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: […]

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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 […]

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Can You Buy a Group Insurance Policy for Your Group/Association?

You can buy a group insurance if there are members who are gathered together with a common purpose or engage in a common activity. Further, there are some other guidelines that should be considered to buy a group insurance, like: 1. Most of the group insurance policies about the employer-employee However, the group insurance scheme […]

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What Happens if a Group Health Policy is Cancelled?

The cancellation process of group health insurance policy falls under the following heads: 1. Cancellation by policyholder/insured: If a policyholder thinks of cancelling the group health insurance policy, a 30-days prior written notice is required to be given to the insurance company. After receiving the notice, the insurer will cancel the policy for the remaining […]

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What Is Domiciliary Hospitalization in Health Insurance Policies?

What is Domiciliary Hospitalization? Domiciliary hospitalization in a health insurance plan refers to a situation where the insured is considered to be hospitalized, even when he/she is still at home and undergoing treatment for an ailment. If the treatment for such a patient is carried at home, it will be considered as domiciliary treatment.  The […]

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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 […]

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Which Factors Affect the Premium of a Group Health Policy?

Following factors affect the group health insurance premiums: Size of the group Average age of the group Type of Occupation of the group members Claim history of the employer (the group administrator in case of informal groups like travel and banks’ customers, RWAs, medical associations, etc.) Features and Riders Opted in the Plan Individual Effect […]

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