What Kind of Treatments Are Not Covered By Group Health Insurance Plans?

Every group health insurance plan may specify different illnesses for coverage and the kind of expenses covered for those illnesses. Accordingly, everything else not covered is also defined variably by different plans. But there are certain provisions which make medical procedures commonly excluded from the coverage. Such exclusions can be classified into the following categories: […]

Read More

What is the definition of family in a group health policy?

A group health insurance policy, not only covers the members but their family members, as well. In the group insurance segment, a family means and includes an insured person, legal spouse, legal & dependent children, legal & dependent siblings and dependent parents or dependent in-laws. Some group health insurance policies cover parents under 60 only […]

Read More

How to File a Claim Under Group Health Insurance Policy?

The claim process under group health insurance policy can be categorised as following: In case of network hospitals If you are visiting a network hospital, i.e., with one your health insurer has tied up, you will be entitled to get cashless hospitalisation. It means, you just need to show your health card and avail cashless […]

Read More

How does Subrogation Apply to Group Health Insurance?

Have you ever been accidentally injured, visited the emergency room for treatment and submitted your medical bills to your group health insurance company? Usually, in such a scenario, your health insurer will pay for your medical expenses, however, after making the payment, the insurer may contact you to discuss the injuries or how they occurred. […]

Read More

Are Group Health Policies Tax Deductible?

Only employer can claim the tax deduction on premium paid for the group health insurance policy for employees in India. An employee is not entitled to IT exemption under the group health insurance coverage provided by an employer. An employee is only entitled to medical facilities and benefits, But he cannot claim tax exemption under […]

Read More

What Is Co-Pay In Insurance And How Does It Work?

Co-pay refers to the part of the claim amount in an insurance policy which 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 […]

Read More

Should You Include Dependent Parents of Employees in Group Health Insurance?

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

Read More

What are the advantages of a Group Health Insurance ?

A group health insurance offers coverage to a group of people, as members of a society or employees of a company. The organization can either self-design a plan or choose a pre-planned insurance policy from the insurer. The policy is beneficial for both employees and employers. Let’s have a look at the benefits: Advantages For […]

Read More