The process for filing a claim under a group health insurance policy depends on the hospital and the type of treatment. Claiming health insurance in-network hospitals A network hospital is one that has a tie-up with an insurer. Members covered under group health insurance can get cashless hospitalization from network hospitals. This means that the […]
Group health insurance offers protection to employees of an organisation against any medical emergencies by covering them for hospitalisation costs. Below infographic explains the claim filing process of group health insurance policy for cashless and reimbursement claims.
Documentation plays a very important role when it comes claims. If we submit the correct documents on time, claims get settled without any hassle. For cashless facility, health insurance card and one identity proof needs to be submitted at TPA Desk in the hospital by patient. Then, Hospital needs to submit following documents to the […]
Subrogation and group health insurance Does your employer offer corporate health insurance? Has the term ‘subrogation’ come up in the context of this employee insurance scheme? If you would like to understand what it means and how it affects you, this post is for you. What is subrogation? Have you ever been accidentally injured, visited […]
Claiming reimbursement under a Group Health Policy If you are covered by a group health insurance plan, you might have to claim reimbursement for medical expenses if you go to a hospital that is non-empanelled (or not a network hospital). You cannot avail cashless hospitalisation at non-empanelled hospitals. Another reason for claiming reimbursement could be […]
Co-pay in group health insurance For many young establishments, the costs associated with group health insurance might be daunting. So, if you want to provide your employees the security of medical insurance without a considerable cost burden, you might want to consider co-pay. This post attempts to help you better understand co-pay in group mediclaim […]
What documents are required while making a claim under a Group Mediclaim Policy or GMC? A group mediclaim policy (also called a Group Health Insurance policy) covers a group of individuals against medical contingencies. The policy is issued to a registered group and covers all the individuals who are members of the group. A group […]
How Does Insurer Settles Medical Expenses if They are More than the Capping under Group Medical Plan?
In a group health insurance plan, there are different heads under medical emergencies, for which a specific amount or limit is indicated. This is called capping. It is the maximum amount that the insured can avail for a specific head under a group health insurance plan. If the expenses under one of the heads is […]