Group Health Insurance

A group health insurance policy gives employers the opportunity to provide their employees with coverage for medical expenses. For employees too, a group insurance plan offers some advantages over individual policies. So, when does a group medical insurance policy expire? How can it be renewed? This post attempts to offer some clarity on these and […]

Typically, individual health insurance plans specify exclusions. These are conditions or ailments that insurers do not cover. A significant advantage of group health insurance plans is that insurers often waive off many of these exclusions. However, in order to lower premium costs, some groups might accede to such exclusions. This post looks at some common […]

Co-pay refers to the part of the claim amount in an insurance policy that is borne by the insured out of pocket. It is generally provided in a percentage term and is applicable on the claim amount in General Insurance Policies. It may range from 10% to 50% in health policies. In motor insurance, this […]

It is possible that in reading insurance policy documents, you have encountered the term ‘congenital diseases’ cover in Group health insurance. This post attempts to help you understand the term better and situate it in the context of group medical insurance. Group health congenital diseases What are Congenital diseases? Diseases that exist at the time […]

Deductible in a group insurance policy Many companies purchase group insurance policies for their employees to help with medical expenses. However, many employee insurance schemes have a deductible clause. This post helps to understand the deductible clause and its implications. The deductible clause A deductible clause specifies a monetary sum that the employees will have […]

This post sets out to clarify the interpretation of family in group health insurance. It also examines the implications of extending medical insurance cover to the families of employees. Family in the group health insurance context A group health insurance policy often extends cover to the families of group members in addition to the members […]

Contrary to individual health policies, the following maternity benefits are available under the group health insurance plans: Age-related complications in delivery No waiting period for covering pregnancy Hypertension due to pregnancy and gestational diabetes Pre-existing diabetes or hypertension Higher chances of Cesarean delivery due to uterine inertia Miscarriage occurring in the 2nd or 3rd semester […]

Allowing the inclusion of parents of employees under the group health insurance policy has its own advantages and disadvantages. While including them or not should entirely be your decision, understanding the implications will help make an informed decision. Advantages of Inclusion Disadvantages of Inclusion A great relief to the employees Increased claim rate Very few […]

In the context of health insurance, the waiting period refers to the time that must elapse before ailments listed in the policy can be covered. Here you will get to know about three types of waiting periods which are typically applicable to individual health insurance. Insurance companies often waive these off for group health insurance. […]