Group Health Insurance plans are the major benefits offered by the number of employers. These plans are uniform in nature and offer the same benefits to the all employees of the group.
Cost of the Group insurance plan is usually less as compared to individual mediclaim plan that offers the same health coverage.
Employee benefits are the core functionality of the Human resource department of any organization. Now these days, employees are more curious about the health insurance plans that an organization offers.
Most of the employee benefits are under the full control of the organization but in case of Medicalim plans, there is dependency on third party services i.e. insurance company.
Therefore, it is very important to have the best group medicalim plan for the employees as it directly affects the employee benefits and the employer’s goodwill.
Group Mediclaim Policy will be available to any Association/Group/Institution/Corporate-body having the group size more then 15.
Here are some basic recommendations one should take while looking for a Group Mediclaim Plan for employees.Group Mediclaim Policy
Brief Description :
Mediclaim Insurance is a cover which takes care of medical
expenses following Hospitalisation/Domiciliary Hospitalisation
of the Insured in respect of the following situations: (A) In case
of a sudden illness (B) In case of an accident (C) In case of
any surgery which is required in respect of any disease which
has arisen during the policy period. The major benefit for
taking a Group Mediclaim policy is that the insured gets a
Group discount, hence the premium per person is lower.
Covered Risks :
This cover is a hospitalisation cover and reimburse the
medical expenses incurred in respect of covered disease
/surgery while the insured was admitted in the hospital as an
in patient.The cover also extends to pre & post-hospitalisation
for periods of 30 days & 60 days respectively
Major Exclusions :
Any pre-existing disease,any expense incurred during first 30
days of cover except injury due to accident,all expenses
incurred in respect of any treatment relating to pregnancy and
child birth. Treatment for Cataracts,Benign prostatic
hypertrophy,Hysterectomy, Menorrhagia or Fibromyoma,
Hernia,Fitula of anus,Piles, Sinusitis, Asthma,Bronchitis, All
Psychiatric or Psychosomatic disorders are excluded from the
scope of the cover