and the needs of its employees.

There are several trustworthy group health insurance companies that offer comprehensive coverage and good customer service. ICICI Lombard, HDFC ERGO, Bajaj Allianz, Reliance Health Insurance, and Star Health Insurance are among the leading companies in this field. However, it is important to compare policies and read reviews before choosing a provider.

ICICI Lombard, HDFC ERGO, Bajaj Allianz, Reliance Health Insurance, and Star Health Insurance provide digital settlement for group health plans. They usually offer online claims submission, tracking, and direct settlement with healthcare providers to simplify claims and reduce paperwork.

Getting a group health insurance policy after payment varies based on the insurer and policy terms. Certain insurers offer instant issuance, while others may take a few business days for processing and issuance. It is important to check with the insurer for an estimated timeline.

Yes, most group mediclaim policy require payment of premiums in advance, including for new hires. The payment schedule depends on the policy and insurer. Employers usually pay premiums monthly or annually before the coverage period.

When an employee departs during the year, their group health insurance coverage typically ceases on their resignation or termination date. The employer might get a refund for the unused coverage, subject to policy terms and insurer's refund policies.

In a group health insurance policy, those eligible to claim benefits usually consist of employees and their covered dependents. Eligibility criteria may differ with the policy and insurer, but generally, enrolled individuals who paid premiums can claim benefits.

The claim process for a group medical policy typically involves the following steps-

Informing the insurer or TPA of the claim

Submitting the claim form and supporting documents

Receiving approval from the insurer

Receiving medical treatment

Submitting final bills and documents for reimbursement claim

The specific process may vary depending on the policy and insurer.

To register a group health insurance claim, inform the insurer or third-party administrator (TPA). Do this as soon as possible as a policyholder or insured member. You can usually do this through a toll-free number, online portal, or mobile app offered by the insurer. The insurer will provide guidance on the next steps in the claims process.

What Our Customers Are Saying

Sanjana Arora

Most fitting group health insurance! Its the best plans from SecureNow, offering great coverage for our employees.

ExImport Enterprises

Excellent group health insurance policy with comprehensive coverage for members. Highly recommended this corporate health insurance plans!

Veena Mohan

Group mediclaim policy provided by SecureNow offer good group health coverage, ensuring our employees' peace of mind.

BEST GROUP INSURANCE SCHEME FOR EMPLOYEES

Group Health Insurance

Compare quotes in 2 steps

Compare quotes in 2 steps

Trusted Benefit Platform

Dashboard

Reimbursement Via App

Centralised Support

Cashless Via App

Endorsement Ledger

Dashboard

Reimbursement Via App

Centralised Support

Cashless Via App

Endorsement Ledger

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

Delight your Employees With Our Add-On Plans

BRONZE

Free

SILVER

Rs. 100/ per employee

GOLD

Rs. 750/ per employee

PLATINUM

Rs. 2500/ per employee

BRONZE

Free

SILVER

Rs. 100/ per employee

GOLD

Rs. 750/ per employee

PLATINUM

Rs. 2500/ per employee

Testimonials

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

Quick Guide to Group Health Insurance

Group Health Insurance

Example Of Group Health Insurance

How Group Health Insurance Works?

Who should consider purchasing a group health insurance plan?

Why Protect Your Employees’ Health With A Group Health Insurance Plan?

Advantages Of Group Health Insurance Plan

What Employers Should Look For When Buying A Group Health Insurance Plan In India?

What does Group Health Insurance cover and not cover?

How To Claim Under Group Health Insurance?

Documents Required For Group health Insurance Claim Process

How Is A Group Health Insurance Different From An Individual Health Insurance?

How To Buy & Renew Group Health Insurance Plan Online from SecureNow?

Frequently Asked Questions

1. What are Maternity or Pregnancy Benefits in Group Health Insurance?

2. Can individuals buy group health insurance?

3. Is group health insurance mandatory?

4. When should I get a group health insurance policy for my employees?

5. Is corporate medical insurance cheaper than an individual health insurance policy?

6. What is the difference between a floater and non-floater sum insured?

7. What is a corporate buffer and how can it be utilized?

8. What are the modern treatments that are covered under a group Health Insurance plan?

9. What are the IRDAI rules for Group Health Insurance?

What Our Customers Are Saying

8. What are the modern treatments that are covered under a group Health Insurance plan? 