Group mediclaim refers to health insurance policies providing medical coverage to a group of people working under the same organization. For example, holders of the same credit card, bank account employees of the same company, social or cultural association, etc., qualify as a group covered by these policies.
With employee health insurance, the employer is the master policyholder, while the employees are beneficiaries. For non-employee mediclaim, each member of the group gets individual insurance certificates.
The primary advantages of these policies include standard coverage and very affordable premium rates. However, once a member leaves the group, the policy no longer covers him/her.
Take a look at the features, benefits, and coverage of group mediclaim insurance plans.
Given are some reasons why employers may want to get a group mediclaim:
Employees value add-on benefits like medical insurance highly. Hence, employers can increase their employee retention and the value of their jobs by providing health insurance coverage.
Employee health insurance policies make employees feel like a part of the company, motivating them to work better. This increases their productivity which boosts profits for a business.
Employers can claim expenses incurred to purchase these plans as a business expense and claim tax deductions accordingly.
The following are the benefits of group mediclaim insurance policies for employees:
Group health insurance plans provide a range of coverage for pre and post-hospitalization costs and additional expenses for medicines, diagnostic reports, etc. Moreover, all of these come with a very affordable premium.
Many group health policies allow coverage for one’s family members, including spouses, children, and elderly parents.
Group insurance policies do not have a clause where insured people need to pay a part of the claim out of their own pocket.
Group Mediclaim policies have simple terms and conditions and thus, do not require a pre-medical screening.
This is a flexible health insurance product covering expenses for treatment of sickness, accidents, hospital bills, daycare treatments, etc. Navi also offers various other group mediclaim policies covering accidents, critical illnesses, vector-borne illnesses, and hospital daily cash needs.
The group policy under this offering covers all sorts of medical expenses, including hospital bills, ambulance charges, maternity cover, recovery benefits, etc. There are three variants of the plan – Vital, Smart, and Ultimo having sum insured ranging from Rs. 5 – 50 lakh.
This policy can be tailored to suit the requirement of a group and covers hospital-related expenses, nursing expenses, doctors’ and consultant’s fees, etc. It also offers various add-on benefits, including dental treatment, eye care, family floater, waiting period waiver, and more.
The policy covers medical expenses incurred as the insured gets admitted to a hospital and for injuries and illnesses that occur. It covers OPD expenses, critical illnesses, ambulance charges, travel expenses for treatment, etc.
It covers room rents, nursing expenses, doctors’ and specialists’ fees, ambulance charges, modern treatments, etc. It also provides hospital cash and patient care benefits for a specific number of days.
You can buy a single policy for your employees or group members and their families with Navi’s group Mediclaim. Download the Navi app to get a health insurance policy with a super-fast and zero-hassle claims process.
The following are the advantages of choosing Navi for group health insurance:
We offer various group Mediclaim policies like Group Health Insurance, Group Critical Illness Insurance, Group Seasonal Byte, Group Personal Accident Insurance, and Group HospiCash policies.
With a high claim settlement ratio of 97%, you can be assured of getting your medical bills covered.
Our claim settlement process is very quick, hassle-free, and 100% paperless. Our 24×7 customer support takes only around 20 minutes to process cashless claims.
We have a network of 10,000+ cashless hospitals across the country to make your treatment seamless.
We are one of few insurers offering affordable monthly EMIs starting at only Rs. 240 per month.
With job seekers looking for group mediclaim benefits at their workplaces, employers may want to look for affordable options for employees. These policies mitigate risks of financial instability for employees and help to attract talented staff. For employees, the nominal premium rates and coverage from expensive medical treatments make these policies necessary.
Ans: The following are some exclusions of group health insurance policies:
• Non-allopathic treatments
• Pre-existing illnesses not declared previously
• Congenital diseases
• Complications due to drug or alcohol abuse
Ans: Furnish the following documents to make a claim:
• Medical reports
• Duly filled claim form
• Final bill
• Cash memos
• Discharge summary
• Police report (for accidents)
Ans: Group health plans can cover existing or new employees of a company and also provide the option to cover their family members.
How about an affordable health insurance policy 👨⚕️ starting at a monthly premium of just ₹235? Install the Navi app now and get your policy in under 2 minutes.
