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How does the e-claim process work for group health insurance policy?

Insurers required policyholders to submit original claim documents for processing reimbursement claims. Policyholders used to courier claim documents to insurers/ TPAs for processing. However, this has changed since the Covid-19 pandemic hit the world. It has brought down all transportation and logistics to a standstill due to government-imposed lockdown throughout the country. Courier services were […]

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Can you cancel your policy and seek refund during the policy period?

You are allowed to cancel your policy anytime during the policy period provided there is no settled or outstanding claim in the policy. All you need to do is to send a written request to the insurer for cancellation along with the reason for cancellation.   The insurer accepts the following reasons for policy cancellation […]

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How does PPN network work in GMC policy, which insurers provide this?

PPN stands for Preferred Provider Network. It is the network of hospitals that have deeper tie-ups with respective health insurance companies to provide seamless cashless claim services to their policyholders. A hospital joins PPN when both the hospital and insurance company are synchronized in their approach on how the policyholders are to be served. Hospital […]

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What kind of disease-wise capping can be put in GMC to manage price?

With disease-wise capping, an insurer can reduce claims out-go and hence its risk for the GMC. Though you can select the list of diseases and respective capping for a group policy insurers have pre-defined slabs of lower limits, default limits, and higher limits. Below is an illustration of these slabs –   Lower Limits – […]

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Who is the right insurer for a start-up GMC?

When you are buying group insurance for the first time, you have to be extra cautious in your choice of service partner. There are 20+ general and health insurance companies in the market offering group health insurance services. Choosing among them can be a tough task. Below mentioned are few parameters that can help you […]

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How can employees take advantage of group to individual portability?

As per Health Regulations 2016, portability guidelines, members covered under any group health insurance policy of a general/health insurer can port/migrate from a group policy to an individual policy with the same insurer. Though group health insurance schemes are more relaxed, they do not provide all the benefits which are available in an individual policy. This guideline is extremely beneficial for members who move out of the group and […]

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What are the options for a company to buy insurance for expat employees?

Most companies now have global operations. They may be required by the statutory laws of the foreign land to provide coverage to expat employees working in their respective geography. Since in most countries insurance is regulated by local law, while buying the insurance policy for expat employees, it is important to ensure that the policy […]

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