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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

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
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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

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Book your Insurance in Simple steps

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Finalise the Plan

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Collect Employee Data

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Make Payment Online

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Get Policy

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Get E-Cards

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Make Claims

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Claims Helpline

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Add and Delete Employee

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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

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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

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Know More

Group Health Insurance Vs Individual Health Insurance
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Quick Guide to Group Health Insurance

Group Health Insurance

A group health insurance plan is a type of health insurance policy that provides coverage to a group of people who are typically employees of the same company or members of an organization. The policyholder, which is usually the employer or organization, purchases the plan and pays the premiums, while the members of the group receive the benefits of the policy.

The role of a group health plan 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

One example of group health insurance is employer-sponsored health insurance, which is offered by many companies to their employees. Under this type of plan, the employer pays a portion of the premium and the employee pays the rest through payroll deductions.

Group Health Insurance for Employees typically covers a range of medical services, including doctor visits, hospital stays, prescription drugs, and preventive care. Some plans may also include dental and vision coverage.

Another example of group health insurance is association health insurance, which is offered by professionals or trade associations to their members. These plans are designed to provide affordable health coverage to self-employed individuals and small business owners who may not have access to traditional employer-sponsored plans.

Association health insurance plans can be tailored to the specific needs of the group and may offer a range of coverage options and cost-sharing arrangements. However, it's important to note that these plans may not be subject to the same regulations and consumer protections as traditional health insurance plans.

How Group Health Insurance Works?

Listed below are the steps that demonstrate exactly how group health insurance works and what needs to be done in order to get it-


  • Group Formation : A group of individuals or an organization decides to come together to form a group for the purpose of obtaining health insurance coverage.

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

  • Premium Payments : The group members pay premiums for the health insurance coverage, which may be partially or fully funded by the employer or organization.

  • Risk Pooling : The premiums paid by the group members are pooled together to cover the cost of medical claims made by any member of the group. This allows the risk to be spread across a larger group, reducing the impact of high-cost claims on any one individual.

  • Coverage Benefits : The group health insurance plan provides coverage for a range of medical services, such as doctor visits, hospitalization, prescription drugs, 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 : :The cashless claim settlement of group health insurance allows the insured person to avail of medical treatment without paying cash upfront. The insurer settles the bill directly with the healthcare provider.

    • Who Should Buy a Group Health Insurance Plan?

    Group health insurance plans are designed 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 health insurance plans 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 or trade associations may offer group health insurance plans to their members as a membership benefit. This can help self-employed individuals and small business owners obtain affordable health coverage.

  • Community Organizations : Community organizations, such as non-profits or neighborhood associations, may offer group health insurance plans to their members as a way to promote health and well-being in the community.

  • Religious Organizations : Religious organizations may offer group health insurance plans to their members as part of their mission to provide care and support to their community

  • Other Groups : Any group of people who want to obtain health coverage together, such as a group of friends or family members, may consider purchasing a group health insurance plan.

    • 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 :Offering a comprehensive plan of group medical health insurance for employees can be a valuable employee-benefit that can help attract and retain talented employees.
    Employees are more likely to stay with a company that offers health insurance coverage and may be more likely to accept a job offer from a company that offers health insurance.

  • Improve Employee Health & Productivity : Providing health insurance coverage can help improve employee health and productivity. When employees have access to preventive care and medical treatment, they are more likely to stay healthy and productive on the job.

  • Reduce Absenteeism & Presenteeism : When employees are sick, they may need to take time off from work, which can result in lost productivity and increased costs for the employer. Providing health insurance coverage can help reduce absenteeism and presenteeism (when employees come to work even when they are sick), which can improve overall productivity and reduce costs.

  • 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 expenses.

  • Compliance With The Law : In some cases, employers are required by law to provide health insurance coverage to their employees. For example, the Affordable Care Act (ACA) requires employers with 50 or more full-time employees to offer health insurance coverage to their employees.

    • 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. By pooling a large group of individuals together, the risk is spread out, and premiums can be lower compared to an individual health insurance plan.

  • Tax Benefits : Employers may be able to deduct the cost of group health insurance premiums as a business expense, which can provide tax benefits.

  • Conformity With Legal Requirements : Employers may be required by law 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 Policy In India?

    When buying a group health insurance policy in India, employers should consider several factors to ensure that they select the right plan for their employees. Here are some things to look for-


  • Coverage :Employers should look for a policy that offers comprehensive coverage, including in-patient and 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. Some policies may have a waiting period of up to two years for pre-existing conditions, which can be a disadvantage for employees.

  • Claim Settlement Ratio : Employers should check the claim settlement ratio of the insurance provider. This can help ensure that claims are settled in a timely and hassle-free manner.

  • 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 Is Covered & Not Covered Under Group Health Insurance?

    Group health insurance policies in India typically provide coverage for a range of medical expenses incurred by the insured employees. Here's a list of what is typically covered and not covered under group health insurance-


    Covered :


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

  • Pre & Post-Hospitalization Expenses : This includes medical expenses incurred before and after hospitalization, such as diagnostic tests, doctor consultations, and medication.

  • 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 Conditions :This includes medical conditions that existed before the policy was taken, subject to waiting periods and other terms and conditions.

    • Not Covered :


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

  • Alternative Treatments : This includes treatments that are not recognized by modern medicine, such as ayurveda, homeopathy, and naturopathy.