Disclaimer: This article has been prepared on the basis of internal data, publicly available information and other sources believed to be reliable. The information contained in this article is for general purposes only and not a complete disclosure of every material fact. It should not be construed as investment advice to any party. The article does not warrant the completeness or accuracy of the information, and disclaims all liabilities, losses and damages arising out of the use of this information. Readers shall be fully liable/responsible for any decision taken on the basis of this article.
|Karunya Health Scheme||Niramaya Health Insurance Scheme||Best Health Insurance Repositories|
|Pradhan Mantri Suraksha Bima Yojana||Best Personal Accident Insurance Plans||Best Insurance Policy For New Born Baby|
|Third Party Administrator (TPA)||What is Super Top Up Health Insurance Plan||Deen Dayal Swasthya Seva Yojana (DDSY)|
|Best Health Insurance Plan For Parents||Incurred Claim Ratio In Health Insurance||Chief Minister Comprehensive Health Insurance Scheme|
|Best Health Insurance Policies In India||Best Health Insurance Policies In India||Best Family Floater Health Insurance Plans in India|
|No Claim Bonus in Health Insurance||IRDAI Guidelines For Health Insurance||OPD Cover in Health Insurance|
|Maternity Health Insurance Plans||Health Insurance Plans For Senior Citizens||What is Portability Of Health Insurance|
TPA in Health Insurance – Meaning, Full Form, Functions and RolesTPA (full form - Third Party Administrator) is a licensed intermediary between health insurance pol... Read More »
5 Best Cancer Insurance Policy in India 2023 – Types and BenefitsCancer insurance plans can give individuals and families financial protection from expensive cancer... Read More »
10 Best Cashless Health Insurance Policy in India 2023 – Taxation and CoverCashless health insurance plans are policies that provide medical coverage to policyholders without... Read More »
6 Best Critical Illness Insurance Companies in India 2023Critical illness insurance is a type of health insurance policy that protects against fatal illness... Read More »
10 Best Personal Accident Insurance Policy in India 2023Accident insurance plans provide financial assistance to the policyholder in the event of an unfort... Read More »
Best Health Insurance for Parents in India 2023 and How to Buy?Health insurance for parents offer several perks, including a higher insured sum and full coverage ... Read More »
Best Dental Insurance Plans in India 2023: Benefits, Types and How to Claim?Dental insurance plans are policies that provide cover for expenses arising out of standard dental ... Read More »
7 Best Health Insurance for Newborn in India 2023 – Benefits and CoverHealth insurance for newborns are crucial in today’s time. When you are a new parent, the safety ... Read More »
Yeshasvini Health Insurance Scheme: Apply for Yeshasvini Health Card OnlineEveryone should have access to quality, affordable healthcare. Yeshasvini Health Insurance Scheme i... Read More »
5 Best Diabetes Health Insurance in India 2023 – Top Plans, Cover and Benefits OfferedDiabetes Health Insurance plans are specifically designed insurance covers for people who have diab... Read More »
Best Family Floater Health Insurance Plans in India (2023)A family floater health insurance plan covers the medical expenses of the entire family. It is more... Read More »
10 Best Cashless Network Hospitals in India 2023 – Benefits and Claim ProcessCashless Network hospitals are accredited hospitals that have partnered with a health insurance com... Read More »
Top 10 Chit Fund Schemes in India in 2023Chit funds are one of the most popular return-generating saving schemes in India. It is a financial... Read More »
10 Best Gold ETFs in India to Invest in April 2023Gold ETFs or Gold Exchange Traded Funds are passively managed funds that track the price of physica... Read More »
10 Best Demat Accounts in India for Beginners in 2023Creation of Demat accounts revolutionised the way trades were conducted at the stock exchanges. It... Read More »
20 Best Index Funds to Invest in India in April 2023What is an Index Fund? An index fund is a type of mutual fund or exchange-traded fund (ETF) that... Read More »
Best Arbitrage Mutual Funds to Invest in India in April 2023Arbitrage funds are hybrid mutual fund schemes that aim to make low-risk profits by buying and sell... Read More »
10 Best SIP Plans in India to Invest in April 2023What is SIP? SIP or Systematic Investment Plan is a method of investing a fixed amount in ... Read More »
10 Best Corporate Bond Funds in India to Invest in April 2023Corporate bond funds are debt funds that invest at least 80% of the investment corpus in companies ... Read More »
10 Best Bank for Savings Account in India [Highest Interest Rate 2023]Savings account is a type of financial instrument offered by several banks. It lets you safely depo... Read More »