Definition: In group health insurance, capping (or sub‑limits) refers to maximum limits on reimbursements for specific expense heads (e.g., room rent, ICU charges, procedures) within an employee’s annual coverage. Key Takeaways The “Pro-Rata” Trap: Room rent capping is the most critical clause. If your cap is ₹5,000 but you choose a room costing ₹7,000, the insurer […]
Group Health Insurance Explained
What is group health insurance? Group health insurance is a medical benefit plan offered to a group of people. However, this group can be of employees working in an organization or members of a society or an association. The plan also offers coverage to this group against hospitalization expenses for medical treatment. Medical insurance policy […]
Adding members’ parents to group health plans — concerns and alternatives
Increased life expectancy comes with rising medical expenses. Thus, many young people consider it prudent to buy health insurance cover for their parents. What this does is ensure the best medical care without a major financial burden. So, as an advantage, there is a provision for adding members’ parents in group health insurance plans. Most […]
Five schemes to reduce employee turnover
India’s workplace ecosystem is full of challenges and opportunities. An employer can hire the best people available, but at the same time, risks losing them to competition. Likewise, employees can perform well and move up the rung in the same organization or can leave and join an organization that offers greater scope for growth and […]
Why group mediclaim insurance is better than medical expense reimbursement
Why is group mediclaim insurance better than medical expense reimbursement? In a benefits survey that Towers Watson conducted, 46% of Asian employers felt that their employees gave the greatest importance to the health benefits in their package. So, we can conclude that health benefits are a significant motivation for employees. In India, medical expense reimbursements […]
How group health insurance provide holistic wellness for your employees?
Companies today are offering wellness benefits to their employees that take care of much more than just their physical well-being. It is said, having a happier and healthier workforce is equal to productive and more dedicated employees. After all, employees’ wellness is the foundation of a successful company. You, as an employer, must invest in […]
Group health cover post retirement
For employees, group health insurance offers many benefits. It is often also an incentive to stay with an employer. But what happens when you retire from your job? Does your corporate mediclaim policy continue to cover you? This post attempts to provide some clarity on this question. Key Takeaways The Porting Advantage: The biggest benefit […]
How to Customize a Group Health Insurance Policy?
Customizing a group mediclaim policy means adding more relevant benefits to it to meet your needs and motivate your employees to stay with your company. Read more here.
Conditions for organ donation under group insurance
While awareness about organ donation has increased in India, the cost associated with organ donation often acts as a barrier for both donor and recipient (the person who receives the organ). The cost associated with organ transplantation remains high due to various factors, including medical procedures, post-transplant care, immunosuppressant drugs, and infrastructure requirements. Efforts are […]
What Is Covered Under Group Health Insurance?
Group health insurance offers many benefits to employees, or their members, covered under the policy. Complete hospitalization expenses incurred by an employee for self and dependents, like spouse, family, and parents, are covered under a group health insurance. Key Takeaways Zero Waiting Periods: Unlike individual plans, group insurance typically covers pre-existing and chronic illnesses (like […]