Group Health Insurance

A group health insurance policy is a type of health insurance that offers coverage for healthcare-related expenses for a large group of individuals. Such an insurance policy is often purchased by organisations to provide medical coverage to their employees on a large scale. Group health insurance policies are typically very affordable, allowing organisations to provide coverage for a large number of individuals at nominal costs.

 

Here are a few of the top group health insurance policies in India:

 

• Bajaj Allianz Family Health Care Gold

• Aditya Birla Group Active Health

Here are a few features offered by the Group Medical Health Insurance Plan:

 

• Employees can seek cashless claim facilities at any of the insurer’s network hospitals.

• Some Group Health Insurance  plans also cover pre-existing illnesses after the completion of the waiting period (as stated by the insurer).

• Some Group Health Insurance  policies also extend coverage to the dependents of the insured (spouse, children, and parents).

• Some Group Health Insurance policies also cover ambulance costs.

• Employers can claim health insurance tax benefits under section 80D of the Income Tax Act, 1961.

There are multiple benefits of a Group Health Insurance policy for both, the employers and the employees. This insurance policy provides coverage against maternity benefits and OPD benefits for the employees’ preventive care. This, in addition to several other added benefits such as wellness sessions, and health related coverages, make this insurance policy worth the premium you pay. Read on to know more about their benefits.

Here are a few benefits of the Group Health Insurance Policy for the employers:

• Improves Employees’ Retention

With so many job offers available in the market, employee retention can be difficult. However, if you (the employer) are providing adequate health coverage to your employees and their families, the chances of your employees staying in the company increase.

• Offers Value for Money

A Group Medical Health Insurance policy is comparatively more affordable than the Individual Health Insurance plans. Hence, the employer can offer a wide range of features at a nominal price to the employees. 

• Tax Benefits

Employers can take advantage of the tax benefits of Group Health Insurance  under section 80D of the Income Tax Act, 1961.

Here are a few benefits of the Group Health Insurance Policy for the employees:

• Coverage for Pre-Existing Diseases

The employees enrolled under the best Group Health Insurance policy can get coverage for pre-existing diseases, ailments, or injuries after completing 36 months of continuous coverage.

• An Extensive Coverage

A Group Health Insurance  plan covers a range of pre-existing health conditions This implies that the employees will not have to worry about their sudden hospitalisation costs during any kind of medical emergencies.

• Peace of Mind

Employees can rest assured that in case they contract a severe illness that requires hospitalisation, their expenses are covered.

Here are a few details about the inclusions and the exclusions of a Group Health Ipolicy:

When a company opts for a Group Health Insurance  policy for its employees, they are responsible for paying the premium amount. The reason behind buying Group Medical Health Insurance for employees is to provide them with healthcare benefits and financial safety in terms of medical treatments.

 

The basic plan and the sum insured would be the same for all the employees because the Group Health Insurance  plan would be purchased for all corporate employees. However, the employees have an option to add extra beneficiaries, such as their spouse, children, and, in some circumstances, their elderly parents, in exchange for a higher premium payment.

Potential employees gauge for important factors such as paid leaves, Group Health Insurance Policy , travel reimbursement, etc. while looking for job opportunities. With the rising costs of private healthcare, every employee wishes to remain insured against any expenses that could arise out of medical emergencies. Thus, to attract qualified and competent employees, companies offer Group Health Insurance Policy. This also allows the employers to retain their employees for longer periods, thereby improving their productivity. Lastly, the employers also get tax benefits for offering the  Group Health Insurance  to their employees.

Here are the types of organisations that should purchase the Group Medical Insurance Policies for their employees:

1. Small Businesses & New Startups

Recently launched businesses having a minimum of 15 team members should consider enrolling for a Group Health Insurance  plan. This will not only cover your employees against medical emergencies but also enable you to save money on taxes. 

 

Additionally, you are not required to get worried about the expenses as Group Health Insurance  plans are created based on the company's ability to pay and the strength of its workforce.

2. Medium-sized Enterprises 

Medium-sized companies may also provide Group Health Insurance  to financially safeguard their employees from medical emergencies. This will not only increase your employees' motivation but also help you retain them for a longer period of time. 

3. Big Ventures 

Employees at the large, well-established startups anticipate perks like health insurance as a part of their compensation. Therefore, if your firm has less than or equal to 1,000 employees, you should provide them with a Corporate Group Health Insurance Plan that will not only provide them with a peace of mind but also improve the reputation of your company.

Here are a few factors that the employers must consider before purchasing the Group Health Insurance Policies:

1. Significant Advantages

A Group Health Insurance  plan's main goal is to offer healthcare advantages to the employees in order to reduce their economical strain during any kind of medical emergencies. 

 

Therefore, when selecting the finest Group Health Insurance plan for your employees, the type of benefits included in the plan should be the first element you must look for. 

2. Premium Amount

It is critical to consider the cost of your Group Health Insurance Policy and whether it is a reasonable offer or not. Consider the advantages associated with the lower premiums rather than choosing them at random.

3. Communication Effectiveness 

While choosing the Group Health Insurance, ensure that it justifies the medical needs of your employees. Make sure that when they are in need, your employees are able to receive a positive interaction with the relevant person. Insurance companies frequently employ third parties as mediators. In this situation, you should make sure that the third-party administrator assists your employees properly.

4. Service Advantages

When it comes to healthcare insurance, the services offered are the foremost thing that people look for. The insurance coverage that people buy must handle the medical-related issues with the highest care and consideration. Therefore, before choosing a Group Health Insurance Policy for your employees, carefully assess and compare the service of other health insurers.

5. Regional Coverage

Another factor to consider when selecting a Group Health Insurance plan is whether it covers the entire nation and if it does, how many network hospitals are dispersed around the country, and so on.

While people are often confused between Group Health Insurance and Employee Health Insurance, you must note that both are the same. The two can be used interchangeably for health insurance covers offered by the employers.

 

Both the insurance coverages are taken to provide medical benefits to the employees. Working professionals can use this insurance coverage to pay their hospitalisation bills, medical treatments, surgeries, etc. However, you must go through the offered services in order to avoid difficulties and facilitate an easy claim settlement 

Here are a few steps you can follow in order to make a claim for your Group Health Insurance Plan:

 

• Step 1: Get in touch with your insurer to register the claim.

• Step 2: Fill up the claim application form.

• Step 3: Upload the necessary documents/medical bills.

• Step 4: Wait for the insurer to assess your application.

• Step 5: Check your claim status online or contact your insurer for more details.

Here are a few documents that play a vital role in getting your health insurance claim approved:

 

• Duly filled and signed claim application form

• Final investigation report

• Doctor’s prescriptions

• Medical reports

• FIR (if any) 

• Hospital and pharmacy bills

• Hospital discharge summary

• Any other related document

Health Insurance Plans Available at Bajaj Markets