BEST GROUP INSURANCE SCHEME FOR EMPLOYEES

Group Health Insurance

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

Watch Video

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

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

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.

A group health insurance taken by an employer essentially covers the employees. But the employer can extend the coverage towards the spouse, children or even parents or parent-in-laws of the employee based on their requirement.

Some major benefits of a group health insurance policy include: coverage of pre-existing ailments immediately without any waiting period. It has a wider cover for diseases. For example, internal congenital disease is generally excluded under individual health insurance but could be covered under a group health insurance. Further, group insurance can be customized to remove all kinds of waiting periods.

The biggest disadvantage of a group health insurance policy is that there is a lack of no-claim bonus for employees. Further, when employees leave the organization, they can port the group plan into an individual plan. The benefits and pricing of such an individual plan will be different from the group plan.

Hospitalization due to COVID will be covered as part of all group health insurance policies. In case your policy has no waiting period, then the coverage will be effective immediately. In case of a waiting period associated with your policy, coverage will be applicable after 30 days at most.

Premium of a health insurance policy is calculated based on a number of factors including number of employees (along with details of the members to be covered), their age, benefit design and sum assured.

Room rent capping is typically 1-2% of SI or some fixed amount depending on the consensus of the employer and the insurance company. This is decided at the time the policy is taken and can be changed when the policy is renewed. If a beneficiary, in the interim, looks at an upgraded room facility during their hospitalization, then additional expenses will be out-of-pocket for the employee. All medical expenses would also be proportionately deducted.

To provide an efficient service digitally, some insurers have invested in a digital infrastructure. This enables faster issuance of policy, quicker turn around on endorsements and faster settlement of claims. Some such insurers are: ICICI Lombard, New India Assurance Co. Ltd., Cigna and Aditya Birla Health Insurance.

Below are the factors that you should consider when choosing an insurer:

1. Claim settlement ratio of the insurance company
2. Reputation of the insurer
3. Coverage of the group medical insurance plan that they’re offering to you
4. Cost of premiums to be paid during retention of the policy
5. The list of network hospitals that are on the panel of the insurer

A number of insurers have started settling claims digitally during the covid induced lockdown. However, as the lockdown has been revoked most insurers ask for original medical papers in physical form. A few insurers have API integrations that enable faster processing of claims, when submitted digitally. Such insurers include ICICI Lombard, Care Health, New India Assurance Co. Ltd., Cigna and Aditya Birla Health Insurance.

Generally, group health insurance plans allow coverage of an individual only once. So, if the husband is covered as an employee, then the wife can be covered as the spouse and vice-versa. Husband and wife can be covered as employees only, if the policy doesn’t allow coverage for dependents. In some cases, now insurers provide dual coverage to both the husband and wife and they can be covered as an employee and a dependent as well.

Obtaining a policy copy can vary with the insurance provider. At SecureNow we have kept this duration as 15 working days within which we try our best to get the client their policy copy. As we get the policy copy, within 4 to 5 working days e-cards are issued for the employees and they can avail all benefits that we offer.

Organizations have to maintain a CD balance with the insurance company which is a reserve amount paid in advance to avoid delay in endorsements for cases as new hires. Insurance companies always deduct premiums from the CD balance only and so, not maintaining this balance can delay the coverage for the new hires. So, it is advisable to maintain a CD balance to be greater than 10% of your base premium and that mostly solves the issues of new additions or deletions from the list of employees covered.

Insurance companies work with the CD balance amount maintained with them. When an employee leaves the organization, then the rest of the premium deducted towards the health coverage for the employee and/or his dependents will be credited back into the CD account. This can be used to fulfill endorsements for new joiners.

Active employees who have not resigned from the organization are covered under the group health insurance policy. Along with the employees, all members who are covered under the group health policy are also eligible to make claims for their hospitalization.

There are two processes. By cashless claim processing you’ll need to produce your health e-card and on your hospitalization. The claim will be settled directly between the insurer and the hospital. By reimbursement claim processing, you will have to obtain original documents from the hospital, fill a duly signed claim form and submit it to the insurer to get a reimbursement of your paid amount.

When getting treated at a network hospital, claims are directly settled between the hospital and the insurance company.For registering a reimbursement claim with us, visit www.securenow.app, enter your registered mobile number, generate an OTP and you will land on the homepage of the SecureNow App. Just click on register and fill the required details to intimate a claim.

Yes, SecureNow brings to you the SecureNow App which will not only help you register your claim but also track it. Just login into the SecureNow App by visiting www.securenow.app and use submit to upload all your required documents for scrutiny. Then use the Check Status to track the status of all your ongoing claims.

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

Definition of Group Health Insurance Policy

Functioning of a Group Health Insurance Policy

Key Features of Group Health Insurance Policy

Benefits of Group Health Insurance Policies for employees

Benefits of Group Health Insurance Policy for Employers

Parameters for buying a Group Health Insurance Policy in India

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

Necessity of Group Health Insurance

Expenses covered in a Group Health Insurance Policy

Expenses not covered in Group Health Insurance Policy

Process to apply for Group Health Insurance

Claim process for a Group Health Insurance Policy?

Documents Required for Making a Group Health Insurance Claim

Purpose of a Group Health Insurance for Employees

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

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 health insurance cheaper than individual health insurance policy?