Group Health Insurance
Group Health Insurance for Employees
Fill the following details and compare plans
11.5 Lakh+
Happy Smiles
930+
Companies Insured
250+
Insurance Products
5.5 Lakh+
Claim Settlements
What Is Group Mediclaim Insurance?
GMC offers tailored health insurance for both employer-employee and non-employer-employee groups, addressing their specific needs. This insurance aims to reduce the financial burden of medical expenses due to sickness, illness, or accidents. With comprehensive support for hospital bills, treatment costs, and other healthcare expenses, GMC's group health insurance provides peace of mind and allows members to prioritize their well-being.
Why Choose Group Health Insurance?
Group medical insurance is an essential resource for employers looking to offer health benefits to their employees. It helps attract and retain skilled talent while fostering a healthier workforce, which can lead to increased productivity and reduced absenteeism. Typically, group health plans are more cost-effective than individual insurance policies, as the risk is distributed across a larger group. This ensures that all employees have access to health insurance, regardless of their individual health status. Furthermore, these plans are customizable, enabling employers to select coverage levels that best suit their employees' needs. In summary, group health insurance is beneficial for both employers and employees, providing affordable coverage and peace of mind.
Why Should You Buy Group Health Insurance?
Group medical insurance is an excellent choice for any organization aiming to offer health benefits to its employees, including small and large businesses, non-profits, and other entities. It is especially advantageous for small businesses, as it provides access to affordable coverage that individual employees might struggle to obtain. Overall, organizations that prioritize their employees' health and well-being should consider investing in group health insurance as a valuable benefit.
Why should buy Home Insurance Policy?
No Waiting Period
One of the key advantages of a group insurance policy is that it comes with no waiting period. Coverage begins on the day you join the company, meaning that even pre-existing conditions (if any) will be included from the start.
No pre-policy health checkups
When you contact a health insurance company to purchase a plan, they may request that you undergo a medical test before issuing a policy. However, with a group insurance policy, no such tests are necessary.
Cover for family members
Although it can vary by policy, group health insurance plans typically extend coverage to employees' family members as well. These plans provide financial assistance to employees' dependents during times of need.
Comprehensive Health Cover
A wide range of medical services, treatments, and hospital expenses.
Maternity Covered
Some insurer covers delivery costs and offers financial support to expectant parents.
Customized Coverage Plans
Flexible insurance options tailored to meet the needs of their employees.
Option For Outward Portability into Individual Policy
Employees maintain coverage even if they exit the group.
Tax Benefits to Employers
Premiums are tax-deductible, which lowers the overall tax burden.
What is covered in Group Health Insurance Policy?
- Pre and Post-Hospitalization: Covers medical expenses before and after hospitalization, such as doctor visits, diagnostic tests, and follow-up care.
- Pre-existing Diseases: Covers conditions existing before the policy starts, typically with a waiting period of 1-4 years before coverage applies.
- Maternity Expenses: Covers prenatal care, delivery, and post-delivery expenses, including newborn care, often with a waiting period of 9-36 months.
- In-Patient Department (IPD) Expenses: Covers hospital stay costs, surgery, doctor’s fees, and ICU care during hospitalization.
- Ambulance Charges: Covers emergency ambulance transport to and from the hospital, often with a specified limit on the amount.
- Day Care Expenses: Covers treatments that require hospitalization but no overnight stay, such as dialysis or minor surgeries.
What is not covered in Group Insurance Policy?
- Pre-existing Conditions: Any health conditions that exist before purchasing the policy are generally not covered, unless explicitly mentioned as covered in the terms of the policy.
- Cosmetic or Elective Surgeries: Treatments that are not medically necessary, such as cosmetic surgeries (e.g., plastic surgery for aesthetic reasons) or elective procedures (e.g., LASIK eye surgery), are usually excluded.
- Infertility Treatments: Treatments related to infertility, such as IVF or surrogacy, are typically not covered under standard group mediclaim policies.
- Non-Medical Expenses: Any expenses that are not directly related to medical treatment, such as personal items, accommodation costs (hotel stays), or travel expenses, are usually excluded.
- Injuries from Self-Inflicted Harm or Illegal Activities: Injuries resulting from self-harm, suicide attempts, or injuries sustained while engaging in illegal activities (e.g., drug abuse or criminal acts) are not covered.
- Alternative Treatments: Treatments like acupuncture, homeopathy, chiropractic care, or other forms of alternative medicine are generally not covered unless specifically included in the policy.
- Treatment Outside Network Hospitals: Many group mediclaim policies have network hospitals where cashless treatment is available. Treatment at hospitals outside the network may require reimbursement or may not be covered at all, depending on the terms of the policy.
How To Buy Online Policy !
Get Quotes
Share your basic details like number of family members, their age and location
Choose plan
Select the ideal plan based on your needs and budget
Details Verified
Verification completed through secure online CKYC API
Payment Successful
Pay premium online & get your policy copy delivered instantly to your email inbox
Group Mediclaim Coverage FAQs:
Pre-existing conditions are usually not covered unless the policy explicitly mentions coverage for them. Some policies may cover pre-existing conditions after a waiting period.
Group Mediclaim coverage generally applies to employees, but many employers allow you to add family members (spouse, children, etc.) to the policy at an additional cost.
Treatment outside the network hospitals may not be covered for cashless services. However, you can still file a reimbursement claim, subject to policy terms.
To make a claim, you can either use the cashless facility at network hospitals or file a reimbursement claim if treated at a non-network hospital. You will need to submit the necessary medical documents, bills, and forms to the insurer.
In most cases, Group Mediclaim insurance is tied to employment. If you leave your job, you may lose coverage. Some insurers offer portability options, allowing you to transfer your coverage to an individual policy.