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

  • Non-Medical Expenses : This includes expenses that are not related to medical treatment, such as telephone charges, entertainment charges, and other personal expenses.

  • 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.

    • It's important to note that the group health insurance coverage and exclusions may vary from policy to policy, and employers should carefully review the policy terms and conditions before selecting a policy for their employees.

    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. This can be done by calling the customer care number, 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. Once the claim is authorized, the insurer will provide an authorization letter to the hospital or healthcare 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

    The documents required for group health insurance claims in India may vary depending on the insurer and the policy terms and conditions. However, here is a list of some of the commonly required documents-


  • Claim Form :This is the standard form that needs to be filled out and submitted to the insurer to initiate the claims process.

  • Medical Bills : The insured person needs to submit the original bills and receipts for all medical expenses incurred. These should be itemized and should include the name and address of the healthcare provider, the date of service, and the amount charged.

  • Hospitalization Records : If the insured person was hospitalized, they need to provide the hospitalization records, including the discharge summary, admission notes, and other medical records.

  • Diagnostic Reports : The insured person needs to provide the diagnostic reports for any tests or procedures conducted as part of the medical treatment.

  • Prescription Record : If the insured person was prescribed medication, they need to provide the prescription records, including the name of the medicine, dosage, and quantity prescribed.

  • Other Documents : Depending on the specific nature of the medical treatment, the insurer may request additional documents, such as a doctor's certificate, laboratory reports, and discharge summary.

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

    AspectGroup Health InsuranceIndividual Health Insurance
    CoverageCovers a group of people, such as employees or members of an organization.Covers an individual and their dependents.
    PremiumPremiums are generally lower as they are based on the group's size and claims history.Premiums are generally higher as they are based on an individual's age, health history, and other factors.
    UnderwritingMay have limited underwriting or no medical underwriting as the risk is spread across the group.Requires medical underwriting, and pre-existing conditions may be excluded or have waiting periods.
    Benefits & CustomizationThe policy offers customization options.Allows for greater customization of benefits and coverage based on individual needs and preferences.
    PortabilityNot portable, coverage ends when the employee leaves the group.Portable, coverage can be continued even after leaving the employer or organization.
    RenewalRenewal is dependent on the group and can be renewed annually.Renewal is dependent on the individual and can be renewed annually.
    Cost SharingCost sharing is typically shared between the employer and employee.Cost sharing is borne entirely by the individual.

    How To Buy & Renew Group Health Insurance Policy 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' : Once you are on the homepage of SecureNow, click on 'Group Health Insurance' from the menu bar.

  • Choose 'Buy Or Renew' : You will see two options – 'Buy' and 'Renew'. Select the appropriate option based on your requirement.

  • Fill In The Details : Fill in the details related to the policy you want to buy or renew, such as the name of the organization, number of employees, 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 The Employee Data Online : Now, HR can upload employee data online for a seamless enrollment process and update company’s PAN & GST numbers, as part of mandatory e-KYC process.

  • 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: :In a group health insurance policy, the plan issuance TAT typically takes 7-10 working days after the completion of the underwriting process.

    • Alternatively, 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. Group health insurance is typically purchased by employers or organizations on behalf of their employees or members. However, some insurance companies may offer group health insurance plans to self-employed individuals or individuals who are part of a professional or trade association.
    No, group health insurance is not mandatory for employers or organizations to provide to their employees or members. However, in some countries, such as the United States, employers with a certain number of employees are required to offer health insurance to their employees or pay a penalty under the Affordable Care Act (ACA).
    You should consider getting a group health insurance policy 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 can be cheaper than individual health insurance because companies are often able to negotiate lower premiums with insurers due to their buying power and the larger number of people covered under the policy. However, this can vary depending on factors such as the size of the company and the specific benefits and coverage included in the policy.
    A floater sum insured is a health insurance policy that covers multiple people under a single sum insured amount, while a non-floater sum insured is a policy where each individual is covered under a separate sum insured amount. The main difference is that a floater policy provides shared coverage among multiple people, while a non-floater policy provides individual coverage.
    A corporate buffer is an amount set aside by a company to cover unexpected healthcare expenses that may arise for employees not covered under the standard health insurance policy. It can be utilized to cover medical expenses for employees that exceed the coverage limit of the health insurance policy or for employees not covered under the policy.
    Modern treatments covered under a group health insurance policy can vary depending on the specific policy, but 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. These rules cover aspects such as minimum and maximum policy tenure, benefits and coverage, premium rates, claims settlement procedures, and grievance redressal mechanisms. Insurers are required to comply with these rules while offering group health insurance policies.

    What Our Customers Are Saying

    ICONMA PROFESSIONAL SERVICES AND SOLUTIONS PRIVATE LIMITED

    Excellent Service and we have decided to go with this service provider with our renewal. No issues with the policy servicing as well as some urgent troubleshooting. Thanks SecureNow.

    Alka Gupta

    My organization always bought health insurances directly from insurers. The renewal process and claim settlement was also tiresome for me as an HR. Since last year we've bought our health insurance policy from SecureNow. They not only helped us compare quotes and choose from those but also helped us with the claims.

    Nidhi Verma

    I am an HR and we've been working with SecureNow for 3 years now. SecureNow provides a lot of value added services such as wellness sessions and webinars and our employees also have had good experience with the SecureNow team.